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GENESIS SURGERY CENTER
NPI 1578530630
Clinic/Center - Ambulatory Surgical in Lansing, MI

Active since March 07, 2006CLIA 23D0930952 · Waiver
3400 E JOLLY RD, LANSING, MI 48910(517) 272-1063(517) 272-1685 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS SURGERY CENTER (NPI 1578530630) is a healthcare organization registered as an ambulatory surgical in Lansing, Michigan and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists David Destrisac, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1578530630
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGENESIS SURGERY CENTER
Location Address3400 E JOLLY RDLansing, MI 48910-8542
Mailing Address3400 E Jolly RdLansing, MI 48910-8542 · (517) 272-1063 · Fax (517) 272-1685
Phone(517) 272-1063
Fax(517) 272-1685
Organization SubpartNo
Authorized OfficialDavid DestrisacMedical Director · (517) 272-1063
Enumeration DateMarch 7, 2006
Last NPPES UpdateMarch 13, 2008
✔ NPI 1578530630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MI · 336817
3400 E JOLLY RD, Lansing, MI 48910
Open in Google Maps ↗

Other Identifiers 4

Other40369MI · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedOM50430MI
Other0C37001MI · Bcbs-2nd
Medicare PIN0M50430MI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0930952

Genesis Surgery Center · Lansing, MI
Active · expires Jul 20, 2027
CLIA Number23D0930952
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorKathy Weihman
Laboratory Phone(517) 997-8161
Laboratory LocationGenesis Surgery Center3400 E Jolly Road, Lansing, MI 48910
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESIS ASC PARTNERS LLC
Clinic/Center (Ambulatory Surgical)
3400 E JOLLY RD
LANSING, MI 48910
Ingham County (517) 708-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Surgery Center's NPI number?

The NPI number for Genesis Surgery Center is 1578530630. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Genesis Surgery Center located?

Genesis Surgery Center is located at 3400 E Jolly Rd, Lansing, MI 48910. The listed phone number is (517) 272-1063.

What is Genesis Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Genesis Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0930952) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Surgery Center was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.