CLIA lab
CLIA 23D2090391: Jeffrey K Chaulk, MD, PC
Gaylord, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2090391 belongs to Jeffrey K Chaulk, MD, PC in Gaylord, MI.
Certificate of Waiver, effective January 22, 2025, expires January 21, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2090391
- Lab name
- Jeffrey K Chaulk, MD, PC
- Additional name
- DBA Alpine Eye Care
- Address
- 350 W North Street, Gaylord, MI 49735
- Phone
- (989) 732-6455
- Fax
- (989) 732-1102
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gaylord, MI
- Advanced Dermatology of MichiganCertificate of Waiver, Physician office23D2287510
- Alpine Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office23D0381657
- Beacon Home at GaylordCertificate of Waiver, Other23D2347533
- Bear River HealthCertificate of Waiver, Other practitioner23D2205577
- Crossroads Ministry New Life PregnancyCertificate of Waiver, Independent23D2203051
- Donald P Cousineau DOCertificate of Waiver, Physician office23D0381664
- Evergreen HC Group IncCertificate of Waiver, Home health agency23D2222218
- Family Fare Pharmacy #1510Certificate of Waiver, Pharmacy23D2084510
- Family First MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office23D1067124
- Gaylord OpcCertificate of Accreditation, Community clinic23D1048371
Related
Questions
What is the CLIA number for Jeffrey K Chaulk, MD, PC in Gaylord?
23D2090391, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jeffrey K Chaulk, MD, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2090391 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.