CLIA lab

CLIA 23D2090392: Jeffrey K Chaulk, MD, PC

Grayling, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D2090392 belongs to Jeffrey K Chaulk, MD, PC in Grayling, 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
23D2090392
Lab name
Jeffrey K Chaulk, MD, PC
Additional name
DBA Alpine Eye Care
Address
1200 N Down River Road, Grayling, MI 49738
Phone
(989) 348-8689
Fax
(989) 348-6462

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 Grayling, MI

Related

Questions

What is the CLIA number for Jeffrey K Chaulk, MD, PC in Grayling?

23D2090392, 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 23D2090392 expire?

The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.

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