CLIA lab
CLIA 23D2090393: Jeffrey K Chaulk, MD, PC
Cheboygan, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2090393 belongs to Jeffrey K Chaulk, MD, PC in Cheboygan, 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
- 23D2090393
- Lab name
- Jeffrey K Chaulk, MD, PC
- Additional name
- DBA Alpine Eye Care
- Address
- 724 S Main Street, Cheboygan, MI 49721
- Phone
- (231) 627-3169
- Fax
- (231) 627-3099
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 Cheboygan, MI
- Alcona Health Center Cheboygan SiteCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center23D2096360
- Cheboygan County JailCertificate of Waiver, Other23D2209361
- Cheboygan Life Support Systems IncCertificate of Waiver, Ambulance23D0698536
- Cheboygan Opco, LLCCertificate of Waiver, Skilled nursing or nursing facility23D0381615
- Family Fare Pharmacy #1504Certificate of Waiver, Pharmacy23D2084505
- Mclaren Central MichiganCertificate of Waiver, Rural health clinic23D0721423
- Mclaren Northern Michigan CheboyganCertificate of Accreditation, Other23D0381622
- Modern Medical Services IncCertificate of Waiver, Pharmacy23D1018844
- Rivertown Medical ClinicCertificate of Waiver, Physician office23D1030472
- Straits Area Dermatology Center PLCCertificate of Registration, Physician office23D2330323
Related
Questions
What is the CLIA number for Jeffrey K Chaulk, MD, PC in Cheboygan?
23D2090393, 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 23D2090393 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.