23D2090392 CLIA NUMBER - JEFFREY K CHAULK, MD, PC DBA ALPINE EYE CARE

Laboratory Demographics

  • CLIA Code: 23D2090392
  • Facility Name: JEFFREY K CHAULK, MD, PC DBA ALPINE EYE CARE
  • Facility Address: 1200 N DOWN RIVER ROAD
    GRAYLING, MI
    ZIP 49738
  • Facility Phone: (989) 348-8689
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY K. CHAULK
  • NPI Number: 1558557454
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D2090392
LAB Type Physician Office
Facility Name JEFFREY K CHAULK, MD, PC DBA ALPINE EYE CARE
Street 1200 N DOWN RIVER ROAD
City GRAYLING
State MI
ZIP 49738
Phone 9893488689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director JEFFREY K. CHAULK

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This page was last updated on: 5/18/2026