23D2090393 CLIA NUMBER - JEFFREY K CHAULK, MD, PC DBA ALPINE EYE CARE

Laboratory Demographics

  • CLIA Code: 23D2090393
  • Facility Name: JEFFREY K CHAULK, MD, PC DBA ALPINE EYE CARE
  • Facility Address: 724 S MAIN STREET
    CHEBOYGAN, MI
    ZIP 49721
  • Facility Phone: 231 627-3169
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY K. CHAULK
  • NPI Number: 1902093701
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D2090393
LAB Type Physician Office
Facility Name JEFFREY K CHAULK, MD, PC DBA ALPINE EYE CARE
Street 724 S MAIN STREET
City CHEBOYGAN
State MI
ZIP 49721
Phone 231 627-3169
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: 9/29/2025