CLIA lab
CLIA 14D2169703: Neurorestorative Sparrow Carbondale
Carbondale, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2169703 belongs to Neurorestorative Sparrow Carbondale in Carbondale, IL.
Certificate of Waiver, effective July 25, 2025, expires July 24, 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
- July 25, 2025
- Certificate expiration
- July 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2019
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2169703
- Lab name
- Neurorestorative Sparrow Carbondale
- Address
- 1271C E Walnut St, Carbondale, IL 62901
- Phone
- (618) 529-3060
- Fax
- (618) 457-5372
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Neurorestorative Sparrow Carbondale in Carbondale?
14D2169703, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Neurorestorative Sparrow Carbondale hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2169703 expire?
The CMS file lists July 24, 2027 as the certificate expiration date; the certificate took effect July 25, 2025.