CLIA lab
CLIA 14D2236544: Neurorestorative Carbondale - Bonzai House
Carbondale, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2236544 belongs to Neurorestorative Carbondale - Bonzai House in Carbondale, IL.
Certificate of Waiver, effective September 17, 2025, expires September 16, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 17, 2025
- Certificate expiration
- September 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2021
- 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
- 14D2236544
- Lab name
- Neurorestorative Carbondale - Bonzai House
- Address
- 2500 E Walnut St - Bldg E, 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.
Other labs in Carbondale, IL
- Alamo Women's Clinic of IllinoisCertificate of Waiver, Physician office14D2286282
- Anad Salem MDCertificate for Provider-Performed Microscopy Procedures, Physician office14D0938839
- Biomat USA, IncCertificate of Accreditation, Other14D0934773
- Carbondale CbocCertificate of Accreditation, Community clinic14D2043807
- Cedar Court ClinicCertificate of Waiver, Physician office14D0912873
- Center for Medical ArtsCertificate of Waiver, Rural health clinic14D0436404
- Center for Medical Arts - LaboratoryCertificate of Waiver, Rural health clinic14D2068813
- Choices Medical Services, P CCertificate of Waiver, Other14D2269784
- Clarity Women's CareCertificate of Waiver, Other14D1086462
- Family Medicine Carbondale - Oldenhage Hughes BldgCertificate of Waiver, Physician office14D2136041
Related
Questions
What is the CLIA number for Neurorestorative Carbondale - Bonzai House in Carbondale?
14D2236544, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Neurorestorative Carbondale - Bonzai House hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2236544 expire?
The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.