Get a CIRS Home Assessment

What is CIRS?

Chronic Inflammatory Response Syndrome (CIRS) is a multi-system, multi-symptom illness caused by exposure to certain biotoxins in water-damaged buildings, including mold and other environmental toxins.


CIRS is a complex condition that can cause a wide range of symptoms. Patients experiencing CIRS often go misdiagnosed or without a diagnosis because their symptoms mimic other conditions. According to Dr. Ritchie Shoemaker (a top authority on mold illness), 24% of the population is susceptible to their genetics.

Common Misdiagnoses

  • Chronic Fatigue Syndrome (CFS)
  • Fibromyalgia
  • Depression and Anxiety
  • Allergies
  • Somatization (such as Hypochondria)
  • Attention Deficit Hyperactivity Disorder (ADD/ADHD)
  • Irritable Bowel Syndrome (IBS)

What Does a CIRS Home Assessment Involve?

A CIRS home assessment is a detailed inspection and testing of a home to identify and address biotoxins that may be causing Chronic Inflammatory Response Syndrome (CIRS). CIRS is a condition that makes people hypersensitive to mold and other biotoxinsCertified Indoor Air Inc will conduct a comprehensive advanced microbial testing panel in your home.  If someone is diagnosed with CIRS, the person is hypersensitive to mold and other biotoxins found in water-damaged buildings. This panel of advanced microbial tests will help you formulate a proper defense and action plan. Certified Indoor Air conducts an Extra Testing Protocol for the homes of CIRS patients.  Actinomycetes, Endotoxins, Mycotoxins, ERMI and HERTSMI2 sampling are the starting point in creating a comprehensive picture of the indoor environment.  Each of these panels share a part of the overall picture.  Ask about Certified Indoor Air Inc's panel of Advanced Microbial Tests if you are experiencing symptoms or health effects consistent with mold toxicity. 

Why Get a CIRS Home Assessment?

For individuals suffering from Chronic Inflammatory Response Syndrome (CIRS), living in a healthy home is imperative to maintaining proper health and healing. One small crack in the foundation, roof, building envelope, or plumbing of your home can cause catastrophic damage over time, both to the integrity of your home and to your health.



Patients experiencing CIRS are often misdiagnosed with other debilitating illnesses, leaving the patient suffering for years.

The CIRS Procedure and Reporting

Sampling your home environment is necessary to determine if the home contributes to your CIRS inflammatory markers, hormone markers, and relevant antibodies. The procedure includes a comprehensive dust collection within your living space and ventilation system. Advanced microbial testing is a set of technologies that can rapidly detect, identify, and characterize microorganisms within the dust samples. These methods use DNA sequencing and microarrays to identify microorganisms.


These biotoxins electrostatically link-up with particulate in the air and eventually gravity pulls them down in the form of dust. Dust harbors tiny amounts of mold and other biotoxins (sometimes for years) and therefore gives the investigator (and a physician) a history of what the building has been subjected to in the past. People with chronic diseases may react negatively to traces of these biotoxins, regardless of age. 

  • 1. What is CIRS and how does it relate to my home?

    Answer: Chronic Inflammatory Response Syndrome (CIRS) is a multi-system, multi-symptom illness caused by exposure to biotoxins, such as mold, found in water-damaged buildings. Roughly 24% of the population has a genetic susceptibility that prevents their bodies from properly processing these toxins. A CIRS Home Assessment identifies these hidden environmental triggers so you can create a safe, healthy environment to heal.

  • 2. How does a CIRS Home Assessment differ from a standard mold inspection?

    Answer: Standard mold inspections usually focus on visible mold and basic air sampling. A CIRS Home Assessment uses an Advanced Microbial Testing Panel specifically designed for hypersensitive individuals. We look at the deeper history of the home by analyzing dust and ventilation samples using advanced DNA sequencing and microarrays to identify specific biotoxins that traditional tests miss.

  • 3. What specific advanced tests are included in the CIRS panel?

    Answer: Our Extra Testing Protocol for CIRS patients includes a comprehensive starting panel consisting of:

    • ERMI & HERTSMI-2 sampling to analyze mold history via dust.
    • Actinomycetes testing.
    • Endotoxins testing.
    • Mycotoxins testing.

    Together, these tests provide a complete picture of your indoor environment.

  • 4. Why do you test dust samples instead of just taking air samples?

    Answer: Biotoxins electrostatically link up with airborne particles and eventually settle into the house dust, where they can harbor for years. Testing settled dust from your living space and ventilation system provides an accurate historical record of what your building has been subjected to, which is vital for patients with chronic illnesses who react to even trace amounts.

  • 5. What are the common misdiagnoses for people suffering from CIRS?

    Answer: Because CIRS mimics many other chronic conditions, patients are frequently misdiagnosed and left suffering for years. Common misdiagnoses include Chronic Fatigue Syndrome (CFS), Fibromyalgia, Depression and Anxiety, Allergies, ADD/ADHD, Irritable Bowel Syndrome (IBS), and Somatization.

  • 6. Where do you offer CIRS Home Assessments?

    Answer: Certified Indoor Air provides professional CIRS assessments and advanced microbial testing throughout Raleigh, NC, and surrounding areas including Cary, Apex, Durham, Chapel Hill, Wake Forest, and Holly Springs, among many other local communities.

Why wait any longer? Call us at (919) 214-5000!