CLIA lab

CLIA 05D2226685: Kan-Di-Ki, LLC DBA Tridentcare

San Leandro, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2226685 belongs to Kan-Di-Ki, LLC DBA Tridentcare in San Leandro, CA.

Certificate of Waiver, effective June 2, 2025, expires June 1, 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
June 2, 2025
Certificate expiration
June 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 2, 2021
Facility type
Mobile lab
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
05D2226685
Lab name
Kan-Di-Ki, LLC DBA Tridentcare
Address
10948 Bigge St (vin 1N6BF0LY7FN807438), San Leandro, CA 94577
Phone
(215) 539-0742
Fax
(602) 434-3666

Annual test volume the lab reported

Waived tests
70,000

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 Kan-Di-Ki, LLC DBA Tridentcare in San Leandro?

05D2226685, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kan-Di-Ki, LLC DBA Tridentcare hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2226685 expire?

The CMS file lists June 1, 2027 as the certificate expiration date; the certificate took effect June 2, 2025.

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