CLIA lab
CLIA 05D2342518: Kan-Di-Ki, LLC
West Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2342518 belongs to Kan-Di-Ki, LLC in West Sacramento, CA.
Certificate of Waiver, effective April 21, 2026, expires April 20, 2028.
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
- April 21, 2026
- Certificate expiration
- April 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2026
- 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
- 05D2342518
- Lab name
- Kan-Di-Ki, LLC
- Additional name
- DBA Tridentcare
- Address
- 2945 Ramco St, Vin 1FTBR1X83SKA33016, West Sacramento, CA 95691
- Phone
- (215) 539-0742
- Fax
- (602) 343-6662
Annual test volume the lab reported
- Waived tests
- 30,000
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 in West Sacramento?
05D2342518, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kan-Di-Ki, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2342518 expire?
The CMS file lists April 20, 2028 as the certificate expiration date; the certificate took effect April 21, 2026.