05D2230383 CLIA NUMBER - KAN-DI-KI, LLC DBA TRIDENTCARE

Laboratory Demographics

  • CLIA Code: 05D2230383
  • Facility Name: KAN-DI-KI, LLC DBA TRIDENTCARE
  • Facility Address: 175 TECHNOLOGY DR, STE 100
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 657 297-0320
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: PETER P. PATTERSON
  • NPI Number: 1023786233
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2230383
LAB Type Independent
Facility Name KAN-DI-KI, LLC DBA TRIDENTCARE
Street 175 TECHNOLOGY DR, STE 100
City IRVINE
State CA
ZIP 92618
Phone 657 297-0320
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Independent
Lab Director PETER P. PATTERSON

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This page was last updated on: 9/29/2025