29D1094377 CLIA NUMBER - KAN-DI-KI, LLC D/B/A TRIDENTCARE

Laboratory Demographics

CLIA Number: 29D1094377

Facility Name: KAN-DI-KI, LLC D/B/A TRIDENTCARE

Facility Address:
7355 PRAIRIE FALCON RD
LAS VEGAS, NV
ZIP 89128
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Facility Phone Number: 702 984-2535

Facility Type: Independent

Certificate Type: Accreditation

NPI Number: 1457300451

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name	Field Value
CLIA Number	29D1094377
LAB Type	Independent
Facility Name	KAN-DI-KI, LLC D/B/A TRIDENTCARE
Street	7355 PRAIRIE FALCON RD
City	LAS VEGAS
State	NV
ZIP	89128
Phone	702 984-2535
CertificateType	1
CertificateEffectiveDate	11/24/2023
CertificateExpirationDate	11/23/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024