How do I get tested for COVID-19 disease (possible infection)?

 

The following are options for COVID-19 disease testing:

 

         Stanford - you do not need a doctor's order if you meet the criteria listed on the website.If you are a Stanford patient with MyHealth access, you can book an appointment for testing via My Health.Otherwise, review the information on the link below and call the number 650-498-9000 to schedule an appointment.You can also drive through or walk in at some sites with no appointment but patients who have appointments are obviously prioritized.

 

https://stanfordhealthcare.org/discover/covid-19-resource-center/testing.html

 

 

        El Camino Healthcare Ė for patients who live, work or go to school in Mountain View, Los Altos, Los Altos Hills, most of Sunnyvale, some sections of Cupertino/Santa Clara/Palo Alto.Phone number 650-940-7022: select Option 4.Appointments given for testing.https://www.elcaminohealth.org/newsroom/covid-19-testing-available-at-el-camino-health

 

        Curative which is a COVID testing location finder: https://curative.com/

 

        Santa Clara County pop up sites where you can search by city:

https://www.sccgov.org/sites/covid19/Pages/covid19-testing.aspx#la

 

        San Mateo County mostly directs people to their partner Project Baseline but also has other good information:

https://www.smcgov.org/testing

 

        Igenex offers same day results for travel:

https://igenex.com/igenex-covid-19-testing/

 

        CVS:

https://www.cvs.com/minuteclinic/covid-19-testing

 

         Dignity Health urgent care:https://www.gohealthuc.com/bayarea/covid-19-test

 

        Carbon Health:

https://carbonhealth.com/coronavirus

 

 

        Virus Geeks:

https://my.virusgeeks.com/

 

        Home testing kits that use antigen testing like LetsGetChecked, Binax,BD Veritor, Quidel, etc.These are of variable accuracy.They are under emergency use authorization (EUA) status.Basically, there are a lot of false negatives if taken early in the disease.If the test shows that you do have COVID, however, it is very accurate and unlikely to be wrong.Donít depend on a normal at home test if itís negative/normal especially if you have symptoms.Follow it up by a PCR test.Many experts in the field recommend doing a test right before gathering with people from other households.This will potentially stop some disease transmission but will not stop all transmission.The FDA has stated that these rapid home tests are ďless accurate for the omicron variantĒ but havenít been specific about which tests or how much less accurate they are.The bottom line is no test is perfect.

 

         The Cue home test, authorized for emergency use by the U.S. Food and Drug Administration, is a type of nucleic acid amplification test (NAAT), and the company says that its method has comparable accuracy to polymerase chain reaction tests (commonly called "PCR tests"). One small study of 292 patients at the Mayo clinic confirmed the accuracy.It is costly but more accurate--the test reader is $249, with three-packs of test cartridges at $225.Lucira is another NAAT home test.

 

 

Is testing for COVID-19 antibodies available?

Yes -- Testing for SARS-COV-2 (the virus that causes COVID-19) antibodies is available.  Testing quality has been variable.  Stanford & Menlo Clinic labs and Quest seem to have reliable tests.  Some tests just show whether you have any antibody at all.Some tests like Stanfordís gives a quantitative number.

We donít have standards yet for how many antibodies we need from the vaccine to be protected. We do know that higher numbers of antibodies are better than no antibodies. Therefore, checking your antibody level is informative only in a very approximate fashion.We do not know how long the natural immunity from infection may last.Post-infection (natural immunity) antibodies can last 3-12 months but some patients have no antibodies after an infection.Antibody tests also donít tell the whole picture since T and B cell immunity is important too.