"*" indicates required fields

What is the name of the facility conducting testing?
10-digit Telephone number
Is testing for COVID-19 available to the public?*
Do you have weekend hours for COVID-19 testing?*
Are you using the Abbott rapid (5 minute) test?*
Are you conducting drive up testing, where patients do not leave their vehicle?*
Are you using the BinaxNow test?*
Do you have Spanish speaking staff available to help Spanish speaking patients?*
What type of COVID-19 test are you conducting?*