Hawaii has limited the number of approved laboratories for COVID testing, and at the present time, we are not on the list. We will do everything we can to join the list when that is opened up to more laboratories.
Cole Diagnostics is proud to offer COVID-19 testing. We offer both COVID-19 PCR (nasal swab) testing and antibody (serological) testing for COVID-19.
Please schedule your appointment on TestDirectly.com by clicking here. Once you register and log into your account, you will be able to create a linked profile for any additional family members sharing an email and then schedule your appointments.
For timely processing of your test(s) and results, please be sure to enter all applicable patient history. After your test, you will receive notification from TestDirectly.com when your results are ready to view and print--typically within 48-72 hours.
Below are some details regarding common scenarios. Please read our Frequently Asked Questions before calling our lab.
You Have COVID-like Symptoms
If you are feeling any COVID symptoms, such as those listed to the right, you can schedule a test through our online system, or by contacting our office. The nasal swab, also called the PCR test, is the most accurate and reliable when you are symptomatic. If you have an order from a provider, bring the order with you, or the provider may fax an order to us. Please be sure all insurance information is complete and accurate and we will bill your insurance for you.You will receive a copy of your results by email if requested, and your provider (if applicable) will also get a copy of your results. While you are symptomatic, it is especially important to remain isolated until you have the results of your test. If your symptoms are severe, such as difficulty breathing, contact your local emergency department right away.
Fever above 100.4 degrees
Shortness of breath
Loss of taste or smell
Nausea or vomiting
Loss of appetite
If you have had exposure to someone who tested positive, you may be at risk for catching the illness. Close exposure typically means spending 15 minutes or more in close personal contact, or in an enclosed room with recirculating air, while the individual was symptomatic, or 2 days prior to the onset of symptoms (or 2 days prior to the positive test if the person did not have symptoms). You should isolate yourself from other people for at least 7 days and watch for symptoms to develop. You can be tested 5-7 days after your contact with the positive person, unless you start to develop symptoms prior to that time. If you do not currently have symptoms, you can schedule an appointment with us through our online portal. If you do experience symptoms, please follow the guidance listed above.
If it has been 2 weeks or more since you were around someone who had symptoms of COVID at the time of contact, and you do not have any symptoms currently, the antibody test may be the most informative test for you at this time. This will help to determine if you still have a low grade infection, or may have had a COVID infection with few or no symptoms.
Please provide complete and accurate insurance information so that we can bill insurance for you. Insurance may not pay for some testing, particularly antibody testing, and you may receive a bill from us after we hear back from your insurance company. You may also pay us directly at the time of service if you do not want your test to be billed to insurance.
If you are required to show a negative PCR test (nasal swab) in order to travel, we are able to help you. Most destinations are requiring that your sample is provided to the lab within 72 hours of your flight. Please notify us of your flight time when you arrive for your test. We are working hard to ensure we can meet these time limits, though some delays may occur. Please reach out to us via this form on our site if you have questions about scheduling your test.
Monday flight - schedule your test for Friday
Tuesday flight - contact us to determine Saturday availability
Wednesday flight - schedule your test for Monday morning
Thursday flight - schedule your test for Monday afternoon or Tuesday morning
Friday flight - schedule your test for Tuesday afternoon or Wednesday morning
Saturday flight - schedule your test for Wednesday afternoon or Thursday morning
Sunday flight - schedule your test for Thursday afternoon or Friday morning
The cost of the test will be due at the time of service.
Your surgeon will provide an order for your testing. You can schedule your testing appointment through our online portal. Please schedule your testing approximately 72 hours prior to your surgery. We will bill your insurance for the testing.
You Were Sick A While Ago
If you were feeling sick with COVID symptoms, but weren’t able to get testing, we can test your antibodies to COVID-19 to see if your body has produced an immune response to the virus. The team will review your health history and recommend this testing for you based on your situation.
Return To Work
If you have been exposed to COVID or had symptoms and need a test to return to work, we can help you. Generally, most employers require the PCR nasal swab test. Some employers may request this test even if you have not been sick or been exposed. You will be responsible for paying for this test at the time of service.
If you would like to organize testing for your employees, please download and review this form.
If someone at your workplace tested positive for COVID, you may want to screen other employees. The positive person should be quarantined for 14 days following their positive test. Any employees that have had contact with the positive individual can be tested 5-7 days from the last exposure to that person, unless they develop symptoms sooner. This window allows time for the virus to be detected. Please call our office and we can set up a time everyone who was potentially exposed can be tested. You can also provide information to your employees to set up their own appointments using the link above. Have each employee fill out the form available on our website, and the employer will complete the employer agreement that includes credit card authorization for paying for the test. Send any questions you may have through our online contact form.
Frequently Asked Questions
IS THE TEST FREE?
The cost of the test is $99 for the nasal swab, or $50 for the antibody test. If the test is medically necessary, your insurance may cover this cost. We can bill your insurance if you have symptoms, have had close personal contact to someone who has tested positive, or if the test is required for a surgical procedure.
WHAT IS THE DIFFERENCE BETWEEN THE PCR (NASAL SWAB) TEST AND THE ANTIBODY TEST?
The PCR Nasal Swab test looks for the presence of the virus on the mucous membranes in your nose. A small long swab will be inserted into the back of your nose to catch those viral particles for testing. A very specialized process will extract genetic material collected and then look closely at that material to determine if the virus is present. This test is most accurate in a small window beginning 2 days prior to when you develop symptoms, and lasting about 5-7 days past the first day of symptoms. The virus can also be detected even if you have no symptoms. Some people develop very mild cases of the illness and may not have symptoms, or may think their symptoms are allergies or just general fatigue. Our lab uses a molecular instrument called the Roche Cobas to detect the virus in your sample. The assay we use is made by Quidel, and it has received Emergency Use Authorization by the FDA.
The antibody test looks at your body’s reaction to the virus. The antibody test can help determine if you have had the virus in the past, even if you did not realize you had it. Antibodies begin to develop about 5-7 days after exposure to the virus. First the IgM antibodies develop, often while you still have symptoms of the illness. If it has been more than 10 days since you were exposed, the antibody test may be more accurate than the PCR test. After about 14 days from exposure, IgG antibodies begin to develop. These antibodies may last from weeks to months after the illness. In some cases they may only last a few weeks, and in some cases much longer. Our lab uses two types of antibody testing. We use the RightSign lateral flow test, which tests for both IgM and IgG antibodies. We also use the Abbott IgG Test. Both tests have received Emergency Use Authorization from the FDA.
HOW SOON WILL I HAVE A RESULT?
Typically you will have a result within 48-72 hours of the swab or blood draw collection. We will email you, if you provide your email address and authorize us to do so, and we will also notify your health care provider if we have that information.
Some situations are beyond our control. For example, based on massive national and world-wide demand for supplies, it is possible that we could run out of essential supplies and cannot perform the test. Our team is working hard to make sure we have ample supplies on hand and that we’re buying well in advance of our needs. It is also possible that the demand for testing will exceed our daily staff and instrument capacity. We are anticipating this by being selective about how much testing we accept and also training more staff in our lab to provide accurate and timely results.
WHAT SHOULD I DO IF MY PCR TEST IS POSITIVE?
If you have a positive PCR test, you should isolate yourself from other people for 10-14 days. If your symptoms are severe, such as difficulty breathing, severe chest pain, or extreme headaches, you should contact your emergency room or urgent care immediately for instructions. You should also inform any close contacts you had within 2 days prior to symptom onset (or the positive test if you have not had symptoms) that you have the illness so that they can quarantine and also get tested.
WHAT SHOULD I DO IF MY ANTIBODY TEST IS POSITIVE?
If your IgM antibody test is positive, and you have not had a PCR test, you should schedule a PCR test. If you have a positive IgM test and a negative PCR test, you may still be contagious, particularly if you have any symptoms. Please remain socially isolated for 7-10 days. Repeat antibody testing 10-14 days later may be informative.
WHAT IF MY TEST IS NEGATIVE, BUT I HAVE SYMPTOMS?
Many other illnesses cause similar symptoms too COVID. You may have the Influenza, Strep, a common cold, or allergies. You can ask your provider to evaluate you for these other conditions. If symptoms persist, you can also be tested again, including the PCR and the antibody test. In some instances, the PCR test may be negative the first time, and then positive 3-5 days later.