COVID-19 Testing Site Survey

The results of his survey will be added to the Minnesota Testing Locations Website.  Please complete a separate survey for each of your testing facilities.

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* 1. Clinic/Health System Name

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* 2. Collection Site/Facility Name

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* 3. Collection Site Address 1

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* 4. Collection Site Address 2

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* 5. City

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* 6. County

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* 7. State

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* 8. Zip Code

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* 9. Hours of Operation Monday - Friday

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* 10. Hours of Operation Weekend

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* 11. Phone

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* 12. Directions to Use the collection site

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* 13. Accepting asymptomatic patients who may be contacts of infected patients?

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* 14. Accepting symptomatic patients?

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