Appointment required for COVID-19 testing

Book an Appointment - Livonia Book an Appointment - West Bloomfield

Available testing options

In accordance with current CDC testing guidelines, a provider will evaluate you prior to obtaining and ordering a test, to assure the correct type of test is being completed.  We currently offer a highly sensitive rapid Antigen test and in select cases a rapid PCR test (limited by specific protocol).  IN addition, we also can order the gold standard send-out PCR test with results available within 3-4 days (many times less), with results being available based upon community volume through our reference lab, Quest Diagnostics.

Dr. Sanford Vieder answers your questions about COVID testing options:

COVID-19 Testing

There are 4 basic tests currently approved by the FDA for the detection of the Covid-19 virus:

Rapid antigen test:  detects particles of the Covid-19 virus and is most effective between days 3 and 10 following exposure to the virus. Results are available within 20 minutes.

Rapid PCR test: detects a different particle of the Covid-19 virus and is most sensitive for active disease, typically turning positive within 5 days of exposure and active infection.  Like the gold standard PCR test, this test can remain positive for up to 3 months after active infection. Results are available within 20 minutes of sample run. Testing supplies for this type of test are very limited across the country and therefore we follow strict CDC protocol to determine if this test should be completed.

Full standard PCR test: the “gold standard test” and by far the most sensitive and specific. This test also detects a different particle of the Covid-19 virus and is most sensitive for active disease, typically turning positive within 5 days of exposure and active infection.  This test can remain positive for up to 3 or more months after active infection. Results are available within 24-48 hours of sample run.

Serum antibody test: this is a blood test which detects antibodies in the blood which develop after recovery from an active infection and are created by the immune system.  This test is best used a minimum of 14 days after known or suspected infection. Test results are typically available within 24-48 hours of sample run. Antibody test can also be used to determine if your immune system has properly responded to the Covid-19 vaccine.

Category: COVID-19 Testing

The clinical decision about which test should is best utilized depends upon the history of exposure, current symptoms including their time of onset and a physical exam.  While we certainly understand that everyone desires to have an immediate or “rapid result”, a rapid test may not be the best choice to obtain the most accurate diagnosis and actually lead to an incorrect diagnosis.

Lakes Urgent Care follows current CDC guidelines and best practice algorithms.  We make frequent updates to practice guidelines so we can provide the best care possible.  Utilizing this information in conjunction with each specific patient’s history and physical exam, our providers will recommend the best test to be performed for each individual patient. It is important to understand that there is no one size fits all approach when dealing with Covid-19!

Category: COVID-19 Testing

This can be a challenging question and there is significant information and clinical decisions to be made, based upon that information to make the best recommendations about testing.

If you previously had a confirmed positive test, the CDC does not support “retesting until negative” and many insurance companies will not cover repeated tests in this circumstance.  The reason for this is that you are likely to continue testing positive for up to 3 or more months.  What is critical, is whether you have symptoms of Covid-19 or possibly some other source of infection.

If you have never tested positive and are concerned that you have been exposed, it is best to quarantine to protect others (even if you have no symptoms) and wait until day 5 after exposure to be tested, while maintaining the quarantine.

If you have never previously tested positive but are now symptomatic, we can certainly test you, although the results may be conflicting.  In this situation maintaining quarantine to protect others is paramount until you have been tested and the result is available.  Also keep in mind, that while Covid-19 is by far the most prevalent current community infection, there are literally hundreds of other viral illnesses which could be responsible for your current symptoms.  Strep throat, pneumonia, upper respiratory infections and to a lesser extent, influenza, are still prevalent at this time and can be the source of your symptoms or illness.

Category: COVID-19 Testing

Obtaining your test results

Test samples which are sent to a reference lab, will typically have results available within 24-48 hours in most cases and you will be given instructions on how to log into the labs website to obtain and print your own results.

Rapid tests completed in the office are typically available within 20-30 minutes of the sample being run.  Depending upon the current volume of patients in the urgent care at the time of your visit, you will either have the opportunity to wait for that result or Lakes Urgent Care will notify you of the results as soon as possible via your preferred contact method. By providing your mobile number, we are able to send a HIPPA compliant secure message to your mobile device if you approve.

No appointment needed for all other services

Vaccine Update:

**The COVID-19 vaccine is currently NOT AVAILABLE at Lakes Urgent Care**

Everyone 16 and older is now eligible to receive the COVID-19 vaccine.

We highly recommend that you proactively make an appointment to vaccinate yourself and all eligible members of your family.

COVID-19 Vaccination appointments are available now at Ford Field:

Additional COVID-19 vaccination appointment sites:,9753,7-406-98178_103214—,00.html

Additional COVID-19 resources:

Admission and waiting room policies

We now offer full services at our Livonia office.

Prior to entering, all patients will be pre-screened and any patient who exhibits symptoms of COVID-19 will enter a separate waiting room and use separate examining rooms. Our Livonia office has separate waiting rooms and we have obtained sufficient personal protection equipment (PPE) to maintain the highest level of health and safety for our patients and staff.

We continue to offer most services at our West Bloomfield office.

Prior to entering, all patients will be pre-screened for COVID-19 exposure and symptoms. Patients who exhibit these symptoms will be given instructions and guidelines at the door.

Patients who do not exhibit these symptoms will be allowed to enter for treatment of most urgent care issues including wound care, basic burn care, eye complaints, abdominal pain (without vomiting or diarrhea), back pain, dermatologic issues, x-ray and initial fracture care, asthma and any other concerns not related to upper respiratory infections or risk of COVID-19 Coronavirus.

Please call us if you have any questions or concerns prior to your visit.

We’ve added new disinfectant and sanitization measures for greater safety

In addition to our usual sanitizing processes, we now also use HVLP (high volume, low pressure) disinfectant sprayers in all our examining rooms to assure complete coverage of all surfaces.

The new sprayed solutions are organic, non-toxic 100% viricidal and bactericidal, and are FDA and CDC approved for the use against and prevention of the virus which causes COVID-19.

In addition to daily deep cleaning, each treatment area, x-ray room and restroom is sprayed after each use. Each patient entering a treatment or diagnostic room will not be exposed to any risks of viral transmission associated with a prior patient visit in that space.

From all of us at Lakes Urgent Care West Bloomfield and Livonia, we are committed to providing you and your family with professional, compassionate medical care in the safest and cleanest environment possible.

Thank you for trusting us with your care.

Dr. Sanford Vieder D.O., F.A.C.O.E.P.
Medical Director, Lakes Urgent Care