We have attempted to address the most common questions we receive from patients and healthcare providers on our Frequently Asked Questions page. We look forward to working with you!
What type of tests does Kashi Health offer?Please visit our Genetic Services overview to see a full list of the tests we offer. Our testing services are in the process of expanding, so please check back regularly to see what new tests we offer.
Am I qualified to order Complex Genetic Testing?Practitioner boards authorize their practitioners to order and receive laboratory results within the scope of their practice. The following boards have indicated to Laboratory Compliance that their rules allow their licensed members to order and receive laboratory results:
Physicians Examiners Board
- Medical Doctor (MD)
- Doctor of Osteopathy (DO)
- Doctor of Podiatric Medicine (DPM)
- Physician Assistant (PA)
Chiropractic Examiners Board
- Doctor of Chiropractic Med (DC)
Naturopathic Examiners Board
- Naturopathic Doctor (ND)
- Direct Entry Midwife (DEM)
Board of Pharmacy
- Pharmacists for Medication Therapy Management (MTM)
- Certified Nurse Practitioner (NP)
- Certified Nurse Midwife (CNM)
- Certified Registered Nurse Anesthetist (CRNA)
- Clinical Nurse Specialist (CNS)
- Doctor of Dental Science (DDS)
- Doctor of Medical Dentistry (DMD)
Board of Optometry
- Optometric Physicians (OD)
Does my patient have to collect their sample at a certain time of day?No. The buccal swab collection test is not affected by diurnal patterns.
How do I become a provider?You may visit our provider page to become a Kashi Health provider.
How do I order more kits?Please visit this page to request test kits. If you intend to purchase in bulk, please call or email us to discuss pricing.
Who do I contact to discuss my patient's test results?Please contact us directly to discuss any test-related questions, including test interpretation and follow-up recommendations.
Will Kashi Health send a test kit directly to my patient?Once we have physician authorization for testing and payment on file, we are happy to ship the test directly to your patient.
Will Kashi ship tests overseas?All of Kashi Health's genetic testing services are available internationally to licensed health providers.
I am a provider, can I link to your website?Providers who have officially registered with Kashi Health as a Provider are welcome to embed a link to Kashi Health's website. All other interested parties are asked to please contact Kashi Clinical Laboratories directly for approval.
What methods are used for testing?Kashi Clinical Laboratories utilizes a variety of molecular biology techniques including Luminex, Real-Time PCR, Sanger Sequencing, and Next Generation Sequencing.
Is there any advantage for my patients with whole gene sequencing as compared to Taqman SNP genotyping?No, SNP genotyping at Kashi Laboratories, has focused on the few SNPs that have been identified in scientific studies that have been associated with a given disease/condition based on sound research conducted in large groups of people. For example, in genome-wide association studies (GWAS), researchers compare the genomes of thousands of individuals with a disease or phenotype of interest, who are referred to as cases, to thousands of unaffected individuals, who are referred to as controls. Through this comparison, it becomes possible to identify the genetic differences between sick and healthy individuals that are statistically significant events, and the most likely to have a true impact on the phenotype of interest.
GWAS microarray chips typically capture SNPs found in at least a few percent of the population to provide the greatest statistical power to support the association of that variation with the disease in question.
Outside of these more common SNPs, there can be rare variants that possibly may explain some of the “missing heritability” of complex diseases. However, because they are rare, there are not often well-documented studies supporting their association with a given disease in enough people to substantiate claims as to their impact on an individual’s disease/phenotype. Therefore, sequencing a whole gene to find these rare variants is unlikely to turn up additional information, and second, if a rare variant does appear, it will be unlikely that there is scientific data available to interpret what that might mean to that individual.
To find rare variants and demonstrate disease impact of statistical significance, scientists must compare entire gene sequences between thousands of cases and controls. In the past, this has meant looking at only a handful of genes at once. With the advent of next-generation sequencing, scientists are beginning to look for rare variants in a more systematic, large-scale way—comparing entire genomes or exomes (protein-coding genes) in what some have called a “Rare Variant Association Study,” or RVAS. However, because you need to sequence a lot of people’s DNA to pick up rare events, sample size requirements for RVAS will likely be as big as for GWAS, and that is just now underway.
Do I need to prepare specially for the buccal swab collection?Simply rinse your mouth with cold water to remove food particles. There is no need for a special diet prior to sample collection.
What is the appropriate method of sample collection?After rinsing with water, simply swab the inside of one cheek in a circular motion with the provided swabs. Please apply sufficient pressure to collect skin cells from the inside of the cheek. Once the swabbing is complete, please use the other cheek for the next swab. Click here for complete buccal swab collection instructions.
Does the sample need to be refrigerated?The sample can be kept at room temperature until it is shipped to Kashi Clinical Laboratories.
I'm a patient. Can I order a test directly from Kashi?At this time, Kashi Health requires patients to have a licensed healthcare provider to help guide their genetic testing.
Why do I need a physician to test for me?Per CLIA (Clinical Laboratory Improvement Amendments) and the state of Oregon, most laboratory tests must be prescribed by a licensed healthcare provider. The genetic testing that Kashi offers is restricted to oversight by health professionals.
How will I receive my results?Kashi Clinical Laboratories will submit the test results to your provider within five business days of receiving the specimen.
When should payment for the test be sent?Kashi Clinical Laboratories will begin processing samples when full payment has been collected. We accept checks and most major credit cards. You may contact us to request a credit card authorization form.
Do you bill insurance?Kashi Clinical Laboratories is developing an insurance billing program and will alert health providers when the program is ready. In the meantime, please ask your patients to submit their receipts directly to insurance for possible reimbursement, depending upon their health plan.
Are FSA/HSA accounts accepted for payment?Kashi Clinical Laboratories does not accept FSA or HSA cards. Patients are welcome to pay their provider directly, or the provider can request a credit card authorization form.
What specimens are required for genetic testing services?For your convenience, Kashi only requires one of the following:
- Three (3) buccal swabs - or-
- One (1) 5-mL EDTA (purple top) tube - or-
- One (1) 5-mL ACD (yellow top) tube
When should samples be sent to the laboratory?
Samples should be sent as soon as possible after collection but will remain stable under average shipping conditions, including over weekends and holidays. Please send samples, at ambient temperature, along with the completed test requisition to:
Kashi Clinical Laboratories, Inc.
Attention: Kashi Health Laboratory
10101 S.W. Barbur Blvd., Suite 200
Portland, OR 97219