You may reschedule or cancel your appointment for free at any time prior to your appointment by using the links in your appointment confirmation email. There is no penalty for doing so, but we ask that you reschedule or cancel your appointment as soon as you become aware of the change in your plans, so that the appointment slot can be assigned to someone else.
Results are available same day in most cases (otherwise results are available within 3 business days).
The results will be sent to your doctor, and shortly after that a copy of the results will also be emailed to you at the email that you will provide to us.
If you cannot find your results, please email us at info@liliumdiagnostics.com so we can help you to retrieve your results. We monitor our emails until 9:00 p.m. daily (Monday - Saturday).
You need to bring your prescription and RAMQ health card with you to your appointment, and your method of payment (we accept credit cards, debit cards, ApplePay and cash).
Please follow the instructions provided by your healthcare professional who gave the prescription (e.g. if you need to fast at least 8 hours before the test).
If no instructions were given to you, then you do not need to do anything except you should try to avoid alcohol for 24 hours before any test.
For urine tests, you should abstain from sexual intercourse for 24 hours before sampling, and avoid sampling during and up to 2 days after menstruation. More precise results can be obtained if the collection is done after you wake up in the morning (for this option we will provide a sterile collection container that you can take home, and bring back to our lab the next day); otherwise the collection can be performed at our clinic during your appointment.
Typically, clinics treat each doctor's request separately and collect separate samples for each requisition. At Lilium we take a smarter approach to save you money. What's more, we only collect one set of samples, making the experience more comfortable.
At Lilium you only pay once for each type of test. So if two doctor's requests have the same test, e.g. glucose, our laboratory will only perform that test once and share the result between the two requisitions. This means you are only charged once for the glucose test instead of twice. In addition, since both requisitions share the same sample collection, the $29 collection and processing fee for the second requisition is reduced to $10, which corresponds to the cost of creating the laboratory report for the second doctor's requisition. However, if both requisitions are from the same doctor, we will combine all results into one report, thereby waiving the $10 fee.
Most private insurances will reimburse private diagnostic laboratory tests, but generally only up to a certain amount.
Doing your testing at Lilium means your out of pocket costs will be significantly lower, guaranteed*. We will provide a receipt that you can submit to your private insurance for reimbursement.
*Our Best Price Guarantee: if you can find the same tests at a private lab in Québec for a lower price, we will match it + give a $10 discount at your appointment at Lilium.
Lilium is a licensed and accredited laboratory (please note that most clinics do not have their own laboratory, but send the collected samples to one of the handful of laboratories such as ours), and we have recently setup our own private collection centers. By providing laboratory services directly to consumers like yourself, our wholesale prices allow you to save money.
We pride ourselves in being able to help our communities by providing high-end testing at the best prices, and have designed and thought about every detail of how to achieve this. We have invested heavily into the latest technologies, automation, designs and processes that translate to faster time to results and lower costs.
Lab tests can be performed at various levels of quality. We aim to always invest in the highest quality for each test (i.e. some of the highest quality test components, processes, equipment, and quality control), and we do not cut corners with our lab tests. For example, for our Covid antibody test, we test for both the Spike RBD and Nucleoprotein to give a more complete result (most other labs only test one of these, or charge you twice to test each one individually). And our standard STD test (which is a PCR test instead of a less accurate rapid antigen test) for chlamydia and gonorrhea includes testing for trichomonas, a STD parasite that is the most common cause of STI-associated vaginitis.
During Covid we built a reputation for providing high-end lab testing at the best prices in the industry. We were one of the only labs that tested each patient's sample individually, instead of combining many different patients' samples together (and testing them together) that many other labs did to save time and money. Since we tested every single sample individually, we were able to provide the Ct value of the sample (the Ct for both the sample itself and the Ct for any detected SARS-CoV-2) in each test report, something that we are not aware any other lab in Canada provided. In addition to quantitative RT-PCR results, our laboratory earned a reputation for excellence in the speed of its results, which has earned it the trust of healthcare professionals across the country.
Our ultimate aim is to provide the best laboratory tests in the country, at the best prices and fastest turn-around times. We will continue to invest our resources for continuous improvements to achieve this goal.
Most samples are processed by the Lilium lab the same day, with results before 9 p.m. (often before 6 p.m.)
There are antibody tests and PCR tests for STIs. A third type, rapid antigen tests, are not as accurate as PCR tests and are not offered through Lilium.
Blood test for antibodies: This test detects the presence of antibodies against the STI pathogen in the blood. This can help determine if a person has been infected in the past. This includes STDs such as HIV, Hepatitis, Herpes and Syphilis.
RT-PCR test: This test can detect the presence of a bacterial, viral or parasitic infection in the urine or from a swab. This includes STI pathogens such as chlamydia, gonorrhea and trichomonas.
All sexually active individuals risk acquiring STIs. Screening primarily focuses on those at a higher risk of infection based on age, gender, health history, number of sexual partners, and sexual behaviour. Here is a quick overview of the commonly recommended STI screening guidelines:
For Adults and Adolescents: Individuals between the ages of 14 and 64 should get tested for HIV, Syphilis, chlamydia, gonorrhea and trichomonas at least once. The frequency of testing may vary depending on the level of risk.
For Sexually Active Women: All sexually active women under 25 should get tested for gonorrhea, chlamydia and trichomonas every year. This recommendation also applies to women aged 25 and older with an increased risk of STIs due to new or multiple sexual partners, or if their partner has been diagnosed with a STI.
For Pregnant Women: Pregnant women should undergo testing for syphilis, HIV, and hepatitis B during pregnancy. Those with additional risk factors should also get tested for chlamydia, gonorrhea and trichomonas.
For Sexually Active Gay and Bisexual Men: Men in this group should get tested annually for syphilis, chlamydia, gonorrhea and trichomonas. Those with multiple or anonymous partners may need more frequent testing every three to six months. Additionally, more frequent HIV testing may be beneficial for this group.
Individuals Engaging in Unsafe Sex: Individuals who engage in unprotected sex, such as not using a condom, should undergo HIV, syphilis, chlamydia, gonorrhea and trichomonas testing at least once a year; Hepatitis testing is also recommended.
Injectable Drug Users: Individuals who share injection drug equipment should undergo HIV and Hepatitis testing at least once a year.
It is essential to prioritize regular STI testing to ensure early detection, timely treatment, and effective prevention of further transmission.
For PCR tests, either a vaginal swab (that can be self-collected in a private room) or a urine sample is collected and sent to the lab for analysis. Throat and anal swabs can be collected to detect any infections in those areas.
For antibody tests, a small amount of blood is collected from a vein by a professional nurse and sent to the lab for analysis.
STI tests are generally more than 90% accurate. The level of detection sensitivity depends on how much of the antibody, virus, bacteria or parasite is present in the sample. If a test is taken too early after infection, the levels may be too low to detect, giving a negative result. For this reason it is advisable to do regular testing for STIs.
One of our doctors or nurses will contact you to setup an appointment for a follow-up to a positive test. Most of the time this can be done over the telephone. You will receive instructions and a prescription to treat the infection (where applicable) at the follow-up appointment. Compared to other private labs and clinics, there are no additional charges for this follow-up appointment at Lilium.
In case of positive results, it is imperative to commence treatment (where applicable) as soon as possible to minimize the risk of health complications. Our healthcare provider can also assist in devising a strategy for informing sexual partners who may be infected and suggest retesting after completion of treatment.
For our Laval location (open Monday - Saturday):
For our downtown Montreal location (open Monday - Saturday):
All samples are processed at the same time, so it does not matter at what time your appointment is at (e.g. a sample collected at 9:00 a.m. will receive the results at the same time as a sample collected at 10:00 a.m., as all samples for each time range above will be processed at the same time).
If you cannot find your results by 6:00 p.m, please email us at info@liliumdiagnostics.com so we can help you to retrieve your results. We monitor our emails until 9:00 p.m. daily.
For Oropharyngeal and Saliva tests:
For Nasopharyngeal tests:
Otherwise your test may fail due to a low sample quality, requiring a re-test (each of our tests includes an internal control to test the sample quality, to be sure the sample is of adequate quality).
We do not provide travel certificates, although our test and report can be used for medical purposes. Our test is intended to diagnose whether or not you are infected by SARS-CoV-2. This may be important for medical reasons since a SARS-CoV-2 infection can become significantly worse in the low atmospheric pressure inside an airplane and from the stress of flying. An infection that may otherwise not have developed into significant symptoms could instead develop into serious Covid symptoms or a higher risk of longer term health consequences by flying while infected.
The benefits of the Lilium Covid RT-PCR test is that it is often able to detect a SARS-CoV-2 infection before symptoms (i.e. before a patient is aware that they may even be infected), and the results are ready the same day within hours. This rapid and highly sensitive diagnostic test helps to alleviate medical risks such as flying for some patients.
We are able to provide clinical consultations and a prescription for the test at each of our clinics. As for all our tests, you will receive a copy of the laboratory report with the test results. Please note that Lilium is an accredited medical laboratory, and we require a prescription for all tests.
Vaccination has no effect on the Lilium RT-PCR tests.
Unlike many other PCR tests, the Lilium PCR test does not give a false positive for several weeks after you were infected with SARS-CoV-2 and have already cleared it from your body. The exact length of time varies from person to person. On average, around 50% of our customers test negative after 10 days, up to 90% after 14 days, and around 99% in 20 days, on the oropharyngeal test. The nasopharyngeal test takes about 1 week longer to show a negative.
You should book a nasopharyngeal test.
The nasopharyngeal RT-PCR test has the advantage that it can, in most cases, detect the virus that was present in the past week or more (it can detect viral remnants and, if still present, any remaining live virus). This is because SARS-CoV-2 RNA can be detected for a longer period of time in the nasal cavity (after the virus has already been neutralized) because viral remnants are not cleared from the nasal cavity as quickly as from the oral cavity (in the oral cavity, enzymes and high cellular turnover result in faster clearance of dead cells and viral remnants).
Technically an oropharyngeal test may be more accurate than a nasopharyngeal test as it often detects a positive result earlier and a negative result earlier, especially for the Omicron strain. This means that an oropharyngeal test may be used as an indirect estimate for viral contagiousness (however, please note it still takes a few days after being infected with SARS-CoV-2 before it can be detected by any test). For many individuals (especially fully vaccinated and younger individuals) it can often be surprising by how rapidly the virus can be neutralized by the immune system once symptoms start (even if symptoms continue several days afterwards once they have started); an oropharyngeal test has the ability to detect this and more accurately show a true negative. It can be equally surprising for individuals with poor immune responses to the virus to find out they are still positive on the oropharyngeal test more than 10 days later, meaning they are probably still contagious. It is not possible to estimate this real-time viral status with a nasopharyngeal test as it can with the oropharyngeal test. The nasopharyngeal test is better for determining if you were recently infected with SARS-CoV-2 (it just cannot be used as an indirect estimate for determining if the virus may still be replicating or not, like the oropharyngeal test can).
Please note that many antigen tests do not show a positive until after the immune system has begun to attack the virus. Most antigen tests detect the nucleoprotein of the virus. Nucleoproteins become more readily accessible to the antibodies in the antigen test after the virus has been torn apart by the immune system, increasing the surface area of detectable nucleoproteins. Since the immune response to the virus in vaccinated individuals can be rapid, in many cases the virus has been largely neutralized by the time the antigen test shows the first positive signal. This positive signal may continue for over a week in nasal samples after the virus has already been completely neutralized, since the dead viral fragments can remain in the nasal cavity for a long time before being completely eliminated. Please also note that some antigen tests cannot distinguish between SARS-CoV-2 and other coronaviruses like the common cold. Antigen tests have a low accuracy, resulting in both false positives and false negatives. This is why a positive antigen test should always be confirmed by a PCR test within 24 hours.
Please note that if you perform an antigen test at home, or another swab test, you may adversely affect the results of a nasopharyngeal PCR test. This is because the swab used to collect the sample will also collect the RNA needed for the PCR test, reducing the total available amount of RNA for the PCR test. Although a PCR test is much more sensitive than an antigen test, there is much less viral RNA remnants present at the end of an infection than the amount of viral protein residue.
An antigen test is a quick but inaccurate test that gives many false positive and negative results. This means that it can give a positive result when you are actually negative, or a negative result when you are actually positive. Many experts estimate that it is only about 50% accurate, and with the Omicron variant possibly even less than 30% accurate.
RT-PCR tests are the gold standard in testing. They are more accurate than standard PCR tests and tests that are generally categorized as NAAT or molecular tests. An RT-PCR test is a PCR, NAAT, moecular and swab test (so a RT-PCR test will fulfill any of these requirements), but a PCR, NAAT, molecular or swab test is not necessarily a RT-PCR test. You should thus specifically choose a RT-PCR test if this is required or if you are not sure what the requirement is, since a RT-PCR test fulfills all requirements and is accepted everywhere. PCR tests can also be performed on oral samples, while all antigen tests require a nasal and nasopharyngeal sample.
Many people wonder why antigenic tests are still performed by testing centers, since their accuracy is so low. The main reason is because most testing centers are not full fledged laboratories and have limited PCR testing capacity or the PCR testing takes too long to perform. At Lilium, we have a fully automated laboratory that is able to process PCR tests quickly and at a large scale. By coming directly to Lilium, patients benefit from wholesale pricing and a guarantee that the result are ready the same day.