On a frigid morning in mid-January, tiny flurries swirled outside the University of Iowa State Hygienic Lab building as an unusual sight, an eighteen-wheeler UPS semi-truck, slowly backed up to the loading dock with a daily delivery of samples. Inside the truck was a record-breaking haul: fifty-five 4’ x 4’ bags containing COVID-19 test kits from Iowans across the state. Each bag contained approximately 100 saliva samples carefully packaged in small white cardboard boxes, for a total delivery of approximately 5,500 tests. The truck would return every day for the next week with a similar haul.