From the Document: "Prior to March 2020, Palau relied on a referral system for testing through the Hawaii State Laboratory Division and Guam Public Health Laboratory. The MOH [Ministry of Health] began efforts to establish local diagnostic capacity in February and by April had secured a molecular diagnostic testing platform with 100,000 test kits and worked quickly to train laboratory staff to conduct testing. In March, all commercial flights were suspended, effectively cutting off Palau from access to all reference laboratories for COVID-19 [coronavirus disease 2019] testing. There are currently two full-time laboratory technologists who are trained to perform COVID-19 diagnostic testing using a high-throughput RT-PCR [real-time polymerase chain reaction] testing platform."
U.S. Department of Health and Human Services: https://www.hhs.gov/