Conflict of interest: RE, TMS, RMG, IMK, and DHM declare employment and equity ownership with Adaptive Biotechnologies. ALG declares consulting fees with Abbott; institutional support from Abbott, Merck, and Gilead; and family employment at Labcorp. HJZ and JMC declare employment and equity ownership with Microsoft Corporation. LB, TM, and HSR declare leadership, employment, and equity ownership with Adaptive Biotechnologies. DMK declares receipt of a reagent grant from Oxford Immunotec related to SARS-CoV-2 diagnostics.