Drug Testing Instructions

Drug Testing Process

Order Test → Receive QPassport → Call the Site → Driver Reports for Testing → Test Completed

Overview

Order drug tests online (QPassports) through your Express Labs account or use Quest paper forms provided by Express Labs if you can not order online.

• All DOT drug tests must be ordered through Express Labs
• Results from other consortiums or third-party programs are not accepted

Option 1: Ordering Drug Tests Online Instructions

1. Login to your Express Labs
2. Click “Order Drug Tests” on the top tabs
3. Select the Reason (pre-employment, random)
4. Site Locator - choose a site by ZIP code
5. Click “Complete Order”
6. Check your email for the QPassport from Quest within 1 hour of ordering
7. Review your order (you only pay for results not orders)
8. Call the site to confirm they are open
9. Driver must bring the QPassport (printed or on phone) to complete the test

Option 2: Paper Quest Forms Instructions

If you can not Order Online use the paper quest forms (provided by Express Labs).  DOT requires drivers to keep the paper Quest forms that Express Labs provides on their person in the event of an accident or random selection and you are unable to order online.

1. Find In-Network Sites - View Sites
2. Find Out-of-Network Sites: Google "DOT drug testing sites near me" Including: Concentra and Urgent Cares.
3. Check the reason for testing on the form (pre-employment, random, post-accident)
4. Call the collection site to confirm they are open
5. Bring the paper Quest form (provided by Express Labs) to the collection site

• Collection fees are included at In-Network sites and not included at Out-of-Network sites
• Paper Quest forms are shipped by Quest after enrolling.  Additional forms may be ordered in your account.  Forms can not be emailed or faxed.

Drug Test Results

Drug test results are emailed from Express Labs Medical Review Officer (MRO) to the email listed in your account and automatically uploaded into your account.

• Most negative drug test results are reported within 3 business days from the date Quest Diagnostics receives the sample.
• If you have not received results within 4 business days you may contact Quest customer service at 800-877-7484 and provide your Quest account number (listed on the QPassport) or the specimen ID (listed on the paper quest form).

Drug Testing Fees

Express Labs charges $80 for DOT & Non-DOT drug test results at in-network collection sites and $125 for return-to-duty & follow-up drug tests (observed).

• Collection fees are included at In-Network sites and not included at Out-of-Network sites
• Invoices are due upon receipt: Members must maintain a valid credit card on file to keep company account and drivers active.
• Membership fees do not include drug testing charges.

DOT Drug Testing Process

Collection → Laboratory Testing → MRO Review → Final Result

1. Collection Process

• Driver reports to a DOT certified collection site with the QPassport or the paper Quest form
• Collector verifies the driver’s ID and explains the steps
• Driver washes hands and removes outer clothing
• Split Urine Sample is collected:
  • Bottle A: 30 ml (for initial test)
  • Bottle B: 15 ml (for confirmation if needed)
• Sample temperature checked, sealed and labeled on the custody and control form (CCF)
• Sample shipped to Quest Diagnostics laboratory for testing

2. Laboratory Testing – Quest Diagnostics

• Initial Screening (Immunoassay)
  • If Negative the result is reported as negative to the MRO
  • If Positive the sample is sent for confirmation testing
• Confirmation Test (GC/MS) detects:
  • Marijuana (THC)
  • Cocaine
  • Opiates (codeine, morphine, heroin)
  • Amphetamines (methamphetamine, MDMA)
  • Phencyclidine (PCP)

3. Medical Review Officer (MRO) Review (licensed physician)

• Negative Results: The MRO reports the results as negative
• Non-Negative Results: MRO contacts the driver to confirm any valid prescriptions or medical explanations.
  • If the driver provides a valid medication prescription the results are reported as negative
  • If there is no medication prescription the results are reported as positive
  • DOT only allows the MRO to discuss prescription medications with the driver

Express Labs FMCSA Random Drug & Alcohol Consortium
Drug Testing | Updated 2026