Drug Testing Instructions

• Members Must Order Drug Tests Online in your Express Labs account or use the Paper Quest Diagnostics Custody & Control Forms that Express Labs provides (Only use Paper Forms if you can not Order Online).  After Enrolling, Express Labs does not accept Drug Test Results from other companies

Ordering Drug Tests Online Instructions

1 - Login to your Account to Order Drug Tests Online - Click Here to Login

2 - Go to "Order Drug Tests" on the Top Tabs

1. Select the Reason for Testing
2. Find a Collection Site
3. Order the Drug Test

3 - Check your Email for the QPassport

• Quest Diagnostics emails the QPassport within 1 hour from "noreply@questdiagnostics.com" to the Email that is Listed in your Express Labs Account
• QPassports are only Valid for the Collection Site that was Selected and Listed on the QPassport
• If you didn't receive the QPassport from Quest Diagnostics place another Order
• Members are only charged for Results not Orders

4 - Call the Collection Site to Confirm they are Open

• Notify Drivers after you have received the QPassport and have Called the Collection Site to Confirm the Site is Open and Performing DOT Drug Testing Collections.  Some Sites may have Temporarily Closed or have Reduced Hours due to Covid, Staffing or Weather Issues or may require an Appointment.  Some Sites may not Start a Collection with less than 3 hours of closing because DOT Requires Drivers to produce a sample within 3 hours while drinking up to 40oz of water in the waiting room.  Once the Collection begins DOT does not allow Drivers to leave the site until the Collection is Completed

5 - QPassport Form

• Drivers must present a copy of the QPassport form with Proper ID to the site selected or the collector can scan the barcode from the driver's cell phone.  Drivers should not sign a form unless it has your Company Name on it

Using the Paper Quest Diagnostics Custody & Control Forms (Only if you can not Order Online)

1. Find In-Network Collection Sites - Click Here
2. Notify Drivers after you have received the QPassport and have Called the Collection Site to Confirm the Site is Open and Performing DOT Drug Testing Collections
3. Write the Driver License Number & State on Step 1: Line C: Example: TX12345678
4. Check the Reason-for-Testing on Step 1: Line E
5. Check Test Code "65304N DOT DRUG PANEL W/TS"​​​ on Step 1: Line F
6. Send the Signed Driver's Copy (DONOR COPY) to Results@ExpressLabs.com after the Collection

• The Paper Quest Diagnostics Paper Custody & Control Forms (CCF) are shipped by FedEx by Quest Diagnostics upon Enrollment.  Additional Forms (CCF) can be ordered in your Express Labs Account on the Left Side Tabs and will be Delivered in about 1 week from Quest Diagnostics
• DOT Requires Drivers to keep the Paper Quest Diagnostics Custody & Control Forms (CCF) in their Truck, in the event of an Accident, or if you cannot Order Online

Drug Test Results

• The Medical Review Officer (MRO) Emails Drug Test Results (email@drsmro.com) to the Email you have Listed in your Express Labs Account (The Main Contact).  Results are also Posted to your Express Labs Account.  95% of Negative Results are reported within 3 Business Days of the Collection Date
• If you have not received Drug Test Results, within 4 Business Days, you may Call Quest Diagnostics Customer Service at 800-877-7484.  You will need the Specimen ID or your Quest Diagnostics Account Number (Located on the QPassport)

Drug Testing Fees

• Express Labs charges $80 for Laboratory Drug Test Results, which includes the Collection Fee & MRO Services when Ordering Online in your Express Labs Account or when using the Paper Quest Diagnostics 5-Part NCR Custody & Control Forms (CCF) that Express Labs provides at an In-Network Collection Sites
• Invoices are Due Upon Receipt on the 1^st of the Month for the Previous Month's Results and Members are Required to keep a Current Credit Card and Authorize Express Labs to charge for Drug & Alcohol Results
• Express Labs charges $125 for Return-to-Duty & Follow-Up Drug Testing which Includes the Laboratory Testing, Medical Review Officer Services (MRO) and Collection Fees at In-Network Collection Sites

In-Network Collection Sites

• Express Labs charges $80 for Laboratory Drug Test Results, Collection Fees & MRO Services at In-Network Collection Sites when Ordering Online in your Express Labs Account or when using the Paper Quest Diagnostics 5-Part NCR Custody & Control Forms (CCF) that Express Labs provides at an In-Network Collection Sites
• Members are charged an additional $45.00 for Observed Collections at Preferred In-Network Sites
• Find In-Network Collection Sites - Click Here

Out-of-Network Collection Sites (Collection Fees Not Included)

Members may use any Site that Collects for Quest Diagnostics under these Conditions:

• Collection Fees are Not Included
• Can not Order Online at Out-of-Network Collection Sites
• Must use the Paper Quest Diagnostics Custody & Control Forms that Express Labs provides
• Collection Sites Include: Concentra, Hospitals, Private Doctors, Urgent Cares & After-Hours Sites
• Google "DOT Drug Testing Near Me" for Additional Out-of-Network Collection Sites
• Express Labs charges $80 for Laboratory Drug Test Results at Out-of-Network Collection Sites

Frequently Asked Questions

Why Members must complete All Drug Testing with Express Labs?

• DOT Requires Members to use the Quest Diagnostics Sub-Account Number from the Consortium for All Drug Testing because All Results are posted on Express Labs Consortium MIS Report that all Members need for DOT Audits & Inspections
• Drug Tests not Collected with your Express Labs Quest Diagnostics Account Number do not count towards your DOT Compliance
• DOT does not allow "Private" Testing because if a Driver Tested Positive, DOT would have no assurance Members would send Positive Results to the Consortium
• Express Labs 2023 MIS Report - Click Here

What is the Process for DOT Drug Testing?

Members Must Order Drug Tests Online in your Express Labs account or use the Paper Quest Diagnostics 5-Part NCR Custody & Control Forms (CCF) that Express Labs provides (Only use Paper Forms if you can't Order Online).  After Enrolling, Express Labs does not accept Drug Test Results from other companies

1. QPassport Form: The Driver must present a copy of the QPassport form with Proper ID to the site selected or the collector can scan the barcode from the driver's cell phone
2. Urine Specimen: A Trained Collector will Collect a Urine Specimen from the Driver.
3. Split Specimen: The Collected Specimen is split into two Separate Containers, Labeled as the Primary and the Split Specimen
4. Laboratory Analysis: The Primary Specimen is Analyzed at a DOT Certified Laboratory to determine the presence of Drugs or their Metabolites
5. Medical Review Officer (MRO): DOT Requires All Drug Tests to be Reviewed by the MRO.  The MRO's role is to Review Laboratory Test Results, Evaluate Medical Explanations for Positive Test Results, and Determine whether a Driver's Drug Test is Negative, Positive or requires further Investigation.  If a Drug Test is Positive, the MRO will contact the Driver and Conduct an Interview to determine if there is a legitimate Medical explanation for the Positive Result, such as a Prescription Medication or Medical Treatment.  The MRO will also Review other Medical Records or Information provided by the Driver.  If the MRO Determines that there is a Legitimate Medical Explanation for the Positive Result, the Result may be Reported as Negative or may require further investigation.  However, if the MRO determines that there is no Legitimate Medical Explanation for the Positive Result, the Result will be Reported as Positive, and the Results will be Reported to the FMCSA Clearinghouse.  DOT does not allow the MRO to discuss the Review Process until Results are Reported
6. Reporting Results: The MRO Reports the Drug Test Results by Emailing the Employer and by Posting the Results to your Express Labs Account

• Prescriptions: DOT only allows the MRO to discuss Prescriptions with the Driver because of DOT Regulations and HIPPA Laws
• DOT Requirements: It is important to note that the DOT has strict guidelines for Drug Testing, including Chain-of-Custody Procedures to Ensure the Integrity of the Testing Process.  The DOT also specifies which Drugs are Tested, including Marijuana, Amphetamines, Opioids, and Phencyclidine (PCP)
• Express Labs Medical Review Officer (MRO): Doctors Review Service, Phone: 800-526-9341, Fax: 800-547-2966, Email: email@drsmro.com

What are Possible Delays for DOT Drug Testing Results?

There could be several reasons for delays in receiving DOT (Department of Transportation) drug testing results.  Here are some possible reasons for delays:

• Documentation Issues: The lab may be waiting for additional documentation from the collector.  This could include paperwork related to the collection process, such as the Chain of Custody (COC) form, which is a critical document in ensuring the integrity and tracking of the specimen
• Sample Transportation: Delays can occur during the transportation of the sample from the collection site to the laboratory.  Issues such as shipping errors, logistics problems, or other transport-related issues may cause delays
• Volume of Testing: High volumes of testing can lead to delays, as the lab may be processing a large number of samples.  This can happen, especially during peak testing periods
• Reanalysis or Confirmatory Testing: If initial results are inconclusive or if there are discrepancies, the lab may conduct further testing to confirm the results.  This additional testing can take time
• Equipment or Technical Issues: Technical issues with laboratory equipment or other unforeseen technical problems may also contribute to delays
• Communication Delays: Sometimes, delays may occur due to communication issues between the collection site, the lab, and the designated Medical Review Officer (MRO) responsible for reviewing and verifying the results
• Regulatory Compliance: The lab may be ensuring that all procedures are in compliance with DOT regulations, and this could cause some delays