Drug Testing Instructions

Members are Required to Order Drug Tests Online (QPassports) in your Express Labs Account or use the Paper Quest Forms (provided by Express Labs).  After Enrolling, Express Labs Express Labs does not accept Drug Test Results from other Companies.  Your Company Name & Express Labs must be Listed on Drug Test Results.

Option 1: Ordering Drug Tests Online Instructions

1. Login to your Express Labs account

2. Click “Order Drug Tests” on the Top Left Tabs

3. Select the Reason for Testing (Pre-Employment, Random, Post-Accident)

4. Choose a Collection Site by entering the ZIP Code (Collection Fees Included)

5. Click “Complete Order”

6. Check your Email for the QPassport from Quest Diagnostics within 1 Hour of Ordering the Test

7. Driver must bring the QPassport (printed or on phone) to the Site Selected on the QPassport for the Collector to Scan and start the Collection

• Call the Site to Confirm they are Open after you have received the QPassport before Notifying Drivers or Driving to the Site.  Sites may not begin a Collection within 3 Hours of Closing (Drivers have 3 hours to provide Sample)

• QPassport Orders: Members are only charged for Results not Orders.  Order a new Test if you need to change locations or entered incorrect information

Option 2: Paper Quest Forms Instructions: In-Network Collection Sites

Collection Fees are Included at In-Network Collection Sites.  Members must use the Paper Quest Forms (provided by Express Labs) for In-Network Collection Sites.  After Enrolling, Express Labs Express Labs does not accept Drug Test Results from other Companies.

1. Find In-Network Collection Sites - Click Here

2. Check the Reason for Testing on the Form (Pre-Employment, Random, Post-Accident)

3. Bring the Paper Quest Forms (provided by Express Labs) to the Collection Site

• Call the Site to Confirm they are Open before Notifying Drivers or Driving to the Site.  Sites may not begin a Collection within 3 Hours of Closing (Drivers have 3 hours to provide Sample)

• Paper Quest Forms are shipped by Quest Diagnostics upon Enrollment to the Address Listed in your Account.  Keep Paper Forms in each Truck in the event of an Accident or if you can not Order Online.  Paper Quest Forms are Printed on 5-Part NCR Forms that can not be Emailed or Faxed.  Additional Forms may be Ordered in your Express Labs account in "Order Drug Testing Forms" on the Left Side Tabs. 

Option 3: Paper Quest Forms Instructions: Out-of-Network Collection Sites

Collection Fees are not Included at Out-of-Network Collection Sites.  Members must use the Paper Quest Forms (provided by Express Labs) for Out-of-Network Collection Sites.  After Enrolling, Express Labs Express Labs does not accept Drug Test Results from other Companies.

1. Find Out-of-Network Collection Sites: Google "DOT Drug Testing Sites Near Me" Including: Concentra, Urgent Cares and most Hospitals

2. Check the Reason for Testing on the Form (Pre-Employment, Random, Post-Accident)

3. Bring the Paper Quest Forms (provided by Express Labs) to the Collection Site

4. Call the Site to Confirm they are Open before Notifying Drivers or Driving to the Site.  Sites may not begin a Collection within 3 Hours of Closing (Drivers have 3 hours to provide Sample)

• Paper Quest Forms are shipped by Quest Diagnostics upon Enrollment to the Address Listed in your Account.  Keep Paper Forms in each Truck in the event of an Accident or if you can not Order Online.  Paper Quest Forms are Printed on 5-Part NCR Forms that can not be Emailed or Faxed.  Additional Forms may be Ordered in your Express Labs account in "Order Drug Testing Forms" on the Left Side Tabs. 

Drug Test Results

Drug Test Results are Emailed from Express Labs Medical Review Officer (MRO) and uploaded into your Express Labs Account.

• Most Negative Drug Test Results are Reported within 3 Business Days from when Quest Diagnostics receives the Sample at the Laboratory.

• 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).  Membership Fees do not include Drug Testing charges.

• Collection Fees are not Included at Out-of-Network Sites

• Paper Quest Forms: Members must use the Paper Quest Forms (provided by Express Labs) for In-Network or Out-of-Network Collection Sites

• Invoices are Due Upon Receipt: Members must maintain a Valid Credit Card on File to keep Company Account and Drivers Active

DOT's Drug Testing Process

Members are Required to Order Drug Tests Online (QPassports) in your Express Labs Account or use the Paper Quest Forms (provided by Express Labs).  After Enrolling, Express Labs Express Labs does not accept Drug Test Results from other Companies.  Your Company Name & Express Labs must be Listed on Drug Test Results.

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 a Confirmation Testing the Reported to the MRO
• 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