Drug Testing Instructions

• 🟢 Order Online in your Express Labs Account
• 🟢 Use Quest Paper Forms provided by Express Labs (if online ordering is unavailable)
• 🔴 Drug Test Results from other Companies are NOT accepted once Enrolled with Express Labs

Option 1: Ordering Drug Tests Online

🟢 Step 1: Go to Order Drug Tests (Top Left Tabs)

• Select the Reason-for-Testing (Pre-Employment, Random, Post-Accident)
• Find a Collection Site (Enter Zip Code)
• Order the Drug Test

🟢 Step 2: Check your Email for the QPassport (within 1 hour from Quest)

• Charges apply to Completed Test Results not Orders
• Add noreply@questdiagnostics.com to your email settings to avoid missing emails

🟢 Step 3: Drivers must Bring the QPassport to the Collection Site

• The Collector will Scan the Barcode that is listed on the QPassport from the Driver’s Phone or bring the Printed Copy of the QPassport.  QPassports are only valid for the Collection Site listed on them

🔴 Step 4: Call the Site to Confirm they are Open and Conducting Drug Testing

• 🟢 Notify Drivers after receiving the QPassport and Calling the Site
• 🔵 Some Sites may not Start a Collection within 3 Hours of Closing or may have Reduced Hours

Option 2: Paper Quest Diagnostics Forms

Members may use any Site that Collects for Quest Diagnostics with the Paper Quest forms that Express Labs provides.  Members must Pay the Collection Fee Plus $80 to Express Labs for Drug Test Results at Out-of-Network Sites.  Concentra & Urgent Cares are examples of Out-of-Network Collection Sites

• 🟢 In-Network Collection Site Locator: Click Here (Collection Fees Included)
• 🔴 Out-of-Network Collection Sites (Collection Fees Not Included)

Drug Test Results

• 🟢 Results are Emailed & Posted to your Account by Express Labs MRO
• 🔵 Most Negative Results are within 3 Business Days from the Date the Lab receives the Sample
• 🔴 If you have not received Results within 4 Business Days contact Quest Diagnostics Customer Service at 800-877-7484 with your Quest Account Number (on the QPassport) or the Specimen ID (on the Paper Quest Form)

Drug Testing Fees

• 🟢 Express Labs charges $80 for Drug Test Results
• 🟢 Collection Fees are Included at In-Network Sites and Not Included at Out-of-Network Sites
• 🟢 Return-to-Duty & Follow-Up Drug Test Results are $125 (Observed)
• 🔵 Invoices are Due Upon Receipt on the 1st of the Month for the Previous Month's Results
• 🔴 Members must keep a Valid Credit Card on file and Authorize Express Labs to charge for Results

Frequently Asked Questions - Click Here

• Everything you need to know to keep your Company in Compliance

🔵 What are the Benefits of Ordering Drug & Alcohol Tests Online?

• Faster Results: Electronic Online Ordering speeds up processing compared to Paper Quest Forms
• Real-Time Tracking: Easily monitor Test Collections in your Account’s “Online Tests Ordered” section
• Eliminates Spelling Errors: Ensures accurate Driver and Employer details to prevent costly mistakes
• Correct Test Reason Selection: System prompts users to choose the appropriate test type (Pre-employment, Random, Post-Accident), reducing compliance risks
• FMCSA Compliance: Automatically applies the correct mode (FMCSA) to prevent regulatory violations
• Complete Company & Driver Records: Your company’s name, address, and DER (Designated Employer Representative) are listed on the results, ensuring accurate record-keeping

🔵 Why Drug Testing must be with Express Labs

Members must Order Drug Tests in their Express Labs account or use the Quest Paper Forms provided by Express Labs to ensure All Drug Testing Samples are conducted by Quest Diagnostics, which is a DOT Certified SAMHSA Laboratory and Reviewed by Doctors Review Services (DRS), which is a DOT Certified Medical Review Officer (MRO)

• Quest Diagnostics Sub-Account Number: Upon Enrollment, Members receive a Quest Diagnostics Sub-Account Number from Express Labs.  This Account Number appears on the QPassport for Online Orders and on the Quest Paper Forms provided by Express Labs
• Compliance with Testing Process: Your assigned Sub-Account Number ensures that Sample are Tested at Quest Diagnostics and Results are sent directly to Express Labs Medical Review Officer (MRO)
• Results Reporting for DOT Audits: Test Results are recorded on the Express Labs MIS Report, which is required for All DOT Audits and Results are Emailed and Posted to your Express Labs Account for easy access and record-keeping
• Drug Test Results from other Companies are NOT accepted once Enrolled with Express Labs

🔵 What are the Paper Quest Diagnostics Forms For?

• DOT Requires Drivers to have the Paper Custody & Control Quest Diagnostics Forms at All Times in case of an Accident or if you can not Order Online.  Go to "Order Drug Testing Forms" Order Additional Forms.  DOT Requires Drivers to have Paper Forms in case of an Accident

🔵 Why a Drug Test may be Cancelled?

• Collector Error (Random): The Random Selection is Marked Complete and No Re-Test is Required
• Collector Error (Pre-Employment): DOT Requires the Driver to be sent for a New Pre-Employment Drug Test
• Abnormal PH: DOT Requires an Immediate Re-Collection under Direct Observation without any Prior Notice
• Invalid Creatinine: DOT Requires an Immediate Re-Collection under Direct Observation without any Prior Notice
• Temperature-out-of-Range: DOT Requires an Immediate Re-Collection under Direct Observation without any Prior Notice

🟢 What is the Drug Testing Process?

1. Collection Process

• The Driver reports to a DOT certified collection site
• A Trained Collector verifies identification
• The Driver washes their hands and removes unnecessary outer clothing
• A split specimen urine collection is conducted:
  • Bottle A: 30 mL (for initial testing)
  • Bottle B: 15 mL (for confirmation testing if needed)
• The Temperature of the sample is checked immediately
• The Sample is sealed and labeled in the presence of the Driver
• The Federal Drug Testing Custody and Control Form (CCF) is completed
• The Sample is shipped to Quest Diagnostics Laboratory for testing

2. Laboratory Testing (Quest Diagnostics Laboratory)

• Initial Screening Test (Immunoassay)
  • If Negative, the result is reported as Negative
  • If Positive, the sample moves to Confirmation Testing
• Confirmation Test (Gas Chromatography/Mass Spectrometry) Confirms Specific Drug Presence for:
  • Marijuana (THC)
  • Cocaine
  • Opiates (Codeine, Morphine, Heroin)
  • Amphetamines (Methamphetamine, MDMA, etc.)
  • Phencyclidine (PCP)
• Results are sent to the Medical Review Officer (MRO) for Review

3. Medical Review Officer (MRO) Reviews & Reports Results

• The MRO, Licensed Physician trained in Substance Abuse, reviews results to determine if the results are negative, positive, or requires further investigation
• Drug Test Results are Emailed & Posted to your Account by Express Labs MRO
• To ensure you receive Results from the MRO, add email@drsmro.com to your email whitelist in your Email Settings
• 🟢 Results are Emailed & Posted to your Account by Express Labs MRO.  Most Negative Results are within 3 Business Days from the Date the Lab receives the Sample
• 🔴 Delayed Results: If you have not received Results within 4 Business Days, you may contact Quest Diagnostics Customer Service at 800-877-7484 with your Quest Account Number (on the QPassport) or the Specimen ID (on the Paper Quest Form)