Drug Testing Instructions

The 2 Options for Drug Testing are Ordering Online or using the Quest Paper Forms we provide (If you can't Order Online).  After Enrolling, Express Labs does not accept Drug Test Results from other Companies

Option 1: Order Drug Tests Online (Collection Fees Included)

1. Go to "Order Drug Tests" on the Top Left Tabs in your Account
2. Select the Reason for Testing
3. Find a Collection Site
4. Order the Drug Test
5. Check your Email for the QPassport (from Quest within 1 Hour)
6. Call the Collection Site to Confirm they are Open Before Driving there
7. Bring the QPassport to the Site or the Collector Scans the Barcode from Driver's Phone

Option 2: Paper Quest Diagnostics Forms

In-Network Collection Sites (Collection Fees Included)

• Use the Paper Quest Forms that Express Labs provides if you can not Order Online
• Call the Collection Site to Confirm they are Open Before Driving there
• Find In-Network Collection Sites: Click Here

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

• Members can also use Any Site that Collects for Quest with the Paper Quest Forms that Express Labs provides if you can not Order Online
• The Collection Fee must be Paid at the Site Plus $80 that Express Labs charges for the Laboratory Drug Test Results
• Call the Collection Site to Confirm they are Open Before Driving there
• Find Out-of-Network Collection Sites: Google "DOT Drug Testing Near Me" for Sites that Include Concentra, Hospitals, Private Doctors, Most Urgent Cares

Notifying Drivers for Drug Testing

Notify Drivers after you have received the QPassport and Called the Collection Site to Confirm they are Open.  Some Sites may have Temporarily Closed or have Reduced Hours due to Staffing Issues or their Computer System is Down.  Collection Sites may not Start a Collection less than 3 Hours of Closing because DOT Allows Drivers up to 3 Hours to Produce a Urine Sample while Drinking up to 40oz of Water in the waiting room.  Once the Collection Process begins DOT does not allow the Driver to leave the Collection Site until the Collection is Completed

Drug Test Results

Results are Emailed Directly to you from the MRO (Medical Review Officer) and Posted to your Account.  95% of Negative Results are Reported within 3 Business Days from when the Lab receives the Sample

• Delayed Results: If you have not received Results within 4 Business Days you may Call Quest Diagnostics Customer Service at 800-877-7484.  You will need to provide your Quest Diagnostics Account Number (Located on the QPassport) or the Specimen ID (Located on the Paper Quest Form)
• The Medical Review Officer Reviews Drug Tests from the Laboratory to Determine whether a Test is Negative, Positive or Requires further Investigation.  Only the MRO can discuss Prescriptions with Drivers.  MRO Phone: 800-526-9341

Drug Testing Fees

Express Labs charges $80 for Laboratory Drug Test Results.  Invoices are Due Upon Receipt on the 1^st of the Month for the Previous Month's Results & Must be Paid to keep Memberships Active.  Members are Required to keep a Valid Credit Card in their Express Labs Account and Authorize Express Labs to charge for Drug & Alcohol Results.  Members do not Pay Collection Fees when Ordering Online or using the Paper Quest Forms at In-Network Sites.  Drug & Alcohol Testing Fees are not Included in the Membership Fee

• In-Network Collection Sites (Collection Fees Included): Express Labs charges $80 for Laboratory Drug Test Results when Ordering Online or using the Paper Quest Forms that Express Labs provides
• Out-of-Network Collection Sites (Collection Fees Not Included) The Collection Fee must be Paid at the Site Plus The Collection Fee must be Paid at the Site Plus $80 that Express Labs charges for the Laboratory Drug Test Results when using the Paper Quest Forms that Express Labs provides
• Observed Collections: Members are charged an Additional $45 for Observed Drug Test Collections at Preferred In-Network Sites (Return-to-Duty & Follow-Up)

Frequently Asked Questions - Click Here

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

Why Call the Collection Site before Driving there?

Call the Collection Site to Confirm they are Open and and Performing Drug Testing Before Driving there.  Some Sites may have Temporarily Closed have Reduced Hours due to Staffing, Weather Issues, or their Computer System may be Down.  Many 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

What is the QPassport?

The QPassport ia an Authorization Form that is Emailed Directly from Quest Diagnostics within 1 Hour of Ordering Drug Tests in your Express Labs Account.  Quest's Email is "noreply@questdiagnostics.com"

• Drivers must give the QPassport Form to the Collector or the Collector can Scan the Barcode from the Driver's Cell Phone
• QPassports are only Valid for the Collection Site Selected Listed on the QPassport
• If there is an issue with a QPassport place a New Order
• Members are charged for Results not Orders

What if the Collection Sites Computer System is Down?

There are 2 Options.  Order a New Drug Test Online for a Different Collection Site or use The Paper Quest Diagnostics Custody & Control Forms that Express Labs provides

• DOT Requires Drivers to keep Quest Paper Forms at All Times in the event of an Accident or can not Order Online

What are the Paper Quest Diagnostics Custody & Control Forms used for?

The Paper Quest Diagnostics Custody & Control Forms that Express Labs provides are to be used if you can not Order Online.  Drivers must keep Quest Paper Forms at All Times in the event of an Accident or can not Order Online.  Express Labs sends Paper Quest Diagnostics Custody & Control Forms within 1 week of Enrollment which are Printed & Shipped by Quest Diagnostics.  The Paper Quest Forms can not be Printed, Emailed or Faxed.  Additional Forms can be ordered in your Express Labs Account and will be Printed & Shipped within 1 week.

Why does DOT Requires All Drug Testing to be Completed with Express Labs?

After Enrolling, Express Labs does not accept Drug Test Results from other Companies.  Members are Required to Order Drug Tests Online or use the Paper Quest Forms that Express Labs provides for Results are Posted on Express Labs MIS Report that all Members need for DOT Audits.  Collection Sites are Affiliated with many Laboratories and Consortiums and it's only when you use the Quest Diagnostics Sub-Account Number assigned by Ordering Online or using the Quest Forms we provide that Results can be Reported to your Express Labs Account.

• Adding Drivers: You can not Add a Driver with Results from another Company.  Driver must be Re-Tested for a New Pre-Employment Drug Test by Ordering Online or by using the Quest Paper Forms we provide
• Random: Driver must be Re-Tested for a New Pre-Employment Drug Test by Ordering Online or by using the Quest Paper Forms we provide

Why Drug Testing Results may be Delayed?

• Custody & Control Form: The Medical Review Officer may need a Copy of the Custody & Control Form used in the Collection to Report the Results
• 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
• Sample Transportation: Delays can occur during the Shipping of the Sample from the Collection Site to the Laboratory
• Confirmatory Testing: If Initial Results are Inconclusive the Lab may Conduct Further Testing to Confirm the Results

What happens if a Driver Leaves the Collection Site?

If the Driver leaves the Collection Site after the Collection Process has Started, this is a Refusal-to-Comply.  Refusal-to-Comply is treated similarly to a Positive Test Result

What happens if a Drug Test is 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 Abnormal PH?

In a DOT Drug Test, an Abnormal PH Level in a Urine Sample could indicate that the Sample has been Adulterated or Substituted with another Substance.  Urine pH measures the Acidity or Alkalinity of Urine, with a Normal Range of 4.5 to 8

• Abnormal pH levels outside this Range could be a sign of Tampering or Dilution
• Adulteration or Substitution of Urine Samples is a Common Practice among Drivers attempting to Cheat a Drug Test
• Therefore, an Abnormal PH Level in a DOT Drug Test could result in Retesting the Driver under Direct Observation, to ensure the Accuracy and Validity of the Results

What is Invalid Creatinine?

In a DOT Drug Test, Invalid Creatinine means the Creatinine Level in the Urine Sample is Unusual or Out-of-Range. Creatinine is a Waste Product from Muscles and helps verify if the Urine Sample is Legitimate.  Here’s what it might mean:

• Dilution: A very Low Creatinine Level can Indicate the Urine was Diluted, possibly to hide Drug use.
• Substitution: It might suggest the Urine is not Genuine, like if someone used someone else's Urine or a Fake Sample
• Therefore, an Invalid Creatinine Level in a DOT Drug Test could result in Retesting the Driver under Direct Observation, to ensure the Accuracy and Validity of the Results

What is Temperature-out-of-Range?

For a DOT Drug Test, the Temperature of the Urine Sample is a crucial factor in ensuring its Validity.  The Acceptable Temperature Range for a Urine Sample is between 90°F to 100°F (32°C to 38°C) at the time of Collection.  This Temperature Range is considered Normal Body Temperature and is necessary to indicate that the Sample is Fresh and hasn't been Tampered with or Substituted.

• If the Temperature of the Urine Sample falls Outside this Range, it could raise Suspicions of Tampering, Dilution, or Substitution, Potentially Invalidating the Test. Therefore, if the Sample's Temperature is Below 90°F or Above 100°F, the Driver will be asked to provide a 2nd Sample under Direct Observation
• Therefore, a Temperature-out-of-Range in a DOT Drug Test could result in Retesting the Driver under Direct Observation, to ensure the Accuracy and Validity of the Results