MRO Testing Services


Drug test result reporting by MRO services are state of the art. Web based reporting certified MRO reduces liability and provides for a fair and accurate drug test result.

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MRO Testing Services


State of the art software for processing drug tests. Including e-chain paperless drug tests, web based reporting and electronic data management.

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MRO Testing Services


Get a Drug Test Now – Fast, Same Day Service! Court Ordered, Probation, Personal and Pre-Employment. All types of testing available including DNA Paternity, DOT, urine, hair, oral fluid, alcohol and more.

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MRO Testing Services


Many States have laws and programs regulating employee drug testing. Call for expertise advice and information on workers comp discounts up to 7.5%.

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MRO Testing Services


DOT regulated companies need expertise in setting up Drug Testing Programs. Programs available for FMCSA, FAA, USCG, PHMSA, FTA and FRA. Including 24/7 coverage for post-accident.

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MRO Testing Services


Drug and alcohol testing programs for large and small employers including 24/7 coverage for post-accident.

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Medical Review Officer (MRO) Services

Medical Review Officer (MRO) services are provided by National Drug Screening (NDS) for employers and for third party administrators (TPA) serving employers. MRO services are provided by National Drug Screening with a robust technology platform. This technology platform is state of the art drug testing software.

The use of the MRO is required in a DOT drug and alcohol testing program and in many states per state laws on drug testing or specific state drug free workplace programs. Federal drug free workplace programs also require the use of an MRO for processing drug testing results once they have had a confirmation test at the laboratory.

The final review of results is an essential component of any drug testing program. A positive laboratory test result does not automatically identify an employee or job applicant as an illegal drug user, nor does a laboratory result of invalid, substituted, or adulterated automatically identify specimen tampering.

The Medical Review Officer or MRO is required to be a licensed physician responsible for receiving laboratory results generated by a drug testing program, who has knowledge of substance abuse disorders and has appropriate medical training to interpret and evaluate an individual's positive test result with his or her medical history and any other relevant biomedical information. The MRO has to receive specific training and certification to perform MRO services in the drug testing and drug screening process.

If you are a TPA looking for MRO services, call National Drug Screening. If you are a TPA looking for a drug testing software solution, call National Drug Screening.


  • 4 Full Time MRO’s, Coverage 8am – 8pm EST
  • Over 60 Years MRO Experience
  • 12 MRO assistants
  • Software integrations with Quest, Labcorp, Medtox, Alere, CRL
  • State of the Art Technology Web Based Reporting System:
    • Your web based reporting system branded with your company logo
    • All results and reports branded with your company logo
    • Electronic Scheduling of non-DOT tests with electronic CCF
    • Extensive network of electronically capable collection sites (over 3500)
    • Real time status updates of all testing available to you and your customers
    • Qualified third party translator service for interviews with non-English speaking donors
    • Fast turnaround – our clients say we are the fastest in the industry
    • Automated e-mail notifications of difficulty in contacting donors
    • Scanned CCF attached to all result records
    • Automated reporting via fax, e-mail and web results

Drug Testing Software

National Drug Screening offers state of the art software for processing drug tests from collection to result reporting including e-chain paperless drug tests; web based reporting and electronic data management. This is a complete drug testing software management.

Robust Technology – This is the latest in Drug Testing Management Software

  • All web based – no software to install, no software updates to purchase
  • Increased efficiency
  • Expanded access
  • Automated random program management system, notices branded with your company logo
  • Automated management of all your occupational health screening programs
  • Collect non-dot instant testing (POCT) without paper chain of custody – using an electronic chain of custody on a laptop or tablet – negative results posted to client within minutes
  • E-chain, E-COC, E-CCF – paperless drug testing


Get a Drug Test Now – Today Starting at $35. Call 866-843-4545 or e-mail to .

All types of testing are available including DNA Paternity, alcohol, urine, hair, oral fluid and more. Many individuals are looking to get a drug test and many need the drug test immediately. National Drug Screening can provide immediate drug testing immediately for any location throughout the United States. With one phone call you can get a drug test ordered and scheduled for immediate collection of the specimen. In many areas, same day testing can be accomplished. Drug testing is available for marijuana, cocaine, opiates, heroin, Oxycontin, Oxycodone, Spice, K2, Bath Salts and many more drug combinations. ETG testing for alcohol is also available for an 80 hour look back time for consumption of alcohol.

Call now for immediate testing 866-843-4545 or e-mail to .

Drug screening, drug testing, and alcohol testing are available from National Drug Screening for individuals, court ordered programs, child welfare/child custody cases, divorce proceedings and parents being proactive and testing their kids. All drug testing is 100% confidential.

If you need a drug test, drug screen or alcohol test now, call National Drug Screening at 866-843-4545 or e-mail to .

Available tests include hair testing, oral fluid testing, point of collection testing, instant testing, on-site testing, urine testing and ETG alcohol testing.

Need a drug test today, National Drug Screening can assist you with fulfilling your order today for a drug screen, confirmation test and drug test result certified by a Medical Review Officer. Call now 866-843-4545 or e-mail to .

Drug Free Workplace

Many States have laws and programs regulating employee drug testing. Call for expertise and advice and information on workers comp discounts up to 7.5%. Joe Reilly, President of National Drug Screening is a national expert on setting up employer drug free workplace programs. Joe has been an advocate for years regarding DOT, Non-DOT and State Drug Free Workplace programs. As Joe Reilly has presented on for many years, a drug free workplace program consists of five components:

  • Formal written drug free workplace policy
  • Employee education on the drug free workplace policy
  • Supervisor training on the drug free workplace policy and signs and symptoms of an employee potentially using drugs or alcohol on the job
  • Access to an employee assistance program
  • Drug and alcohol testing of applicants and employees

Having a drug-free workplace program in place is a workplace’s best line of defense against alcohol and drug problems.  However, since careful planning and consideration is required, a program cannot be put in place overnight. National Drug Screening can help expedite a comprehensive drug free workplace program.

A good comprehensive drug free workplace policy and program should answer the following questions:

  • What is the purpose/goal of your policy?
  • Who will be covered by your policy?
  • When will your policy apply?
  • What behavior will be prohibited?
  • Will employees be required to notify you of drug-related convictions?
  • Will your policy include searches?
  • Will your program include drug testing?
  • What will the consequences be if your policy is violated?
  • Will there be Return-to-Work Agreements?
  • What type of assistance will be available?
  • How will employee confidentiality be protected?
  • Who will be responsible for enforcing your policy?
  • How will your policy be communicated to employees?

For drug testing, MRO services, drug testing software, TPA software, DOT drug and alcohol programs and drug free workplace programs: Call 866-843-4545 or e-mail to


Specimen Collections: DOT urine specimen collection training, qualification, mock collections; non DOT urine specimen collection training; Breath Alcohol Testing (BAT) training:; alternative specimen collection training – oral fluid, hair, instant testing, DNA Paternity testing

Drug Free Workplace trainings: DOT supervisor training, DOT DER training, state law specific drug free workplace training.

Consulting Services available for policy development: DOT Policies, Non DOT Policies, State specific drug free workplace policies.


Supervisor training, DER training, collector training and breath alcohol testing programs are available from National Drug Screening affiliate Joe Reilly & Associates, Inc.

National Drug Screening has access to both national and local experts for training and consultation for a compliant drug free workplace program.

DOT Drug & Alcohol Testing Programs

DOT regulated companies need expertise in setting up Drug Testing Programs. Programs are available for FMCSA, FAA, USCG, PHMSA, FTA and FRA; including 24/7 coverage for post-accident. Scheduled mobile collections and 24/7 collections are available from our affiliation with USA Mobile Drug Testing (USAMDT). Local owner operators from USAMDT provide mobile collections throughout the United States.

Department of Transportation (DOT) regulated employers are required to implement comprehensive drug and alcohol testing programs, DOT regulated employers believe they meet these requirements when drug testing their employees. This is not true. The DOT drug and alcohol testing program must include the following:

  • Designated Employer Representative (DER)
  • Written Policy
  • Regulations on file
  • Previous employer checks
  • Employee Education
  • Supervisor Training
  • Removal of covered employees
  • Pre-employment tests
  • Correct Federal Custody & Control forms (CCF)
  • Random pool
  • Post accident testing situations
  • Substance Abuse Professional (SAP) Process
  • Record keeping

Designated Employer Representative (DER)

DOT Regulated employers need to have a Designated Employer Representative (DER). The responsibilities of the DER are:

  • Compliance with 49 CFR Part 40
  • Responsible for administering the Drug and Alcohol Program
  • The Liaison with drug and alcohol testing service agents
  • The DER is informed of every test and its result
  • The DER receives test results and other communications for the employer
  • Receives test results and other communications for the employer
  • The DER performs the functions necessary according to the results of the tests and are authorized by employer to take immediate action(s), to remove employees from safety sensitive duties, to make necessary decisions in the testing and evaluation process

In each of the DOT regulated agencies or modes of transportation there must be a Designated Employer Representative or DER. The regulated modes listed below all require DOT drug and alcohol drug and alcohol testing programs.

  • Federal Motor Carrier Safety Administration (FMCSA) – 49 CFR Part 382
  • Federal Aviation Administration (FAA) – 14 CFR Part 120
  • Federal Railroad Administration(FRA) – 49 CFR Part 219
  • Federal Transit Administration (FTA) – 49 CFR Part 655
  • Pipeline and Hazardous Materials Safety Administration (PHMSA) – 49 CFR Part 199
  • U.S. Coast Guard (USCG) – 46 CFR Parts 4 and 16

DERs are responsible to select service providers for their drug free work place programs. A Service Agent is any person or vendor used outside your company to help implement the DOT requirements for drug/alcohol testing program. These service agents in the program include: Policy Consultant, Collection site, Urine Collector, BAT or STT, Lab, Trainer, MRO, SAP, and C/TPA.


  • Bundled pricing to your advantage – one bill for lab, MRO and collection
  • Single source contact for setting up Lab and MRO accounts
  • All tests will travel through one system only with real time updates on every stage of the process
  • No paper on Non-DOT - electronic drug testing at collection sites around the United States

For drug testing, MRO services, drug testing software, TPA software, DOT drug and alcohol programs and drug free workplace programs: Call 866-843-4545 or e-mail to

More on Drug Testing, Third Party Administration (TPA) & MRO Services

How does all of this drug testing happen? There are segments of the industry with various industry players. You will need to think about which segment or segments of the industry that you fit into. Some new businesses start out in one segment and grow into a few others, some folks jump right into providing many of the services offered by each industry segment. Let’s take a look at each of the players these players are referred to as service agents (SA) by the United Stated Department of Transportation (DOT) and in general are the service providers for the drug and alcohol industry.

Specimen Collectors (the collector) – These folks operate on a mobile basis traveling to and from client locations and/or work from a brick and mortar facility. The specimen collector works directly for the client, the laboratory, the third party administrator (TPA) or others. The collector is collecting a biological specimen (urine, hair, blood, sweat or oral fluid-saliva) for a testing device or a laboratory to determine the presence or absence of specified parent drugs or their metabolites.

Collection Site: A facility where specimens are collected. This could be the employer place of business. Typically this is a brick and mortar facility, it could be a TPA office, a medical facility, hospital, occupational health clinic, walk in clinic, doctor’s offices – any type of business that might have a set up and employ collectors to collect specimens. Major laboratories such as Quest Diagnostics and LabCorp operate brick and mortar facilities that employ collectors to collect specimens; these are commonly referred to as Patient Service Centers (PSC’s). Other laboratories have contracts with occupational health clinics, walk in clinics, doctor’s offices and other facilities that operate brick and mortar facilities to collect specimens.

Breath Alcohol Technician (BAT) and/or Screening Test Technician (STT) – commonly a collector also, the BAT or STT is a person who instructs and assists persons in the alcohol testing process and operates an evidential breath testing device (Breathalyzer) or alcohol screening device. These folks also operate on a mobile basis traveling to and from client locations and/or work at collection site; they also work directly for the client, the laboratory, the third party administrator (TPA) or others.

Laboratories (Lab) - After collection from the donor, a specimen is sealed with a tamper-evident seal and sent to a laboratory for analysis. The primary advantages of utilizing a laboratory for testing include compliance with regulations, accuracy, legal defensibility, and the ability to customize tests for a particular demographic group. A laboratory is a brick and mortar facility that does the testing, not the facility that collects the specimen. Folks get confused about this and say I’m going to the lab for my drug test, they actually mean they are going to the collection site for specimen collection. A very big investment is required to own and operate a laboratory. Laboratories currently involved with drug testing include Quest Diagnostics, LabCorp, MEDTOX, and Clinical Reference Laboratory (CRL) – there are many others also both regional and national players.

Instant Testing Manufacturers and Distributors - On-site instant or rapid drug testing is becoming more widely used as a more cost-efficient method of effectively detecting drug abuse amongst employees, as well as in rehabilitation programs to monitor patient progress. These instant tests are available for both urine and saliva testing. These instant test kits are visually read and subject to interpretation by the collector. They provide an indication of drug use within minutes but they are only equivalent to the immunoassay stage of laboratory testing; confirmatory laboratory testing is required for test results that are not negative. There are many industry players in the business of selling these test kits as a distributor of products. Also, many service providers use these kits in conjunction with other testing methods and services they make available to their clients. Note that under some state laws as well as DOT rules and under HHS rules for Federal workplace drug testing, these instant testing devices cannot be used.

Medical Review Officer (MRO) - A Medical Review Officer (MRO) is a person who is a licensed physician and who is responsible for receiving and reviewing laboratory results generated by an employer's drug testing program and evaluating medical explanations for certain drug test results. The MRO receives the laboratory drug test results from the lab and reports the results to the employer. Many TPA’s have in house MRO’s working for them.

Walk in Clinics, Hospitals, Doctors Offices, and Occupational Health Clinics – All of these types of facilities might be in the drug and alcohol testing business perhaps as collector sites, third party administrators (TPA) and/or Medical Review Officers (MRO). All are potential competitors and/or potential clients and most definitely potential strategic partners.

Employee Assistance Program (EAP) Provider – EAP’s are employee benefit programs offered by many employers, many times in conjunction with a health insurance plan. EAPs help employees deal with personal problems that might adversely impact their work performance, health, and well-being. EAPs generally include assessment, short-term counseling and referral services for employees and their household members. Employers will refer employees with drug and/or alcohol problems to the EAP.

Substance Abuse Professional (SAP) – Under DOT regulations, the SAP is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare. There are credentials and certifications required for one to be a SAP.


This is basically a service provider that provides two or more of the services involved in the drug testing process. A TPA might coordinate for an employer the entire process of the specimen collection, breath alcohol testing, the laboratory testing, the review and reporting by the Medical Review Officer (MRO) thereby providing all of these services under a one stop shop. A TPA will typically provide everything to the employer client to keep the client in compliance with the applicable regulations – DOT, State Laws etc.

Many businesses are set up to provide services to employers and manage their entire drug testing program. This type of business is commonly referred to as a Third Party Administrator (TPA). The United States Department of Transportation (DOT) calls this type of business a Consortium/Third-party administrator (C/TPA). DOT defines a C/TPA as "a service agent that provides or coordinates the provision of a variety of drug and alcohol testing services to employers. C/TPAs typically perform administrative tasks concerning the operation of an employers' drug and alcohol testing programs." A TPA coordinates or combines the various services provided by service agents in the drug testing process.

A TPA performs a variety of services for an employer mostly revolving around the concept of a drug free workplace. It is important to know that a drug free workplace is a comprehensive program with five major components – a Substance Abuse Policy, Supervisor Training, Employee Education, Employee Assistance Programs and Drug Testing.

What Do Employers Need To Know?

At a basic level you will need to know the difference between DOT and Non-DOT drug testing programs; often called regulated or non-regulated testing. Workers that fall under U.S. Department of Transportation (DOT) regulations must be given a specific type of drug test required for employment drug screening. It is a five-panel test often referred to simply as a "DOT drug screen," and the custody and control form (CCF) used must be a federal form. There are a variety of other rules that apply to the DOT drug & alcohol testing programs required of the employers that are subject to these DOT regulations, you must read 49 CFR Part 40 to learn these.

Workers employed in positions that do not require drug screening under DOT regulations are given non-DOT tests if their companies have drug-testing policies in place. Companies have flexibility in establishing non-DOT policies and procedures for drug testing, including what substances to check for and how often drug tests are required. It is important for these non-DOT employers to work within the guidelines of the State laws that might apply to them.

Many TPA’s provide at a minimum the following:

  • Review or Initial Set Up of the Drug Free Workplace Policy
  • Supervisor Training and Employee Education Programs
  • Coordination of all drug testing and review/reporting of results by a Medical Review Officer
  • Management of the Random Drug Testing Program
  • Maintenance of Program Records

Employers need Lab and MRO accounts, custody and control forms, and a method for receiving drug test results along. Clearly there is a need for a third party administrator (TPA) for an employer drug testing program.

National Drug Screening offers Medical Review Officer services and drug testing management software. Medical Review Officer or MRO services are available to TPA’s who also need a comprehensive software program that can manage their entire drug testing program.

For drug testing, MRO services, drug testing software, TPA software, DOT drug and alcohol programs and drug free workplace programs: Call 866-843-4545 or e-mail to: