MRO Testing Services


Drug and alcohol testing for small, medium, and large employers. 24/7 coverage for post-accident and reasonable suspicion testing. Complete programs with Lab, MRO and over 10,000 collection sites in the USA.

Immediate Testing

Immediate Testing

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.

MRO Testing Services

DOT Programs and 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.

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.

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.

Probation Drug Testing

Training and Consulting

We offer several resources to help you stay complaint with drug testing best practices and compliance.


National Drug Screening

At National drug screening (NDS), we provide drug free workplace services and drug testing to employers and individuals in all areas of the United States. Our niche is a state-of-the-art technology software platform combined with medical review officer (MRO) Services, drug testing, training, and consultation. National Drug Screening offers a single system for scheduling, ordering, resulting and processing paperless drug testing for both laboratory and rapid instant drug testing.

For employers, we can either set you up a drug screening account or we can arrange for a drug test for your employee today with no account needed. NDS provides assistance with the creation of a drug-free workplace program including writing your drug testing policy. With over 10,000 drug test centers located in all areas of the United States, NDS can provide service to non-regulated employers, DOT regulated employers and owner-operators. We don’t just sell drug testing; we educate employers to reduce their liability.

For individuals, we set up drug testing daily upon demand. You can call today and get your test done today, or order online anytime. Our individual drug test customers often need testing for probation, court ordered testing, divorce cases, child custody cases and all other reasons for a personal drug test. If you need a random drug testing schedule, we can set that up for you and monitor your program. We don’t ask questions and your drug testing result is personal and confidential.

Our services are professional and confidential with fair pricing. Our experienced team has the knowledge and experience to help you with whatever you need for drug testing.

Medical Review Officer (MRO) Services

Medical Doctors

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.

Learn More About Our MRO Services

Immediate Drug Testing

Drug Testing Software

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
Drug Testing Software

Immediate Drug Testing

Get a Drug Test Now. Call 866-843-4545 or Order Online.

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 orders@nationaldrugscreening.com.

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 orders@nationaldrugscreening.com.

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 orders@nationaldrugscreening.com.

Drug Free Workplace

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 orders@nationaldrugscreening.com.

Drug Free Workplace


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

United States Department of Transportation (DOT) regulated companies need expertise in setting up drug & alcohol testing programs. National Drug Screening (NDS) has the DOT expertise you need. Programs are available for FMCSA, FAA, USCG, PHMSA, FTA and FRA. It is important to always look at your DOT drug & alcohol testing program: it is not just testing employees. DOT requires a comprehensive program. Audit assistance is available from NDS.

Learn More About Our DOT Services

Designated Employer Representative (DER)

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

DOT Compliance
  • 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.

DOT Compliance


Immedaite Drug Testing
  • 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 orders@nationaldrugscreening.com.

Learn More About Our SAMHSA Certified Laboratories

Reseller Program

National Drug Screening (NDS) offers a comprehensive back office program for those selling drug and alcohol testing. The NDS Reseller Program provides your drug testing business with access to software, laboratory accounts, MRO services, training and consultation. Take advantage of a knowledgeable support team for you to rely on for you to give great customer service to your customers. This program is perfect for the new drug testing business, existing drug testing business, background check companies, DOT licensing companies, medical clinics, chiropractors and hospitals. You and your clients will have access to drug testing management software, Medical Review Officer (MRO) services, random testing consortium services and SAMHSA certified laboratory accounts. With this program the NDS team will have your back and you will excel in selling and servicing drug testing.

Learn More About Our Reseller Program

Consortium/Third Party Administrator (C/TPA)


The TPA or Third-Party Administrator provides a vital service to employers in the drug testing process coordinating aspects of specimen collection, laboratory analysis, medical review officer (MRO) reporting of drug test results, customer service and combined billing. Random testing programs and consortium services are also provided by a C/TPA. A great service available from National Drug Screening as a Third-Party Administrator is to provide to employers a vast network of over 10,000 collection sites all across the United States. With a C/TPA an employer has one point of contact for specimen collection, laboratory testing, MRO review of results, random testing and all other questions related to drug testing and drug free workplace programs.

Drug testing businesses known as a TPA’s have evolved because the laboratories do not provide all the services that employers need for an effective drug testing program. The United States Department of Transportation (DOT) states that - “Consortium/Third-Party Administrators (C/TPAs) manage all, or part, of an employer's DOT drug and alcohol testing program, sometimes including maintaining required testing records. They perform tasks as agreed to by the employer to assist in implementing the drug and alcohol testing program and to help keep the employer compliant with the DOT/FMCSA Drug and Alcohol Testing rules and regulations.”

National Drug Screening (NDS) provides C/TPA services direct to employers. Thousands of employers utilize NDS as their Consortium/Third-Party Administrator for their drug testing and drug free workplace programs. Often the C/TPA is called upon to assist employer with a drug free workplace policy. Joe Reilly, President of National Drug Screening is actively involved in developing drug free workplace policies for small, medium and large employers.

NDS also serves hundreds of C/TPA’s and background check companies providing back office services for complete drug testing management. This offering known as our Reseller Program provides software, laboratory services, MRO services along with consultation and training. The Reseller Program is kind of like a white label for selling drug testing; branding is provided on reports going out to employers. Our resellers enjoy a turnkey business operation without having to invest in technology and infrastructure. The biggest advantage to our Reseller Program is the knowledge and professional team at National Drug Screening providing great personalized customer service.

Learn more TPA, C/TPA and Service Agents


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: orders@nationaldrugscreening.com.