Orders are assigned to the nearest available facility based on ZIP code. Requested locations will be accommodated when possible, but services vary by facility. For assistance call 866-843-4545

Hair Drug Test 17 Panel

New 17 Panel Hair Drug Test – The most comprehensive hair drug test panel available at our drug testing centers across the United States. Testing for Amphetamines, Methamphetamines, Cocaine, Marijuana, Opiates, Synthetic Expanded Opiates (Hydrocodone, Oxycodone), Fentanyl, Tramadol, Buprenorphine, PCP, Benzodiazepines, Barbiturates, Methadone, Propoxyphene, Meperidine, Ketamine, Zolpidem (Ambien) (Up to 90 day Look back)

Price: $726.00(each)

Quantity of Tests
Multiple Recipients

#1 Test Recipient

Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
Direct Observed Required ($50 additional Fee applies)?
$50 Direct Observe Fee will Apply - Does the Test Collection need to be directly observed?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#2 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
Direct Observed Required?
Does the Test Collection need to be directly observed?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#3 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
Direct Observed Required?
Does the Test Collection need to be directly observed?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#4 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
SSN*
For specimen ID tracking purposes. Employee ID accepted. Minimum 6 Digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#5 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#6 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#7 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#8 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#9 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#10 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue

How will we send the results?
Where should the test results be emailed?*
Where should the test results be faxed?*
Who should we attention the fax to?*
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Subtotal
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Total

Hair Drug Test 17 Panel

Price: $726.00(each)

#1 Test Recipient

#2 Test Recipient

#3 Test Recipient

#4 Test Recipient

#5 Test Recipient

#6 Test Recipient

#7 Test Recipient

#8 Test Recipient

#9 Test Recipient

#10 Test Recipient