The Importance to Overall Health and Safety
Organizations throughout different work settings rely on drug testing to protect both safety and wellness. The practice of testing employees through medical labs protects working environments by revealing substance use problems that can produce risks to worker safety and output. Safety-sensitive industries rely on laboratory confirmation testing because it ensures better results in workplace safety positions.
The use of lab-based drug tests helps achieve better health results throughout society. The test system delivers correct data for everyone involved to respond to substance use problems. When parents and guardians have accurate test results, they can start helping their children solve drug problems sooner. Laboratory based testing provides treatment centers and recovery programs with the exact results to accurately track patient development and treatment.
Medical Review Officers bring professional medicine-based interpretation to every step of the drug testing process. Medical Review Officers review test results to determine if prescribed medications explain the positive findings and prevent unauthorized drug use from being reported as legitimate. Adding medical interpretation supports both individual rights and proper test outcomes.
State-of-the-art drug testing methods combined with medical experts create effective safety standards for workplace and domestic spaces.
Our system of lab testing followed by MRO review stands as the best method to detect drugs today.
- Initial immunoassay screening at certified laboratories
The lab uses GC/MS or LC/MS/MS equipment to verify positive drug test results.
- Medical Review Officer evaluation of all positive results
- Verification of legitimate prescription medications
- Complete chain-of-custody documentation
- Secure, confidential result reporting
Available Lab-Based Drug Panels
Standard Procedure for Marijuana, Cocaine, Amphetamines, Opiates, and PCP Tests Includes Medical Review Officer Evaluation and Lab Confirmation
An expanded drug test with an MRO examines benzodiazepines, barbiturates, methadone, propoxyphene, and methaqualone, along with a professional medical review.
The laboratory provides DOT-approved testing services to meet 49 CFR Part 40 regulations for federally regulated transportation sector employees.
Our testing service includes natural and synthetic opioids plus separate checks for prescription opioids with MRO medical analysis.
Standard drug panels plus fentanyl testing get confirmed results reviewed by Medical Review Officers.
Test development services for client requirements combined with complete laboratory analysis analytics by medical experts.
Our laboratory testing system uses advanced scientific testing methods.
- Initial enzyme immunoassay (EIA) screening
- Gas Chromatography/Mass Spectrometry (GC/MS) confirmation
- Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) confirmation
Tests happen at laboratories approved by HHS and CAP.
- Sophisticated detection at established cutoff levels
Our MRO services feature professional oversight that doctors provide.
- Professional evaluation of laboratory findings
- Verification of legitimate prescription use
- Donor interviews for positive results
- Final determination on result reporting
- Detailed documentation for legal purposes
In specific situations this full testing method delivers essential functions:
The U.S. federal government and DOT require testing services.
- Safety-sensitive positions
- Legal requirements with strict accuracy needs
- High-stakes testing requiring maximum accuracy
Test Smartly Labs handles all drug testing needs with exact results and top-quality service standards. Our testing procedure, which includes laboratory services plus Medical Review Officer verification, offers the best possible results you can rely on.
Contact Test Smartly Labs for detailed information about our laboratory testing services with Medical Review Officer services, and visit our Kansas City facilities.
Frequently Asked Questions
- Lab-based drug testing with Medical Review Officer verification offers better reliability than other approaches because of its rigorous testing methods.
Scientists recognize lab-based testing plus MRO review as the best method because it offers several steps to confirm accuracy. Medical labs conduct tests using official testing equipment plus quality control steps to guarantee precise results. The laboratory tests positive samples using GC/MS and LC/MS/MS instruments that detect drug molecules accurately to prevent false detections. The Medical Review Officer system lets a licensed doctor look at positive findings to check if patients take medicine based on prescriptions before sharing final results about donors. This system produces precise results that are treated fairly while supported by valid legal evidence.
- What distinguishes immunoassay screening from confirmation testing in drug tests?
The immunoassay screening method depends on antibodies that detect drug metabolites in urine samples to deliver initial results. Despite being powerful at detecting drugs, the screening method shows errors when it identifies similar chemicals in blood samples. After screening responds positively, the medical specialist uses either GC/MS or LC/MS/MS technology to verify the findings. These science-based tests reveal actual molecular details, which prevents incorrect results by offering accurate results above 99%. Using both tests brings fast results and reliable accuracy.
- The Medical Review Officer conducts a specific evaluation process.
The Medical Review Officer - a doctor with substance abuse testing qualifications - takes charge after testing labs confirm a positive sample. The MRO talks directly with the donor to find valid medical reasons for the test result. When the donor submits valid prescription documentation, the Medical Review Officer can mark the test as negative with supporting information instead of a positive drug finding on the report. This critical stage protects employees who take medicine as directed while stopping drug use in the workplace. The MRO creates the final test outcome that shows what the results are.
- What specific values do scientists set on their tests and why these levels matter in their work?
The test result depends on the specified concentration limits that separate positive from negative results. Scientists set these levels to stop identifying trace marijuana exposure from secondhand smoke and ensure consistent testing across labs. The windows show recent drug use instead of past use. These cutoff values let labs find real positives without making mistakes. Testing facilities that perform DOT-regulated services must follow national limits set by law. Non-regulated testing programs follow regular industry practices, but teams can modify these methods to match unique requirements.
- How many days do labs store test samples, and can they perform additional tests on this material?
After testing non-DOT samples, the laboratory discards them from storage within 3-7 days. The laboratory stores positive specimens in freezer units for at least one year to allow future retesting. Under DOT rules, laboratories have to keep all tested positive and invalid specimens plus samples with tampering or substitution for one year at frozen temperatures. During the retention period, the donor or their appointed person can ask a certified lab to retest their sample. DOT testing procedures include split specimen collection which enables donors to get their results retested if they dispute the results later on.
Note: Test Smartly Labs provides direct-access testing services only and does not provide medical diagnosis, advice, guidance, treatment, or emergency medical procedures. Please consult a qualified healthcare provider for any medical interpretation of test results.
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Popular$74
This broad spectrum drug test panel includes testing for Fentanyl (FEN) and the following 10plus drugs including Oxycodone (OXY) / Oxymorphone (OXYM), Amphetamines (AMP) / Methamphetamine (MAMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), Methadone (MTD), Methaqualone (MTQ), Phencyclidine (PCP), Propoxyphene (PPX). *NO THC* Lab Confirmation/MRO Included. Specimen Type: Urine
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Popular$69
A lab-based urine test that analyzes a urine specimen for the evidence of 10 different drugs or drug metabolites, all in one test. Tests for Amphetamines (AMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP), Barbiturates (BAR), Benzodiazepines (BZO), Methadone (MTD), Methaqualone (MTQ), Propoxyphene (PPX). Lab Confirmation/MRO Included. Specimen Type: Urine
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Popular$89
This broad spectrum drug test panel includes testing for Fentanyl (FEN) and the following 12plus drugs including 6-acetylmorphine (6-AM) – Heroin, Amphetamines (AMP) / Methamphetamine (MAMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), Codeine (COD) / Morphine (MOR), Hydrocodone (HYC) / Hydromorphone (HYM), MDMA (Ecstasy/Molly) / MDA (Sally), Methadone (MTD), Oxycodone (OXY) / Oxymorphone (OXYM), Phencyclidine (PCP). *NO THC included* Lab Confirmation/MRO Included. Specimen Type: Urine
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Popular$49
This is the basic urine lab-based drug test looking for evidence of 5 different drugs or drug metabolites, all in one test. Tests for Amphetamines (AMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP). Lab Confirmation/MRO Included. Specimen Type: Urine
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Popular$89
Analysis of a urine specimen to detect evidence of 17plus different drugs or drug metabolites, all in one test. Tests for Oxycodone (OXY), Hydrocodone (HYC) , MDMA (Ecstasy/Molly), 6-acetylmorphine (6-AM) – Heroin, Amphetamines (AMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), THC, Phencyclidine (PCP), Methamphetamine (MAMP), Fentanyl (FEN), Nalbuphine, Pentazocine. Lab Confirmation/MRO Included. Specimen Type: Urine
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$69
A 10-Panel lab-based drug test that tests for 10 different drugs or drug metabolites AND includes an expanded analysis for the presence of OPIOIDS, all in one test. Tests for Oxycodone (OXY), Hydrocodone (HYC) codone (HYC), COD, Morphine (MOR), Amphetamines (AMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP), Barbiturates (BAR), Benzodiazepines (BZO), Methadone (MTD), Methaqualone (MTQ), Propoxyphene (PPX). Lab Confirmation/MRO Included. Specimen Type: Urine
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$119
A lab-based combination test analyzing for the evidence of 10 different drugs or drug metabolites AND tests for notable SYNTHETIC drugs, all in one test. Tests for Synthetic Drug Panel Tests, Amphetamines (AMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP), Barbiturates (BAR), Benzodiazepines (BZO), Methadone (MTD), Methaqualone (MTQ), Propoxyphene (PPX). Lab Confirmation/MRO Included. Specimen Type: Urine
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$79
This comprehensive 11-Panel NO THC FLEX with Lab Confirmation and Medical Review for non-negative findings offers the best of both worlds. You will get instant results for immediate feedback with the added benefit of bundled lab confirmations and medical review for any non-negative findings. This ensures that false positives and prescription medications are not resulting in a "positive" drug test. This test excludes Marijuana (THC) while it includes 11 primary drug categories including Fentanyl, 6-AM (Heroin), Amphetamines, Methamphetamines, Barbiturates, Benzodiazepines, Cocaine, MDMA / MDA, Opiates, Phencyclidine (PCP), Oxycodone / Oxymorphone. Specimen Type: Urine
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$79
A lab-based drug test evaluating a urine specimen for the evidence of 12 different drugs or drug metabolites, all in one test. Tests for MDMA (Ecstasy/Molly), Oxycodone (OXY), Amphetamines (AMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP), Barbiturates (BAR), Benzodiazepines (BZO), Methadone (MTD), Methaqualone (MTQ), Propoxyphene (PPX). Lab Confirmation/MRO Included. Specimen Type: Urine
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$89
This comprehensive urine drug test panel includes 12 Drugs/Metabolites including Fentanyl. The Drug Panel is inclusive of THC, Amphetamines, Methamphetamine, Barbiturates, Benzodiazepines, Cocaine, Fentanyl, Fentanyl Analogs, Meperidine, Methadone, Nalbuphine, Opiates, Oxycodone, Oxymorphone, Pentazocine, PCP, & Propofol. Lab Confirmation and MRO included. Specimen Type: Urine
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$55
A combination lab-based drug test evaluating a urine specimen for evidence of 5 different drugs or drug metabolites AND includes an expanded analysis for the presence of Opioids, all in one test. Tests for Amphetamines (AMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP), Oxycodone (OXY) / Oxymorphone (OXYM), Hydrocodone (HYC) codone (HYC), Hydrocodone (HYC) morphone (HYM). Lab Confirmation/MRO Included. Specimen Type: Urine
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$109
A lab-based drug test designed to find evidence of 5plus different drugs or drug metabolites AND includes an expanded analysis for the presence of Synthetic Drugs, all in one test. Panel includes tests for Amphetamines (AMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP) plus Synthetic Drugs (K2). Lab Confirmation/MRO Included. Specimen Type: Urine
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$59
A lab-based drug test that analyzes a specimen for the evidence of 7 different drugs or drug metabolites, all in one test. Tests for 6-acetylmorphine (6-AM) – Heroin, Amphetamines (AMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), THC, Oxycodone (OXY), Phencyclidine (PCP), MDMA (Ecstasy/Molly). Lab Confirmation/MRO Included. Specimen Type: Urine
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$64
A lab-based drug test evaluating the presence of 9 different drugs or drug metabolites, all in one test. Tests for 6-acetylmorphine (6-AM) – Heroin, Amphetamines (AMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), THC, Oxycodone (OXY), Phencyclidine (PCP), MDMA, Methamphetamine (MAMP). Lab Confirmation/MRO Included. Specimen Type: Urine
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$69
A lab-based 9-Panel Drug Test plus Fentanyl that analyzes the urine specimen for the evidence of Fentanyl AND 9 different drugs or drug metabolites, all in one test. Tests for Fentanyl (FEN), 6-acetylmorphine (6-AM) – Heroin, Amphetamines (AMP) / Methamphetamine (MAMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), THC, Oxycodone (OXY), Hydrocodone (HYC), Phencyclidine (PCP), Codeine (COD) / Morphine (MOR). Lab Confirmation/MRO Included. Specimen Type: Urine
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$69
This panel includes testing for Fentanyl and the following 9plus drugs including Cocaine (COC), 6-acetylmorphine (6-AM) – Heroin, Amphetamines (AMP) / Methamphetamine (MAMP), Codeine (COD) / Morphine (MOR), Hydrocodone (HYC) / Hydromorphone (HYM), MDMA (Ecstasy/Molly) / MDA (Sally), Oxycodone (OXY) / Oxymorphone (OXYM), Phencyclidine (PCP). *NO THC included* Lab Confirmation/MRO Included. Specimen Type: Urine
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$199
Lab-Based 50plus Anabolic Steroid and Steroid Masking Agents Panel including: 1,4,5-Androstendiol, 1,4,5-Androstendione, Bolandiol (19-Norandrostendiol), Bolstering, Boldenone, Methandriol, Methandrostenolone, Methenolone, 6-Methylandrostendione, 19-Norandrostadiendione, Danazol, Oxymetholone, 4-Hydroxy-testosterone, Testosterone, Testlactone (anti-estrogen), Stanozolol, Fluoxymesterone and many more... Specimen Type: Urine
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$95
Synthetic Cathinones (Bath Salts) can be extremely addictive and intoxication from synthetic cathinones has resulted in death. These drugs are extremely dangerous and street names for this drug type include White Lightening, Cloud 9 and Ivory Wave. This is a lab-based drug panel that looks for numerous synthetic drug compounds, all in one test. Lab Confirmation included. Specimen Type: Urine
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$45
Fentanyl is a synthetic opioid that is 50 to 100 times more potent than morphine. It is an extremely dangerous drug that can easily lead to fatality if used. This Fentanyl test is a lab-based urine drug test with Lab Confirmation and Medical Review. Specimen Type: Urine
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$149
Ketamine has been used to commit sexual assaults due to its ability to sedate and incapacitate unsuspecting victims as it is tasteless and odorless. This test is a lab-based urine drug test with lab confirmation and a medical review. This specific test can be added to most other drug panels. Specimen Type: Urine
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$59
Cotinine is found in tobacco and is also the predominant metabolite of nicotine. This test is generally used to determine nicotine usage. It is a lab-based test utilizing a urine specimen and a lab confirmation is included in the test price. Specimen: Urine
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$94
This broad spectrum NO THC 11-Panel drug test panel excludes THC but includes testing for Fentanyl (FEN), 6-acetylmorphine (6-AM) – Heroin, Amphetamines (AMP) / Methamphetamine (MAMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), Codeine (COD) / Morphine (MOR), Hydrocodone (HYC) / Hydromorphone (HYM), MDMA (Ecstasy/Molly) / MDA (Sally), Methadone (MTD), Oxycodone (OXY) / Oxymorphone (OXYM), Phencyclidine (PCP). *NO THC included* Lab Confirmation/MRO Included. NO THC included, Specimen Type: Urine
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$99
This most comprehensive NO THC 13-Panel drug test excludes THC (marijuana) but includes testing for dangerous substances including Fentanyl (FEN), Amphetamines (AMP), Methamphetamine (MAMP), Barbiturates (BAR), Benzodiazepines (BZO), Cocaine (COC), Codeine (COD) / Morphine (MOR), Hydrocodone (HYC) codone (HYC) / Hydrocodone (HYC) morphone (HYM), MDMA (Ecstasy/Molly) / MDA (Sally), Oxycodone (OXY) / Oxymorphone (OXYM), Propoxyphene (PPX), Phencyclidine (PCP). *NO THC included* Lab Confirmation/MRO Included. Specimen Type: Urine
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$47
A lab-based drug test that analyzes the sample for the evidence of 5plus different drugs or drug metabolites, all in one test. This test does not include THC metabolite in marijuana. Tests for Amphetamines (AMP), Oxycodone (OXY), Cocaine (COC), Opiates (OPI), Phencyclidine (PCP), 6-acetylmorphine (6-AM) – Heroin, Methadone (MTD), MDMA (Ecstasy/Molly). Lab Confirmation/MRO Included. Specimen Type: Urine
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$57
This 9-panel lab-based test evaluates the urine sample for the evidence of 9 different drugs or drug metabolites, all in one test. This test does not include THC metabolite in marijuana. The (No THC) 9-Panel Drug Test includes 6-acetylmorphine (6-AM) – Heroin, AMP/MAMP, Barbiturates (BAR), Benzodiazepines (BZO), Opiates (OPI), Cocaine (COC), Methadone (MTD), COD/MOR, OXYC/OXYM, Propoxyphene (PPX),Phencyclidine (PCP), MDMA (Ecstasy/Molly), Hydrocodone (HYC) codone (HYC) / Hydrocodone (HYC) morphone (HYM). Lab Confirmation/MRO Included. Specimen Type: Urine
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$57
A non-DOT lab-based test that mirrors drugs or drug metabolites on the federal DOT drug panel, all in one test. Tests for Amphetamines (AMP) / Methamphetamine (MAMP), THC, Cocaine (COC), Opiates (OPI), Phencyclidine (PCP), 6-acetylmorphine (6-AM) – Heroin, Codeine (COD) / Morphine (MOR), MDMA (Ecstasy/Molly), Hydrocodone (HYC) codone (HYC), Hydrocodone (HYC) morphone (HYM). Lab Confirmation/MRO Included. Specimen Type: Urine
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$89
A lab-based analysis of a urine sample for the detection of multiple different synthetic drug compounds, all in one test. Tests for numerous Synthetic Drug compounds that can be up to 100 times more potent than THC. Street names for synthetic cannabinoids include K2, Spice, Mr. Happy, Bombay Blue etc. Lab Confirmation Included. Specimen Type: Urine
