• Find Test Online, Call, Chat or Complete Our Contact Form Online

  • Schedule Appointment or Simply Walk-in

  • Visit & Complete Your Test With Quick Results

Test Smartly Labs delivers top-quality urine drug tests that use a laboratory to confirm non-negative screen results, plus Medical Review Officer support and review. Our complete approach creates the best results by combining top-quality accuracy with expert review and legalized protection for both the donor and the associated company or organization.

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

  1. 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.

  1. 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.

  1. 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.

  1. 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.

  1. 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.

Read More

Find Your Test

  • $99

    The 10 Panel Lab Drug Test + Fentanyl (No THC) is available in Greater Kansas City and offers a full 10 panel drug screen plus fentanyl, excluding THC, built for fentanyl focused monitoring. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $69

    The 10 Panel Urine Drug Test is available in Greater Kansas City and offers a complete, lab confirmed 10 panel urine drug test, collection, lab confirmation, and MRO review bundled into one flat price. No 'instant screen' upsell, no hidden confirmation or MRO fees, ever.

    Read More

  • $119

    The 12 Panel Lab Drug Test + Fentanyl (No THC) is available in Greater Kansas City and offers a broad 12 panel drug screen plus fentanyl, excluding THC, comprehensive coverage for synthetic opioid risk. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $59

    The 5 Panel Urine Drug Test is available in Greater Kansas City and offers a complete, lab confirmed 5 panel urine drug test, collection, lab confirmation, and MRO review bundled into one flat price. No 'instant screen' upsell, no hidden confirmation or MRO fees, ever.

    Read More

  • $109

    The Comprehensive Drug Panel with Narcotics, Fentanyl & MDMA is available in Greater Kansas City and offers a broad multi drug screen plus an expanded narcotics profile (incl. fentanyl) and MDMA/ecstasy, wider coverage than a standard panel. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $99

    The 10 Panel Lab Drug Test + Expanded Opioids is available in Greater Kansas City and offers a full 10 panel drug screen plus expanded opioids (oxycodone, hydrocodone & more) standard panels miss. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $139

    The 10 Panel Urine Drug Test + Synthetic Cannabinoids (K2) is available in Greater Kansas City and adds synthetic cannabinoid (K2/Spice) detection to a full 10 panel drug screen, mainstream and designer drugs in one test. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $79

    The 11 Panel No THC RAPID FLEX Drug Test (Instant + Lab Confirmation & MRO) is available in Greater Kansas City. An 11 panel no THC rapid drug screen built for employers, courts, and clinics: instant results paired with bundled SAMHSA certified lab (GC/MS) confirmation and MRO review on any non negative, lab grade defensibility at instant screen speed, one flat price. Negatives clear in minutes; no surprise confirmation or MRO fees.

    Read More

  • $109

    The 11 Panel Urine Drug Test (No THC) is available in Greater Kansas City and offers a complete, lab confirmed 11 panel urine drug test, collection, lab confirmation, and MRO review bundled into one flat price. No 'instant screen' upsell, no hidden confirmation or MRO fees, ever.

    Read More

  • $189

    The 12 Panel Advanced Urine Drug Test + Fentanyl (THC included) is available in Greater Kansas City. Our most extensive Advanced lab panel: a full multi drug screen (THC included) plus Methadone, Fentanyl, expanded Narcotics & Propoxyphene, with specimen validity testing. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $109

    The 12 Panel Urine Drug Test is available in Greater Kansas City and offers a complete, lab confirmed 12 panel urine drug test, collection, lab confirmation, and MRO review bundled into one flat price. No 'instant screen' upsell, no hidden confirmation or MRO fees, ever.

    Read More

  • $129

    The 13 Panel Urine Drug Test (No THC) is available in Greater Kansas City and offers a complete, lab confirmed 13 panel urine drug test, collection, lab confirmation, and MRO review bundled into one flat price. No 'instant screen' upsell, no hidden confirmation or MRO fees, ever.

    Read More

  • $59

    The 5 Panel Expanded Opioid Urine Drug Test is available in Greater Kansas City and screens the 5 core drug classes plus expanded opioids including oxycodone, built for pain management and prescription misuse monitoring. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $64

    The 5 Panel Urine Drug Test (No THC) is available in Greater Kansas City and offers a complete, lab confirmed 5 panel urine drug test that excludes THC (marijuana), collection, lab confirmation, and MRO review bundled into one flat price. Ideal for marijuana legal states and THC exempt drug policies.

    Read More

  • $139

    The 5 Panel Urine Drug Test + Synthetic Cannabinoids (K2) is available in Greater Kansas City. Extends a 5 panel drug screen to catch synthetic cannabinoids (K2/Spice) that standard panels miss. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $69

    The 7 Panel Urine Drug Test is available in Greater Kansas City and offers a complete, lab confirmed 7 panel urine drug test, collection, lab confirmation, and MRO review bundled into one flat price. No 'instant screen' upsell, no hidden confirmation or MRO fees, ever.

    Read More

  • $99

    The 9 Panel Lab Drug Test + Fentanyl is available in Greater Kansas City. Nine core drug classes plus fentanyl in one urine test, targeted coverage for synthetic opioid risk. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $99

    The 9 Panel Lab Drug Test + Fentanyl (No THC) is available in Greater Kansas City. Nine drug classes plus fentanyl, excluding THC, focused coverage for synthetic opioid risk. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $79

    The 9 Panel Urine Drug Test is available in Greater Kansas City and offers a complete, lab confirmed 9 panel urine drug test, collection, lab confirmation, and MRO review bundled into one flat price. No 'instant screen' upsell, no hidden confirmation or MRO fees, ever.

    Read More

  • $89

    The 9 Panel Urine Drug Test (No THC) is available in Greater Kansas City and offers a complete, lab confirmed 9 panel urine drug test that excludes THC (marijuana), collection, lab confirmation, and MRO review bundled into one flat price. Ideal for marijuana legal states and THC exempt drug policies.

    Read More

  • $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

    Read More

  • $149

    The Bath Salts (Synthetic Cathinones) Urine Drug Test is available in Greater Kansas City. Targets synthetic cathinones ('bath salts'), potent stimulant designer drugs standard screens don't detect. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $99

    The Fentanyl Urine Drug Test is available in Greater Kansas City. Targeted, lab confirmed detection of fentanyl, the potent synthetic opioid standard panels often miss. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $149

    The Ketamine Urine Drug Test is available in Greater Kansas City. Targeted, lab confirmed detection of ketamine, a dissociative drug standard panels don't cover. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More

  • $99

    The Nicotine / Cotinine Urine Test is available in Greater Kansas City. Lab based cotinine detection to verify recent tobacco, vape, or nicotine use. Fully lab confirmed, one flat price, no hidden fees.

    Read More

  • $59

    The Non DOT 5 Panel Urine Drug Test is available in Greater Kansas City and offers a complete, lab confirmed non DOT 5 panel urine drug test for private employers and non regulated programs, collection, lab confirmation, and MRO review bundled into one flat price. No hidden confirmation or MRO fees.

    Read More

  • $129

    The Synthetic Cannabinoids (K2/Spice) Urine Drug Test is available in Greater Kansas City. Targeted, lab confirmed detection of K2/Spice synthetic cannabinoids, engineered to evade standard THC tests. Fully lab confirmed with MRO review bundled into one flat price, no hidden fees.

    Read More