Labs & Clearinghouses

A reference directory of HHS/SAMHSA-certified labs, drug testing platforms, clearinghouses, and point-of-care suppliers for DOT and non-DOT workplace testing programs.

โš ๏ธ DOT Testing Requirement: All DOT urine specimens must be sent to an HHS/SAMHSA-certified laboratory. Always verify a lab's certification status before establishing a relationship. The current certified lab list is updated monthly by SAMHSA.
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HHS/SAMHSA-Certified Reference Labs

Required for all DOT urine drug test specimens

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National Coverage

LabCorp (Laboratory Corporation of America)

One of the two largest clinical lab networks in the US. Widely integrated with most TPA platforms and clearinghouses. Strong support for both DOT and non-DOT employer programs.

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National Coverage

Quest Diagnostics

The other major national lab network. Broad collection site infrastructure, deep employer relationships, and strong MRO services integration. Widely accepted by TPAs and clearinghouses.

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Specialty Testing

USDTL (US Drug Testing Laboratories)

Known for specialty testing including meconium, EtG (alcohol biomarker), hair, and oral fluid in addition to standard urine panels. HHS-certified for DOT urine testing.

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Independent Lab

Clinical Reference Laboratory (CRL)

Competitive turnaround times and employer-focused services. Strong alternative to the two major networks for TPAs looking for independent lab partnerships.

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Independent Lab

Cordant Health Solutions

Offers urine, oral fluid, and hair testing with strong TPA and employer partnership programs. Known for relationship-driven service and fast reporting.

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Independent Lab

National Toxicology Laboratories (NTL)

California-based independent lab. HHS-certified for DOT urine testing with a focus on employer and occupational health programs.

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Monitoring Focus

Averhealth

Growing national lab presence with a focus on court-ordered monitoring and substance abuse programs in addition to employer workplace testing.

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Large Scale

Alere Toxicology (Abbott)

Part of Abbott Laboratories. High-volume lab capacity with national reach. Integrated with Abbott's broader point-of-care and workplace testing ecosystem.

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Clearinghouses & Management Platforms

TPA platforms that connect collectors, labs, MROs, and employers

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Most Widely Used

FormFox

The leading electronic CCF (eCCF) platform connecting collectors, labs, MROs, and TPAs across 3,500+ collection sites. Supports urine, hair, oral fluid, BAT, and point-of-care testing. Most large drug testing programs run through FormFox.

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Large TPA

DISA Global Solutions

One of the largest TPAs in the country, serving 55,000+ companies. Manages millions of tests annually. Their DISA 360 platform includes FMCSA Clearinghouse reporting, compliance tracking, and employer program management.

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Platform

eScreen

Technology-driven TPA platform for specimen collection, management, and results reporting. Connects employers with collection sites and labs through a centralized dashboard.

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Screening + Background

First Advantage

Employment screening company offering drug testing alongside background checks, verifications, and compliance tools. Well-established with large national employers.

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Screening + Background

Sterling

Background screening and drug testing provider serving mid-to-large employers. Offers program management and integration with HR platforms.

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Program Management

National Drug Screening

TPA offering drug testing program management, eCCF technology, lab navigation, and compliance support for employers and collectors nationwide.

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Employer Platform

WorkforceQA

TPA platform focused on employer drug and alcohol testing program compliance, random pool management, and reporting.

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Occupational Health

Concentra

Occupational health clinics offering on-site collections, physicals, and employer services nationwide. A strong referral partner for collectors who don't yet have a clinic presence.

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Screening + Background

HireRight

Employment screening platform offering drug testing, background checks, and I-9 verification. Primarily serves large enterprise employers.

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Point-of-Care & Rapid Test Suppliers

For non-DOT onsite testing โ€” CLIA waiver required to read and report results

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Major Supplier

Abbott Toxicology

5-minute rapid workplace tests with paperless administration, expanded panels, and DOT compliance tools. Part of the Abbott Laboratories family.

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Wholesale Supplier

American Screening Corporation

Bulk wholesale supplier of test cups, dip cards, saliva strips, and urine test panels for both DOT and non-DOT programs. Competitive pricing for high-volume buyers.

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FDA Cleared

Drug Test Kits USA

CLIA-waived, FDA 510(k) cleared urine drug screen cups and dip cards. Available in 5, 6, 10, and 12-panel options for employer and healthcare use.

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Workplace + Healthcare

Rapid Detect

20+ years in the industry. Offers rapid urine, oral fluid, and hair test products with 5โ€“10 minute results for workplace and healthcare settings.

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Integrated Confirmation

Prime Screen

Point-of-care test products integrated with lab confirmation services. Useful for non-DOT programs that want rapid results with lab backup for positive screens.

Remember: Point-of-care and rapid test products are for non-DOT use only. Reading and reporting results onsite requires a CLIA Certificate of Waiver. DOT specimens must always go to an HHS-certified laboratory. Learn more about CLIA โ†’