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Drug and Alcohol Screening

Streamline your drug-free workplace program to align with your business goals and achieve greater compliance success.

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Solutions That Scale 

Simplify Workplace Drug and Alcohol Screening

Build a trusted drug and alcohol screening program that proactively addresses your business challenges and helps support workplace compliance and productivity.

Sophisticated site search logic scans over 23,000 sites to find the best fit based on proximity, cost, and performance*. Easily schedule your drug and alcohol screenings online and get faster results and more frequent status updates — streamlining your process from start to finish.

With our broad range of screening services, we can help you find a solution that fits your needs:

  • Instant drug and alcohol devices
  • Lab-based drug screening with 1K+ panel options using various specimen types*
  • Evidential breath alcohol screening to meet DOT requirements
  • Certified breath alcohol breathalyzer screening

Our MRO program is fully integrated with our network and provides consistent drug screening coverage with prompt coordination for non-English speaking donors. Dedicated to serving First Advantage customers, our MROs are easily accessible to assist with your questions.

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Reliable Results

Instant Drug and Alcohol Screening 

Adding employer-administered or clinic-based instant screening options to your screening program can provide your organization with rapid, actionable negative screening results, helping you hire and return your employees to work more quickly.

  • Reliable results for non-regulated drug screening
  • Integrated reporting options available
  • Negative screening results within minutes of specimen collection
  • Panel options to address the most commonly abused drugs
  • Non-negative results recommended to proceed to lab-based screening
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Simplified Experiences 

Our Expansive Drug and Alcohol Screening Network

Get both the coverage and flexibility you need to meet your evolving needs with our expansive network of over 23,000 locations across the U.S. With 9,000 sites enabled for online scheduling, we can help you create a faster, more efficient candidate and employee screening experience*.

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GLOBAL REACH, PROVEN RESULTS

Why Our Customers Trust First Advantage*

2026 FinTech Award
Global Leader

Why First Advantage?

Leverage our extensive screening network, broad suite of drug and occupational health screening services, and deep industry expertise to build a tailored screening program that supports workplace compliance and delivers a seamless employee experience. Let’s partner to promote your workplace safety and simplify your processes.

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Proven Expertise

Drug and Alcohol Screening FAQs 

An MRO is a licensed physician who is responsible for reviewing laboratory results associated with drug screening. They verify that screening follows strict standards and regulations, review any non-negative results, and confidentially interview donors to confirm medical explanations. The MRO process safeguards individual privacy and offers a clear path for disputing screening results, helping employers maintain a fair and compliant drug screening program.

Yes. Federal, state, and local compliance restrictions may exist for instant screening for certain scenarios. If you are considering adding instant drug or alcohol screening to your program, consult with your legal counsel to obtain a legal opinion specific to your needs.

When compared to urine specimen screening, oral fluid drug screening is considered equally effective. However, it has several differences that should be considered when using it in a drug-free workplace program:

  • Depending on the substance, oral fluid can detect more recent use than urine, typically within 1-6 hours of ingestion. However, it is important to note that the detection window when using oral fluid is not as long when compared to urine, which is typically 3-7 days, depending on the substance and volume of ingestion.
  • Oral fluid collection can be performed under continuous supervision and observations, helping to eliminate the potential for tampering.
  • Oral fluid collection is not typically subject to a donor’s inability to provide a sample, while urine availability can delay the collection process.
  • Oral fluid collection is more easily performed at the workplace since it does not require special facilities for collection.

Yes. State, federal, and local compliance restrictions may exist for using oral specimen screening for certain scenarios. If you are considering adding oral fluid screening to your drug-free workplace program, consult with your legal counsel to obtain a legal opinion specific to your needs.

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Whether you need to rethink your entire drug and occupational health screening program or need to explore ways to improve the employee screening experience, we can help.

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Sources: * First Advantage as of 12/31/2025, not all services are available at all network locations.

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