MRO: Medical Review Officer, This is the scientist who reviews the testing procedure to insure that the collection process was completed properly.  The MRO also re-tests the specimen for positive drugs.  The MRO will contact the donor, or the donor will contact the MRO.  For instance if a donor has any kind of drugs in their system, the specimen would be forwarded to the MRO for review.  The donor will be contacted by the MRO for evidence of prescriptions or other medical reasons for consumed drugs (illegal or not).  In some cases the MRO will ask for the applicant to contact her, in these cases you will need to advise the client that they will need to have the applicant contact the MRO.

Dilute Specimen: An unusually high amount of water in the specimen which could reduce the drug concentration if present.

Specimen ID: The specimen id # is used to keep a record of the specimen.  The specimen id # starts with the Chain of Custody Form; from there the number is added to the specimen.  The specimen id # cannot change and is the best way to find drug tests.

Chain of Custody Form: The chain of custody form (also known as the COC or CCF  form) follows the specimen throughout the process.  The form is touched by everyone, First the employer, then the donor, then the collector, and then finally the lab.  When the specimen is sent to the lab it is sent with a copy of the chain of custody form, and a copy is sent to the MRO.

The chain of custody form has 5 parts:

· Copy 1- Laboratory

· Copy 2- MRO Copy

· Copy 3- Collector Copy

· Copy 4- Employer Copy

· Copy 5- Donor Copy

eCOC/ePassport: This is an electronic COC or Passport that can be utilized in certain clinics instead of the paper COC (Chain of Custody Form).

Specimen: The specimen is the Urine or the Oral Fluid the donor submits to be tested.

Test Code: The test code is a code pre-printed on the chain of custody form that tells the lab what test to run (e.g. 5 or 10 panel).

Tamper Evident Seal: The tamper evident seal is secured over the top of the specimen cup/ vial.  This insures that the specimen has not been tampered with during transition.

Collection Site: The collection site does not do any testing.  They only collect the specimen from the donor and fill out the chain of custody form.  The specimen is then sent to the lab for testing.

Laboratory (Lab): The laboratory is where the testing is done.  You cannot call the laboratory; Quest will not give you their phone #.  You can call Quest and ask to speak with a certifying scientist if you have questions.  You CANNOT RUSH a drug test.

TP: Third Party Provider.

Non-Negative result: This is a drug test that has been shown positive results for drug use.

Site Match: These are locations where our client has requested us to find a clinic for drug testing use within a certain mile radius of the specific location.

5,9,10 Panel: This is a type of drug screen, with specific drugs tested in each panel.

BAT: Breath Alcohol Test

NIDA: National Institute on Drug Abuse - Old reg. for drug testing. Now SAMSHA covers the NIDA regs.

SAMHSA: Substance Abuse and Mental Health Services Administration

DHHS: Department of Health and Human Services

DOT: Department of Transportation

HIPAA: Health Insurance Portability and Accountability Act

MBC: MyBackgroundcheck.com

NO TEST: No Test result received is stating that there was not test indicated on the COC form.  Write on the result form received “Please run 6633N Sap 10-50 GC/MS” and fax to the fax number provided on the result form.

Who benefits from drug testing?



  • Safe working environment
  • Workplace productivity
  • Quality of work
  • Reduce:

  • Health insurance costs
  • Absenteeism and turnover
  • Work related accidents
  • Workplace conflict
  • Thefts and claims



  • Desirability to employers
  • Quick hiring
  • Personal confidence
  • Offer employers:

  • High productivity
  • Stability
  • Safe workplace
  • Reliability
  • Decreased expenses



  • Open discussion about drugs
  • Honesty about drug use
  • Consideration of consequences
  • Provide:

  • A reason to say “no” to drugs
  • Consistent parenting
  • Intervention
  • Opportunity for help
  • Guidance