InOut Labs (OOTW, Inc. dba InOut Labs) may update this Agreement from time to time without notice to you. You can review the most current version of the Agreement at any time on the drugtestingshop.com web site. Your continued usage of InOut Labs services will mean you accept those changes. drugtestingshop.com is a website owned by OOTW, Inc. dba InOut Labs.

Last updated 06/30/26

OOTW, Inc., dba InOut Labs (“InOut Labs,” “we,” “us”), owns and operates this website and provides drug and alcohol testing compliance services. InOut Labs may update this Agreement from time to time without notice. The most current version is always available on this website. Continued use of InOut Labs services after a change is posted constitutes acceptance of that change.

All drug and alcohol testing performed by InOut Labs shall be in accordance with Federal and State laws for non-regulated testing and within SAMHSA guidelines and 49 CFR Part 40 for DOT-regulated testing.

Client authorizes InOut Labs to act as an intermediary in the transmission of drug and alcohol testing information from the Medical Review Officer (MRO) or Breath Alcohol Technician (BAT) to the Client, with the exception of positive alcohol results, which will come directly from the BAT.

Confidentiality

Strict confidentiality will be adhered to at all times for the protection of the donor and Client. The only disclosures that will be made will be to Designated Employer Representative(s) (DER), the Medical Review Officer (MRO), or the laboratory, through written permission of the donor or formal court order, unless required by law or legal action.

Use of Artificial Intelligence in Service Delivery 

InOut Labs may use artificial intelligence (AI) tools to support internal operations such as administrative communications, scheduling, document handling, and workflow automation. AI is never used to determine, verify, interpret, or alter any drug or alcohol test result. All test result determinations are made exclusively by certified Medical Review Officers (MROs) and Breath Alcohol Technicians (BATs) in accordance with 49 CFR Part 40 and SAMHSA guidelines.

AI and Confidential Donor/Client Data 

No donor-identifiable information, test results, Custody and Control Forms (CCFs), Alcohol Testing Forms (ATFs), or other protected health or employment information will be input into, processed by, or used to train any third-party or public AI system without a signed data processing agreement and confidentiality safeguards consistent with the requirements of 49 CFR Part 40. Any AI tools used in connection with Client or donor data operate under contractual confidentiality and data-use restrictions consistent with this Agreement.

No AI Training on Client/Donor Data 

InOut Labs does not use Client or donor data — including test results, personal identifying information, or communications — to train, fine-tune, or otherwise improve any artificial intelligence model, whether proprietary or third-party.

Data Privacy & Retention 

InOut Labs collects and retains personal and test-related information solely for the purpose of providing drug and alcohol testing compliance services and as required by 49 CFR Part 40, SAMHSA, and applicable state law. Data is retained for the periods required by applicable regulation and is not sold, rented, or shared with third parties for marketing purposes. Any third-party service providers or subprocessors engaged by InOut Labs, including providers of AI-enabled tools, are contractually bound to confidentiality and data security obligations consistent with this Agreement.

Data Security & Breach Notification 

InOut Labs maintains reasonable administrative, technical, and physical safeguards designed to protect Client and donor data. In the event of a confirmed data security incident affecting donor or Client information, InOut Labs will notify affected parties in accordance with applicable law.

We will communicate with you primarily via email, including transmission of test results. As emails can be intercepted, disclosed, used, or otherwise communicated by an unintended third party, or may not be delivered to each of the parties to whom they are directed, we cannot ensure that emails from us will be properly delivered and read only by the addressee. Therefore, we disclaim and waive any liability associated with email communications.

Client is expected to check for email messages regularly. We cannot be responsible if you miss an important notification because you fail to check your email.

AI-Assisted Communications 

Some communications from InOut Labs, including routine notifications and administrative correspondence, may be drafted or assisted by AI tools under staff review before sending. AI-assisted communications do not constitute, and are not a substitute for, MRO, BAT, or DER determinations, which remain entirely human-performed.

The Client shall hold harmless InOut Labs and any certified laboratory, Medical Review Officer (MRO), or collection site providing services to the Client pursuant to this Agreement, from any claim, loss, liability, damage, detriment, or obligation arising from any matter other than their willful misconduct or gross negligence.

If any contested action is brought to enforce, modify, interpret, or void the provisions of this Agreement, then the prevailing party shall be entitled to reasonable attorneys’ fees as well as appropriate relief.

InOut Labs and its service agents follow all DOT guidelines even on non-DOT specimens. Additionally, we do not accept medical marijuana as a valid reason for a positive test. Client may choose to override the InOut Labs marijuana policy by stating in their company policy that a positive result for this test is acceptable, or by removing marijuana from the test panel.

For non-DOT (non-regulated) testing, drug and alcohol testing laws may vary significantly by state and locality, including requirements related to permissible substances, testing methods, notice to donors, certified laboratory use, and adverse action procedures. The Client ordering non-DOT testing is solely responsible for determining and complying with all applicable state and local laws governing such testing, including any restrictions on testing for marijuana or other substances, applicable to the Client’s industry, workforce location, or donor location.

This responsibility extends to state and local restrictions on the specific testing methods used, including but not limited to:

●      Instant (point-of-collection) testing, including limits on its use as a sole basis for an adverse employment action in some jurisdictions;

●      Oral fluid testing, including jurisdictions that restrict or do not recognize oral fluid as an approved specimen type for non-DOT purposes;

●      Split specimen testing and related donor rights to contest or retest results; and

●      Hair specimen testing, including jurisdictions that limit, condition, or prohibit its use, particularly for pre-employment or random testing programs.

InOut Labs provides testing services as directed by the Client and does not provide legal advice regarding the legality or enforceability of a Client’s non-DOT testing program, panel selection, or testing method in any given jurisdiction. Client is encouraged to consult with its own legal counsel to confirm compliance before implementing or relying on non-DOT test results.

Additional Fees

If a test is assessed additional fees by the lab or MRO, Client is responsible for paying them. Results will be released only upon payment.

•       Split specimen drug tests: $250

•       D&L Isomer or 6-MAM Testing: $99

•       Additional Test Required — THC-V: $225 per test + $25 MRO Review Fee

•       Aliquot Testing: $250 per test

•       Interpreter Fee: $5 per minute

•       Downgrading a DOT test to NDOT: $100

•       Post-Accident, After Hours, and Direct Observation tests may have additional charges.

•       A collection site or MRO-determined Refusal to Test is a test result, and there are no refunds.

•       Second collections for shy bladder, adulterated, substituted, or temperature-out-of-range will be invoiced as non-Random tests.

•       Out-of-Network Collections: $20. Concentra begins at $40 and can be higher depending on location. Best to avoid.

In-Network vs. Out-of-Network Collections

In-Network drug tests include all collection fees. Examples of In-Network sites are Quest Diagnostics and Labcorp Patient Service Centers, Quest Diagnostics Preferred Partner Network (PPN) sites, and Abbott E-Screen collection sites. In-Network sites can generally handle both paper and electronic CCFs.

Out-of-Network sites are used when In-Network sites are inconvenient, unavailable, or a breath alcohol test or direct observation is needed. Paper Custody and Control Forms (CCFs) provided by InOut Labs are usually required for out-of-network collections. Examples of out-of-network test sites are Concentra, hospitals, private doctors, many urgent care facilities, most after-hours sites, and emergency rooms. Out-of-Network collections have additional costs.

On-Site, Short-Notice Collections

InOut Labs contracts with a number of on-site collectors who handle our emergency post-accident, reasonable suspicion, and other after-hours collections. If you call our office after hours at 847-657-7900, you will be connected to the dispatch center. This service is available 24/7/365.

 Mobile after hours fees are in addition to any test fees in the contract: Typically $150–200/hour, with a 2-hour minimum, including travel time. In remote areas costs can be higher.

On-Site Scheduled Collections

Fees are per individual agreement. Contact our office for a quote.

Regulated employees have the right under DOT to contest positive drug test results by having the split specimen tested at a different lab. Split sample test fees are described above.

InOut Labs will maintain on behalf of the Client certain documentation, including, but not limited to, positive test results, negative test results, refusal-to-test results, Custody and Control Forms (CCFs), and Alcohol Testing Forms (ATFs). InOut Labs provides this service as a convenience to Client and is not the primary repository for Client’s documents. Where InOut Labs maintains paperwork on behalf of the Client, InOut Labs will provide copies of any requested documentation to Client within two (2) business days of a request made by the DOT, a federal agency, or the Client.

Expert witness services, litigation packages, and MRO consultations are available. Fees provided upon request.