Instant 4 Panel Urine (No THC)

$79.00

Substances Tested	Amphetamine, Cocaine, NO THC, Opiates, Phencyclidine (PCP)
Panel Codes	LA726895, QUERO5A

Our Instant 4 Panel Urine (No THC) panel tests for the following drugs*:

Cocaine, Amphetamine, Opiates, Phencyclidine (PCP)

*If listed, Amphetamines includes Methamphetamine. Opiates includes Codeine and Morphine. Expanded Opiates includes Hydrocodione and Hydromorphone.

Same Day Result for negative results. Instant tests are not available in every jurisdiction. If you order an instant test and there are no collection sites available in your area, your test will be changed to a standard laboratory test. Negative results will be e-mailed to you in about two hours once testing is complete (during business hours). Non-negative results will go to the lab for confirmation testing and the results will take several business days. Some states, including New York, do not permit instant drug testing.

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Test Ordered

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Woo Product Category(Required)

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Test Name(Required)

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Woo Product ID(Required)

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Panel Code(Required)

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Age

Donor Information

The Donor is the person to be tested.

Drug testing services are unavailable for customers under 18 years of age.

Remarks

Select DOT Agency(Required)

State of Issuance(Required)

Donor Name(Required)

First Last

Must match ID

Phone(Required)

Date of Birth(Required)

Last 6 of SSN/ CDL Number(Required)

FOR FMCSA, PROVIDE CDL NUMBER AND STATE OF ISSUANCE.

Reason for Test(Required)

Does this test need to be directly observed?

Yes

This means that a same-sex observer goes into the bathroom with the donor for a urine collection. It is a manual process to locate a site with an available observer which may cause a delay in receiving your donor pass. THIS OPTION APPLIES ONLY TO URINE TESTS.

Address(Required)

Will be used to locate the closest testing location, or, for Proctored Oral Fluid tests, where the kit will be shipped.

Street Address Address Line 2 City State ZIP Code

Results Delivery

Details for Results Delivery

How should we send the results?	Email address to send results	Fax number to send results	Actions
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You may have results sent to more than one individual.

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How should we send the results?(Required)

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Email address to send results(Required)

Test Requisition

The test requisition is the order for the test. If you are ordering for yourself, enter your information. If you are ordering a Proctored Oral Fluid test make sure to provide the Donor's email address, as that is where all of the notifications will go.

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Please send the test requisition form to:(Required)

Donor

Someone else

Following Persons will Receive Test Requisition

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Total

Subtotal
$79.00
Extra
$0.00
Total $79.00