10 Panel Oral Fluid + MDMA + OPI + OXY + BUP + FEN

$105.00

Additional information

# Substances Tested	17 Substances

Currently collected only at Quest Diagnostics Service Centers

Our 10 Panel Oral Fluid + MDMA + OPI + OXY + BUP + FEN panel tests for the following substances*:

*If listed, Amphetamines includes Methamphetamine. Opiates includes Codeine and Morphine, and will detect 6M-AM (heroin), even if it is not listed. Expanded Opiates includes Hydrocodone and Hydromorphone.

If a test is postive for Methamphetamine or 6M-AM (heroin), sometimes a d/l isomer test is performed. In this case, you will be charged $99 before we release the result. See our Terms and Conditions for details.

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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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DOT or Non DOT

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Woo Product ID(Required)

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Age

Donor Information

The Donor is the person to be tested.

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

Select DOT Agency(Required)

CDL number(Required)

(For specimen tracking purposes)

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. FOR NON-FMCSA, ANY UNIQUE NUMBER (E.G. CELL NUMBER) MAY BE USED.

Reason for Test(Required)

Remarks

Direct observation fee will be added to this order
Direct observation 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.

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.

Choose One(Required)

Male Observer

Female Observer

Return to Duty and Follow Up Drug Tests are under direct observation as per DOT rules.

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

Other Reason for Test

Hair Collection
Hair tests are typically cut from the scalp. In cases where enough head hair is not available, body hair (arms, underarms, chest, leg) can often be used. Not all collection sites will collect body hair.

Can Donor Provide Head Hair (min 2 inches)?(Required)

Yes

Results Delivery

You may have results sent to more than one individual. We receive them automatically, so do not enter our info.

Details for Results Delivery

How should we send the results?	Email address to send results	Who should we address the email to?	Fax number to send results	Who should we attention the fax to?	Actions

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How should we send the results?(Required)

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Email address to send results(Required)

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Fax number to send results(Required)

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To whose attention (fax)?(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

Name	Email address	Mobile Number	Actions

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Test requisition form will be emailed to {Email:4}

Email address(Required)

Direct Observation Fee

Price:

Total

Subtotal
Extra
Total

847-657-7900

[email protected]

10 Panel Oral Fluid + MDMA + OPI + OXY + BUP + FEN

Additional information

Test Ordered

Donor Information

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

Results Delivery

Test Requisition

Phone

Email

Testing Center