Chain of Custody These are the procedures beginning at the time of collection to account for all handling and storage of each specimen.
Confirmatory Test A second laboratory procedure used to analyze a positive test result from a screening test. Gas chromatography/mass spectrometry (GC/MS) is the only authorized confirmation test.
Cutoff Level The concentration of a drug or drug metabolite in the urine at which a specimen is considered positive.
Medical Review Officer (MRO) A licensed physician who is qualified to interpret and evaluate test results and other relevant medical information.

When to Test?

Refusal by an individual to submit to an alcohol or drug test or whose test results show the presence of masking agents should result in the same consequences as a positive test result. It is recommended that testing occur on the following occasions:
Pre-Employment Testing  Substance abuse testing can decrease workplace accidents, production costs, medical costs, workers compensation premiums, turnover, theft and shrinkage. By implementing and maintaining a substance abuse program, large and small businesses can boost employee morale and loyalty.
Post-Offer Testing Testing done after offer of employment. If an employee does not commence work within one month of the drug and alcohol screen, the company should have the right to retest the employee prior to commencing work.
Random Testing Testing of employees selected by using a statistically valid, unannounced random method.
Reasonable Suspicion Testing The employer believes the actions, appearance or conduct of the employee indicate the use of alcohol or an illicit substance. The conclusion that reasonable suspicion exists must be based on specific contemporaneous articulated facts concerning the employee's appearance, behavior, speech, or body odors. Observations may include actions or behavior that is indicative of usage or withdrawal from an illicit substance or alcohol.
Post-Accident Testing Conducted following an accident that occurs on business property. This includes accidents while operating equipment, conducting business, or performing any work related activities provided the accident results in injuries that require medical attention away from the scene or death. Testing should be conducted as soon as possible, but in no case longer than eight (8) hours following the accident. In addition to the victim, testing should include those individuals that were directly involved or whose actions may have contributed to the accident.
Follow-up Testing An unannounced random test of an employee for a specified period of time after completion of a substance abuse rehabilitation your paragraph here.

​​​​​​​​​Member of

DATIA was founded in 1995 as the National Association of Collection Sites, and has grown to represent over 1,300 members, and expanded its scope. DATIA represents  drug and alcohol service providers including collection sites, laboratories, consortiums/ TPAs, MROs and testing equipment manufacturers. 

TOP 10 Reasons you should use sandhills monitoring

1.    OUR prices are excellent
2.    We are only a drug testing business and unlike many competitors who also provide medical urgent care and other services our focus is only drug testing
3.    your employees and prospective employees will be tested by appointment at our office, or on-site at your location eliminating wasted time in transit, or waiting on urgent care staff with healthcare priorities.
4.    Your employees will not be waiting, and they won’t be waiting unnecessarily in a room full of sick people.
5.    Each of our staff are currently certified as DOT Urine Collectors, DOT ALCOHOL Screening technicians, and Workplace urine collectors.
6.    We use clia waived point of collection devices
7.    Laboratories used for confirmatory testing and all DOT required testing are SAMHSA certified and are clinical laboratory accredited.
8.    We adhere to all applicable federal, state and local regulations.
9.    We can manage your dot regulated random testing progam (currently 25% drug and 10% alcohol/year) 
10. our staff includes a state and federal court qualified expert in pharmacology. He can provide substantial support, and training for your supervisors that other collectors are not qualified to provide.

​​​​​​​Drug Test
DOT urine drug test
DOT oral alcohol test (negative)
DOT oral alcohol test (confirmed)

DOT Random Testing Consortium (annual fee)
POC 12 panel w/adulterant urine drug test 
Workplace 12 panel lab drug test
POC 5  panel w/adulterant urine drug test
Workplace 5 panel lab drug test 
urine drug test confirmation test per drug category
urine drug collection only
Hair 5 panel test 
No charge for on site testing of 3 or more tests

On site service charge for < 3 tests
After hours emergency testing service call


​Sandhills Monitoring offers on-site drug testing for your convenience, or   by appointment at our central downtown Lillington office.  With these options your down-time for drug testing is reduced, and your employees will never have to wait in an urgent care waiting room again!  Our collectors are all certified US DOT urine collectors.

CLIA waived point of collection (POC) tests offer immediate results for negative specimens.  While non-negative specimens require laboratory confirmation to definitively confirm that a specimen is positive for one or more drugs.

Workplace 5 and 12 panel specimens are collected and then screened in a laboratory, and all non-negative samples are subsequently subjected to confirmation testing before declaring that they are positive for one or more drugs.​  All samples requiring confirmation (POC, workplace, and DOT) are tested at a SAMHSA certified laboratory.

​DOT Random Testing Support

​Let us manage your federally mandated DOT testing.  You provide Sandhills your employees names and Sandhills will manage your annual random testing for you.  The annual fee for this support is $225. Cost per test is $65.


​Sandhills is locally owned and operated by retired law enforcement officers.  Our staff are certified collectors, and available for courtroom testimony if needed.  Owner, Doug Scott has been qualified as an expert in drug pharmacology.

Reasonable Suspicion Supervisor Training (DOT required)

Sandhill's owner, Doug Scott, is a court qualified expert witness in the detection and recognition of drug and alcohol impaired persons, and pharmacology of drugs.  Doug has two decades of experience training supervisors in reasonable suspicion.  Are all your supervisors DOT compliant?  If not, give Sandhills Monitoring a call to schedule their training.