Upper Class Lab Services LLC
"Quality testing at your doorstep"
Company Name
DER Name
Email address
Company phone number.
*Doner's First Name
Last Name
Doner's phone number.
Appointment
Are you a new client?
Yes
No
Other
Do you need to schedule an appointment for 10 OR MORE employees to be tested?
*
Please Select
Yes
No
if yes you will need to schedule separate appointment. 10 employees per appointment.
DOT or non-DOT
*
Please Select
DOT
non-DOT
Service Needed
Drug testing DOT
Drug testing non-DOT
BAT (Breath Alcohol Testing)
Rapid Drug Testing
DNA Testing
Other
Reason for visit:
Pre-Employment
Reasonable Suspesion
Random
Return to duty
Post-Accident
For all Mobile collections $50 set up fee. 10 doners max per set up.
STAT FEE $75*
Submit
Should be Empty: