Toxicology

At Firmalab Bio-Diagnostics, we provide cutting-edge toxicology testing services that are accurate, reliable, and delivered with a focus on both patient care and clinical decision support. Using LC-MS/MS technology, we deliver precision in detecting and managing substance use, medication compliance, and potential drug interactions. We offer comprehensive solutions that encompass initial screening, definitive drug identification, and medication monitoring, all designed to support healthcare providers, employers, and legal professionals.

Key Testing Services

Prescription Drug Monitoring and Medication Management

Ensures that prescribed medications are detected in the patient's system, indicating adherence to the prescribed treatment plan.

Presumptive Drug Screening

Alerts providers if unprescribed or inconsistent drugs are found, helping to identify potential misuse or substance abuse.

Definitive Confirmatory Drug Identification

By reporting on multiple test dates, this section allows for ongoing monitoring of the patient's medication use, ensuring consistent adherence over time.

Firmalab Toxicology Testing Highlights

Rapid Turnaround Time

We deliver results within 48 hours, supporting timely clinical decision-making.  

Comprehensive Testing Solutions

From drug screening to confirmatory tests and medication monitoring, we offer a full suite of toxicology services.

Expert Consultation

Our experienced scientists are available to support healthcare providers in interpreting results and making informed decisions.

State-of-the-art technology

Our Advanced LC-MS/MS Technology

We use Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS), the gold standard in toxicology testing, to ensure the highest levels of accuracy and sensitivity. This technology allows for:

Sensitivity

Detection of very low levels of substances.

Precision

Quantitative analysis of multiple analytes at once.

Specificity

Differentiation between similar compounds.

Speed

Results within 24-48 hours.

Comprehensive Toxicology Report

Our reports are more than just data—they are actionable tools designed to give healthcare providers the insights they need for effective patient care. With a focus on clarity, accuracy, and comprehensiveness, our reports integrate medication management, drug identification, and specimen validity testing into a single, easy-to-read format. This allows clinicians to make well-informed, timely decisions regarding treatment plans, compliance, and interventions.

Medication Management

Specimen Validity Testing

Drug Testing: Presumptive Drug Screening

Definitive Confirmatory Testing Section

Collection Methods

Urine Toxicology Testing

Our urine collection process is streamlined and ensures sample integrity, minimizing contamination risks.

  • Turnaround Time: 48 hours
  • Collection Method: 5-10 mL of urine in a sterile container
  • Benefits: High reliability, rapid results.

Oral Toxicology Testing

For patients who prefer an alternative to urine collection, we offer oral toxicology testing using a simple saliva swab. This non-invasive method is ideal for on-site testing and minimizes the risk of sample tampering.

  • Turnaround Time: 48 hours
  • Collection Saliva swab
  • Benefits: Ideal for on-site testing, reduces tampering risks, and enhances patient comfort.

Comprehensive Toxicology Test Menu

Who We Serve

We provide specialized toxicology testing solutions tailored to meet the unique needs of a wide range of industries. Our customizable testing platforms are designed to offer precise, reliable, and actionable results, helping organizations ensure safety, compliance, and health. Whether you’re managing patients, monitoring workplace safety, or ensuring medication adherence, our comprehensive testing services can be tailored to your specific requirements.

For drug and rehab facilities, the ability to accurately monitor patients’ substance use is critical to successful recovery programs. Our testing platform provides rapid, detailed insights into drug use patterns, allowing healthcare providers to make informed decisions in real-time.

Key Benefits for Drug and Rehab Facilities

  • Customizable Panels: Tailor testing to detect specific substances of concern, including opioids, stimulants, and designer drugs.
  • Rapid Turnaround:  Results available within 48 hours, supporting immediate clinical decision-making.
  • Medication Management: Track adherence to prescribed medications during the course of treatment to ensure compliance.
  • Longitudinal Reporting: Monitor patients over time with comprehensive reporting that tracks substance use trends, helping facilities adjust treatment plans as necessary.

Law enforcement agencies and legal professionals often require toxicology testing as part of investigations, probation monitoring, or legal cases. Our lab provides precise, defensible results that meet the evidentiary standards for court proceedings and legal cases.

Key Benefits for Law Enforcement and Legal Testing

  • Court-Ready Reporting: Our toxicology results are reliable and can be used in legal settings, including court hearings and probation compliance.
  • Broad Detection Capabilities: Detect a wide range of substances, including illicit drugs, prescription medications, and designer drugs.
  • Custom Solutions: We offer flexible panels to meet the specific needs of law enforcement, whether for pre-employment screening of officers or monitoring during legal cases.

Transportation companies must meet strict federal regulations regarding substance use among employees. Whether testing for pre-employment, post-accident, or random checks, our toxicology services provide the high sensitivity and specificity required for compliance with Department of Transportation (DOT) standards.

Key Benefits for DOT Testing

  • DOT-Approved Testing: We offer testing panels compliant with DOT standards, including detection of alcohol, amphetamines, marijuana, cocaine, opioids, and more.
  • Real-Time Results: Ensure that your employees are safe and compliant with quick turnaround times for both presumptive and confirmatory testing.
  • Risk Mitigation: Keep your workforce safe by identifying substance use before accidents happen, reducing liability and protecting your employees and customers.

Assisted living and medical therapy facilities often care for patients who are prescribed multiple medications, making accurate drug monitoring essential for preventing adverse drug interactions and ensuring compliance. Our testing platform provides facilities with the tools to monitor medication use and identify potential misuse.

Key Benefits for Assisted Living and Therapy Facilities

  • Comprehensive Medication Monitoring: Ensure that patients are adhering to prescribed treatments while detecting any unprescribed or inconsistent substances.
  • Custom Panels for Complex Care: We provide tailored testing solutions to monitor a broad range of medications, from antidepressants to opioids, ensuring patient safety.
  • Ongoing Compliance Monitoring: Our longitudinal reports offer a history of test results, allowing healthcare providers to track patient compliance over time and adjust care as needed.

For pain management clinics and addiction treatment centers, monitoring patient adherence to prescribed medications while ensuring the absence of non-prescribed substances is crucial. Our testing solutions allow for a clear understanding of patient behavior, ensuring that pain management protocols are followed safely.

Key Benefits for Pain Management and Addiction Clinics

  • Medication Adherence Tracking: Monitor patient use of opioids, muscle relaxants, and other prescribed substances, ensuring compliance with treatment plans.
  • Customizable Testing Panels: Tailor testing to the specific medications and substances of concern in your clinic.
  • Longitudinal Monitoring: Track patients over time to ensure continuous adherence and adjust treatment strategies accordingly.

Maintaining a drug-free workplace is essential for both safety and productivity. Employers across industries can use our customizable toxicology panels to screen employees for substance use, ensuring that their teams are performing at their best without compromising safety.

Key Benefits for Employment Testing

  • Flexible Panels: Choose from a wide array of testing options to meet the specific needs of your industry, from pre-employment screening to random or post-incident testing.
  • Tamper-Resistant Collection Methods: We offer urine and saliva collection options that minimize the risk of tampering or sample substitution.
  • Reduced Downtime: With results available within 48 hours, employers can make prompt decisions, minimizing workplace disruption.

The medication management section is vital for ensuring patients follow their treatment plans correctly, reducing the risk of medication misuse, and providing clinicians with the data they need to intervene when necessary.

Consistent Results

Ensures that prescribed medications are being taken as directed, giving healthcare providers confidence in their patient's adherence to treatment. This section confirms the parent drug and/or its metabolite was detected in the patient's urine sample.

Inconsistent Results (Prescribed Drug Not Found)

Provides immediate insight to potential non-compliance or medication diversion, by showing if prescribed medication or its metabolites are not detected in the sample.

Inconsistent Results (Non-Prescribed Drugs Detected)

This identifies the presence of drugs that are not part of the patient's prescribed medication list. This could indicate drug misuse or exposure to unprescribed substances.

Key Benefits

Medication Adherence

Ensures that prescribed medications are detected in the patient's system, indicating adherence to the prescribed treatment plan.

Discrepancy Detection

Alerts providers if unprescribed or inconsistent drugs are found, helping to identify potential misuse or substance abuse.

Longitudinal Monitoring

By reporting on multiple test dates, this section allows for ongoing monitoring of the patient's medication use, ensuring consistent adherence over time.

Before analyzing for drugs, our reports include specimen validity testing to ensure the integrity of the sample. This critical step ensures that the sample hasn’t been tampered with or diluted, providing confidence in the accuracy of the drug testing results.

Creatinine

Helps identify if the patient has diluted the sample by drinking excessive amounts of water before collection.

pH Detect

pH level indicates the acid-base status of the urine. Unusual pH levels can suggest sample adulteration or contamination.

Specific Gravity

Measures the concentration of solutes in the urine and helps identify whether the sample is too diluted or too concentrated.

Our presumptive drug screening provides a rapid initial assessment to detect drug classes in the patient’s sample. This screening method allows for a broad overview of potential drug use.

Following the presumptive screening, this section provides precise, quantitative information about specific substances detected in the sample. This ensures highly sensitive and accurate results, confirming the presence of specific analytes and ruling out false positives or negatives. Confirmatory testing is crucial for making informed treatment decisions.

Detailed Analysis

Lists the exact drugs or metabolites found in the sample, along with their concentrations, LC-MS/MS cutoff, and reference ranges.

Clinical Accuracy

This section confirms the substances found, ensuring healthcare providers have a definitive understanding of the patient’s drug use.

Multi-Drug Panel Targets

Our definitive drug identification panel includes a comprehensive range of drug classes and substances. The definitive panel provides specific drug identification, ruling out false positives or negatives from the presumptive screen. This level of accuracy ensures that healthcare providers have reliable data to make informed clinical decisions, from adjusting pain management protocols to identifying drug misuse.

Quantitative Results

Each detected substance is reported with precise concentration levels, allowing clinicians to differentiate between therapeutic, recreational, or toxic levels of the drug in the system. By knowing the exact levels of a substance, healthcare providers can better understand patient behavior and optimize treatment plans accordingly.