Return-to-Duty (Step 5) testing in Missouri

Return-to-Duty (Step 5) drug testing for CDL drivers in Missouri. Observed collection near St. Louis, Kansas City, and Springfield, MRO review, and Clearinghouse reporting — $185 all-inclusive.

  1. 01

    Confirm your SAP release

    Your Substance Abuse Professional must have signed off that the education or treatment plan is complete before a Return-to-Duty collection can be registered.

  2. 02

    Submit your MO Step 5 order

    Ordering takes a few minutes online. We register the observed collection under a designated employer representative so the site accepts you on arrival.

  3. 03

    Test near St. Louis

    Choose from partner collection sites across St. Louis, Kansas City, Springfield and the surrounding corridors — most with same-day or next-day availability.

  4. 04

    MRO verification

    A certified Medical Review Officer verifies the laboratory result and contacts you directly if anything needs explaining before it is reported.

  5. 05

    Clearinghouse reporting

    A verified negative is reported for you, clearing the PROHIBITED flag so a Missouri carrier can put you back into safety-sensitive duty.