Confirmation Testing & MRO Services

We offer confirmation testing and MRO services that meet your specific testing needs and your budget.

Noble Medical Inc., through our sister company Noble Diagnostics Inc., can help you conduct confirmation testing to support responsible employment decisions. We combine state-of-the-art, highly- sensitive mass spectroscopy equipment with outstanding customer service and Medical Review Officer (MRO) expertise to help ensure precise, fast outcomes.

Our confirmation testing and MRO services help you:

  • Streamline your screening program – Use rapid screening for all job candidates or employees, then use lab-based confirmation testing for positive rapid screen results.
  • Save money – Lab test only the samples that need to be confirmed.
  • Make better employment decisions – Hire and retain the right candidates.
  • Protect your business – Only confirmation test results are legally defensible to protect your business from employment-related lawsuits.

Our laboratory partners for confirmation testing are SAMHSA (Substance Abuse and Mental Health Services Administration), CLIA (Clinical Laboratory Improvement Amendments) and CAP (College of American Pathologists) certified. Our laboratory confirmation services include the preferred analytical methods of GC/MS (Gas Chromatography, Mass Spectrometer) and LC/MS (Liquid Chromatography, Mass Spectrometer).

Fast Results

Through our laboratory partners GC/MS and LC/MS equipment we can deliver results quickly, often in as little as 48 hours.

Confirmation for Common Adulterants

Specimens can be confirmed for six common adulterants: oxidants/PCC, specific gravity, pH, nitrite, glutaraldehyde and creatinine.

Customizable Packages

We offer confirmation testing and MRO services that meet your specific testing needs and your budget.

About Confirmation Testing

Confirmation testing definitively detects individual drug compounds, metabolites or alcohol in a person’s urine, blood or saliva using sophisticated equipment in a laboratory. These tests are conducted after a rapid screening test to confirm the identity of drugs or alcohol in a sample.

Because they are much more specific than screening tests, confirmation tests can definitively determine the precise identity of nearly any substance at very small amounts. Results are reported at specific levels of substances detected. Only confirmation tests allow a laboratory to make the distinction between illicit, prescription medicines and over-the-counter, legal medications. The results of a confirmation test provide an absolute and definite result that indicates the specific drug/compound present, and are defensible in court.

MRO Services for Confirmation Testing

Confirmation tests don’t distinguish between drugs of abuse and certain medications, such as prescription antidepressants, barbiturates, benzodiazepines, methadone, buprenorphine or opiates. Our MRO services help distinguish between illegal or unauthorized use and medically necessary, legal use of drugs and medications.

Our MROs are medically licensed professionals who determine if the person tested has a legal and valid prescriptions for certain substances. The MRO then establishes if the test result is reported as a positive or a negative. This provides another layer of safety to ensure your test results are supporting appropriate, legally defensible employment decisions.