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    Home / Drug Testing by Industry / CLIA-Waived Drug Testing for Clinics & Urgent Care

    DRUG TESTING BY INDUSTRY · BULK PRICING

    Drug testing supplies for clinics and urgent care.

    Urgent care lives or dies on door-to-disposition time. ASC's CLIA-waived cups read in five minutes at the exam room counter, with no send-out wait, no lab license to maintain, and no second visit. Add an employer-screening service line and the same cup becomes a revenue center.

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    What clinics & urgent care solve with ASC

    Point-of-care drug screening that doesn't break your throughput.

    CLIA-Waived, No Lab Certificate

    Operate under a CLIA Certificate of Waiver: no high-complexity lab certificate and no proficiency-testing program required for these specific devices.

    Patient Throughput

    5-minute presumptive read at the exam room counter. No specimen send-out, no return visit, no waiting-room bottleneck.

    Standard Clinical Billing

    Presumptive point-of-care screening bills under standard clinical drug-testing codes accepted by most major payers. Confirm current codes and reimbursement with your billing team.

    Add an Employer Service Line

    Same cup, different invoice. Local employers need pre-employment, random, and post-accident testing, and you have the staff to run it.

    Common questions from clinic medical directors

    Do I need a CLIA certificate to use these tests?

    You need a CLIA Certificate of Waiver, the simplest CLIA certificate tier, before performing even waived testing. Apply through your state's CLIA program. You do not need a high-complexity certificate or a proficiency-testing program for CLIA-waived devices specifically. Once issued, your clinic can perform CLIA-waived tests, including ASC's waived cups, at the bedside.

    Which CPT codes apply to point-of-care drug testing?

    Presumptive point-of-care screening is billed under standard clinical drug-testing codes, with separate codes used for definitive confirmation by mass spectrometry. Exact codes and reimbursement vary by payer and plan, so check current guidance with your billing team or payer contracts before submitting claims.

    How do I start an employer-screening service line?

    Identify local employers (construction, manufacturing, logistics, healthcare staffing) that need pre-employment, random, post-accident, and reasonable-suspicion testing. Offer flat per-test pricing billed directly to the employer rather than insurance, which avoids payer processing and pays faster than clinical billing. ASC's account team can help with service-line setup, contracts, and workflow guidance.

    When does a test need to be observed vs. unobserved?

    Clinical (non-custody) testing for direct patient-care decisions is typically unobserved, since patient privacy matters and adulteration risk is low. Custody testing (court-ordered, DOT-regulated, return-to-duty, or follow-up after a verified positive) generally must be directly observed by a same-gender collector under federal collection procedures. Pre-employment and reasonable-suspicion tests are typically unobserved unless the collector documents suspected tampering. Use oral fluid for cases where observed urine isn't workable.

    Do these integrate with Epic, Athena, eClinicalWorks?

    The cup itself is paper-and-strip, so there's no device-to-EMR data bridge. Documentation flows through your existing point-of-care entry workflow: result entered as a structured observation under the encounter, with the cup image attached if your clinic photographs results for documentation. Most clinics use a note template or order set in Epic, Athena, or eClinicalWorks that captures the result, lot number, and billing code in one step.

    When should I send to a confirmation lab instead of reading on-site?

    Any presumptive positive that will trigger a consequential decision (employer hiring decision, custody dispute, child-welfare action, prescribing decision involving controlled substances) should go to mass-spectrometry confirmation at a certified lab. POC cups are screening devices, not definitive ones, so the false-positive rate matters more when stakes are high. For routine clinical decisions where the consequence is a conversation with the patient, on-site reading is usually sufficient.

    Can urgent care offer DOT screening for local CDL drivers?

    Yes, but DOT testing requires a trained collector for urine and a certified breath alcohol technician for breath testing. Your urgent care can become a DOT collection site by training staff to the DOT collector curriculum and completing mock collections. Once certified, you can serve local trucking, construction, and aviation employers.

    Are drug test results in a clinical setting confidential?

    Yes. Drug test results are protected under patient confidentiality laws such as HIPAA, though they may be disclosed to employers, legal authorities, or insurance companies when required.

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