A Leading Toxicology lab

Toxicology Testing

Complete and Accurate Testing

Fast, accurate toxicology testing with in-house confirmations

Based in St. Louis, MD Diagnostics provides reliable testing for clinics, recovery programs, employers, schools, and individuals.

MD Diagnostics provides both oral swab and urine toxicology testing with in-house confirmations on every presumptive positive test, so you can trust that results are fast, accurate, and defensible.

Partner with MD Diagnostics Order toxicology testing

Why providers and patients choose our toxicology testing service

Oral swab or urine options for flexible collection
In-house confirmations for accuracy and compliance
Detection you can trust — minimized risk for adulteration or dilution
Ensuring most results within 24 to 48 hours
Secure online reporting through our portal

The local lab advantage

As a family-owned, CLIA-certified lab in St. Louis, Missouri, MD Diagnostics combines national-quality testing with local service. Walk-ins are welcome, and clinics across the region rely on our fast turnaround times.

clia logo

Testing made simple for individuals

Not every test comes through an employer or a doctor’s office. Sometimes you just need fast, confidential results. MD Diagnostics makes toxicology testing accessible with:

Walk-in availability — no appointment required at our St. Louis lab

Affordable cash pricing — straightforward, transparent options

Quick visits — most tests take just a few minutes to complete

Fast turnaround — results typically ready within 24–48 hours

Whether you’re testing for work, school, legal needs, or personal reasons, we make the process quick, private, and reliable.

Order toxicology testing

Toxicology testing options

MD Diagnostics offers multiple testing methods to fit the needs of clinics, employers, schools, and recovery programs.

Whether you need quick detection, long-term monitoring, or a tamper-resistant collection process, our in-house lab provides reliable results with flexible options.

Oral swab testing (saliva)

Since 2016, MD Diagnostics has offered oral fluid toxicology testing as a non-invasive, easy-to-use option for clinics, schools, and employers.

Detects most drugs within a three-day window
Collection can be observed directly, reducing the risk of tampering
No special facilities are required
Convenient for high-volume or onsite testing events
swab_test

Urine screening

Urine toxicology testing remains the most widely used and reliable method for drug detection. At MD Diagnostics, both presumptive screens and confirmations are completed in-house.

Detects a wide range of substances, including opioids, cocaine, THC, amphetamines, benzodiazepines, barbiturates, and more
Presumptive results are confirmed in-house with LC/MS technology
Typical turnaround: 24-48 hours
MD diagnostics perform test using lcms machine

Hair follicle testing

While less common, we also provide hair follicle testing when a longer detection window is needed. This option can be particularly useful for employers or recovery programs monitoring long-term patterns of use.

follicle_test

Programs and clinics we serve

Our toxicology testing services support:
Physician Clinics

Physician clinics seeking reliable lab partnerships

More info
Pain Management & Recovery Centers

Pain management & recovery centers that require fast, defensible confirmations

More Info
Long Term Care Facilities

Behavioral health programs monitoring compliance

More Info
Employers

Employers and schools that are maintaining drug-free environments

More Info

Toxicology testing FAQs

What is the difference between a urine toxicology screen and an oral swab test?

Urine tests detect a broad range of substances over a longer window, while oral swabs are non-invasive, harder to tamper with, and detect recent use within about three days.

How long do toxicology test results take?

Routine results are typically available within 24 to 48 hours.

Do you confirm all presumptive positives?

Yes. MD Diagnostics performs in-house confirmation on every presumptive positive result to ensure accuracy and compliance.

Where can I get toxicology testing in St. Louis?

You can visit MD Diagnostics at our St. Louis lab for walk-in or scheduled testing. We also provide shipping kits for clinics all across the Midwest, making it simple to get accurate results fast.

Ready to partner with a trusted toxicology lab for toxicology testing?

From in-house confirmations to customizable testing options, MD Diagnostics delivers the speed, reliability, and flexibility you deserve.

Partner with MD Diagnostics Order toxicology testing