COVID-19 Update from FSSolutions

Due to the recent COVID-19 surge, some clinics and collection sites in our network are experiencing capacity and staffing issues. FSSolutions’ is doing its best to mitigate these issues, which may impact documentation and turnaround time. Please have your donors/candidates call the site to confirm hours of operation and wait time.
First in quality. First in service.

FSSolutions (formerly FirstLab) was founded in 1989 as a subsidiary of First Hospital Laboratories, Inc., and is currently a leading workforce and employment screening company in the United States.

Drug and Alcohol Testing Third Party Administrators

FSSolutions is one of the largest privately held third-party administrators (TPA) of drug and alcohol testing programs in the country. We have more than 30 years of experience in helping clients design and manage their testing programs, monitor their professionals, make their employees more productive, and reduce operating expenses and risks. All of our programs are operated in accordance with requirements of the governing body and/or with federal, state, and municipal regulations. Our mission is to be the foremost experts on compliance and monitoring issues, and we pass on our expertise by offering legal services, expert consultation, and training.

Workforce Employment Screening Services

Since our founding, FSSolutions has provided workforce employment screening services, continuously evolving to meet the needs of our diverse client base, which includes Fortune 500 companies, law enforcement agencies, state and municipal governments, staffing companies, state licensing boards, and treatment facilities.

Recovery Monitoring Services for Licensed Professionals

In 1999, we created our recovery monitoring services (RMS) program for licensed professionals. We crafted it to offer a customized menu of services, test panels, and payment options that meet the unique needs of different industry and state monitoring programs. In 2008, FSSolutions acquired National Confederation of Professional Services, Inc. (NCPS), of Newport News, Virginia. This acquisition made FSSolutions the largest administrator of professional health monitoring services in North America, with clients nationwide.

Nationally Certified Medical Review Officers

The Medical Review Officer (MRO) staff at FSSolutions consists of only nationally certified MROs who make all donor contact directly. FSSolutions’ Chief MRO, Dr. Randy Barnett, is a highly respected expert on regulatory testing issues. Dr. Barnett provides education and guidance to FSSolutions’ MROs and support staff members.

Innovative, User-Friendly Technology

Recognizing that the rapid delivery of information in a usable format is one of our clients’ most critical needs, FSSolutions has long considered advanced information technology to be a top priority. To that end we have assembled an innovative group of programmers, developers, and business analysts that is dedicated to creating web-based tools that not only meet but exceed our clients’ demands.

Impeccable Customer Service

FSSolutions has distinguished itself from its competitors by its dedication to personalized service. Although we have made a significant investment in technology, we view technology as a support tool for our internal staff and our clients, not a substitute for personal assistance. FSSolutions clients are assigned a dedicated Account Representative team who closely monitors daily account activity. Additionally, all of our in-house experts are available for consultation at any time. We pride ourselves on personal contact and customer service that consistently exceeds our clients’ expectations.


Our Mission

To have the most satisfied customers in our industries.

Our philosophy

Through teamwork, we provide an environment that encourages all individuals to achieve their full potential. To reach that goal, we will treat each other with mutual respect, support and assist one another and allow each person to express their individuality and talents.


As members of the FSSolutions Team, we will extend that same courtesy and respect we have for one another to all our clients and business contacts. We are committed to promoting a drug and alcohol free environment, in which we can safely live, work and play.

Our Associations

Drug & Alcohol Testing Industry Association
Substance Abuse Program Administrators Association
Professional Background Screening Association
American Trucking Associations
Commercial Vehicle Safety Alliance
Truckload Carriers Association
National Association for Healthcare Recruitment
National Organization of Alternative Programs (NOAP)