eSolutions Supplies: Drug Screening
To order additional drug screening supplies, please complete and submit the form below.  Processing and shipping time averages 3-5 business days.  Please contact us if you require an expedited order.  *Indicates Required Fields

Client Account Number*:
(or Company Name)

Contact First and Last Name:

Contact Phone*:

Contact Email Address*:

Street Address*:


State*:                                                                                                                                           Zip Code*:

Shipping Attention*:

Type of Supplies Required*:

Special Instructions and Comments:
Hair Sample - Collection Kits (fee applies)
Hair Sample - Shipping Labels
Hair Sample - Shipping Envelopes

05 Panel iCup - Urine
07 Panel iCup - Urine
10 Panel iCup - Urine

06 Panel Oratect - Oral Fluid Devices (fee applies)
Screening Solutions

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Monday - Friday EST