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Employee Name/Req#:
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Soc.Sec./Employee ID#:
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Employer Name:
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Employer's Address:
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Date of Collection:
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Third Party Administrator:
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RN Expertise, Inc.
214 Hickman Drive #102
Sanford, FL 32771 |
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Laboratory:
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Type of Test:
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The results for the identified specimen are in accordance with the applicable screening confirmation cut-off levels established by the DHHS/NIDA/SAMHSA mandatory guidelines for the Federal and the State Drug Free workplace testing programs.
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My final determination/verification is:
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