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Why did the MRO contact me about my test?
Last Updated: 09/24/2026

The MRO contacts you when the laboratory reports your specimen as positive, adulterated, substituted, or invalid. This verification interview is your chance to give a legitimate medical explanation, such as a valid prescription, before the MRO decides the final result (49 CFR 40.131).

  • Be ready to give the prescriber's name and the medication details. The MRO may ask for records.
  • If you do not contact the MRO after being asked to, the MRO may verify the result without talking to you.
  • The employer's DER may be asked to tell you to contact the MRO; the DER is not told the reason.

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