First in quality. First in service.

FSSolutions, formerly FirstLab, founded in 1989 as a subsidiary of First Hospital Laboratories, Inc., is a nationwide leader in full service compliance management solutions.

FSSolutions is one of the largest privately held Third Party Administrators (TPA) of drug and alcohol testing programs in the country. With over thirty (30) years of experience in helping clients design and manage their testing programs, monitoring their professionals, making their employees more productive, and reducing operating expenses and risks. All 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 nothing short of the foremost experts on compliance and monitoring issues and we pass on our expertise by offering legal services, expert consultation, and training.

Since our founding, FSSolutions has provided workforce compliance testing services continuously evolving to meet the needs of our diverse client base, which includes Fortune 50 companies, law enforcement agencies, state and municipal governments, staffing companies, state licensing boards and treatment facilities. FSSolutions conducts an in-depth needs assessment of each client to ensure that a unique program is designed that respects the individual operational needs of each organization. Regulatory compliance, ensuring fitness for a specific job function, and combatting illicit drug use and alcohol misuse in the workplace is critical to providing a safe environment in which we can all live and work. FSSolutions drug & alcohol testing, background screening, clinical services and occupational health management can provide an excellent return on investment, and risk mitigation is a priority in every workplace. But the technical, legal, regulatory and operational details of running a testing program can be daunting for any organization.

In 1999, we created our Recovery Management Services (RMS) for Professional Health Monitoring (PHM) programs. We crafted it to offer a customized menu of services, test panels and payment options that met 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.

Tests are performed by members of our FirstChoice Priority Network with nearly 15,000 sites that have been approved by FSSolutions and meet all of the criteria established by the US Department of Transportation. FSSolutions’ staff continues to monitor these sites throughout the life of your contract to make sure technicians and personnel meet all DOT regulations, as amended, and ensures that all chain of custody procedures are appropriately completed. All tests are performed by laboratories certified by the Substance Abuse and Mental Health Services Administration (SAMHSA); SAMHSA certification being the current gold standard for both regulated and non-regulated testing. FSSolutions will ensure that the laboratories meet the standards for accreditation as a Forensic Urine Drug Testing Laboratory, meeting the minimum standards for Federal Workplace Drug Testing Programs.

We develop these relationships to ensure our ability to consistently deliver the highest quality services to our customers while we manage the appointment process, aggregation and storage of data, consolidated billing, reporting and quality assurance of the entire program including MRO services. This is one of the key benefits to the utilization of a TPA versus an individual service provider.

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.

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.

Most importantly, 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

American Trucking Associations
Commercial Vehicle Safety Alliance
Drug & Alcohol Testing Industry Association
National Association of Travel Healthcare Organizations
Substance Abuse Program Administrators Association
Truckload Carriers Association