Making Sure the Road Ahead is Clear

Drug Testing, Background Checks, Physicals & More

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Serving Central Arkansas and Nationwide

First Choice Drug Testing & Occupational Health Services specializes in drug & alcohol testing, background checks, and occupational health services. We serve business, large or small, local or nationwide. Let us be your First Choice for employment screenings.


Drug / Alcohol Testing

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DOT / FAA Physicals

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Background Checks

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Drug / Alcohol Testing


DOT / FAA Physicals


Background Checks

"Great company, never had any problems. Adam and Tim respond to my emails within minutes, I can always rely on them. If you are a motor carrier and you need to make sure you are FMCSA and DOT compliant, go with First Choice Drug Testing, they won't let you down."

News & Updates

At First Choice, we take great pride in offering the quickest possible turnaround time on all testing results. We offer every conceivable lab test at our south Little Rock clinic with no appointment required, and we also offer a host of additional services, including background checks and pre-employment physicals. Our staff members are all committed to professionalism and exceptional service, and we keep a Medical Review Officer (MRO) on staff to verify all results. It’s easy to set up a customer account with us, and we can typically deliver testing results in 1-2 business days. But if that doesn’t fit your company’s needs, we also offer testing services at your office or job site!

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Looking for a new job can be frustrating for even the most well-qualified applicants, and it’s always exciting to have an offer in hand after a lengthy search. A pre-employment drug test is a standard procedure before you can start working at many companies, but people with nothing to hide have nothing to worry about! First Choice is Arkansas’ most trusted third-party administrator, and we offer rapid turnaround times on all test results so you can begin work at your new job as soon as possible!

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Drug Policy for workplace

It’s always devastating when marriages fall apart, and the children are often the biggest casualties. Many former couples successfully share parenting responsibilities after their marriages end, but too many absentee fathers fall behind on their child support obligations; less than half of all custodial parents receive all the child support they’re owed, and over a quarter receive nothing at all! Establishing paternity is a crucial component of child support, adoption, and immigration proceedings, and our team at First Choice makes it easy to arrange confidential and legally binding paternity testing!

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Phone a Friend

A donor gave us a sample that was out of temperature range; that happens all the time around here! The donor sat in the waiting room a while and drank water.

Another “donor” came in to our office and briefly spoke to the Cheater. This other “donor” then came up to the window and asked to pay for a background check for a local hospital. I told him we didn’t do background checks for that hospital.

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Alex Sarc

Senior Manager

Barlow Ergson


John Doe

Creative Director

Michael Smith

Lead Designer

Janice Cold


Miriam Vicci

Web designer

Daniel Schmidt

UI/UX Expert

Sonia Elvic

Front End Developer

John Lee

Full Stack Developer

Jason Bourne

Back End Developer

Arthur Corry

Content Manager

Karen Page

Senior Editor