Making Sure the Road Ahead is Clear

Drug Testing, Background Checks, Physicals & More

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A Fresh, New Design

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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

"The company I work for have multiple locations and we have used First Choice for awhile now. I mainly deal with Tim or Adam but both are amazingly professional, fast to respond, and can handle any question that arise. I HIGHLY recommend!!"

News & Updates

First Choice is Arkansas’ most trusted third-party test administrator, and we offer every conceivable lab test at our south Little Rock location. We also offer pre-employment physicals and background testing services to ensure your employees aren’t trying to hide from their criminal past. But what happens if a highly qualified applicant is currently using a legitimately prescribed opioid?

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According to the National Safety Council, almost 9% of working adults in the United States have a substance use disorder. Illicit drug use tears families apart and costs billions of dollars worth of insurance claims each year. It also increases the likelihood of workplace accidents, as well as lost productivity, excess absenteeism, and more serious problems such as theft and violent incidents. The good news is that First Choice offers every conceivable lab test at our convenient south Little Rock location, and we love partnering with small businesses to help them run drug-free workplaces!

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Congratulations on your job offer! The only thing that stands between you and your career with a great company is a pre-employment drug test, and you’ll be in great hands when you come in for testing at First Choice. Our employees are all committed to professionalism and legendary customer service, and we keep a Medical Review Officer (MRO) on staff to verify the accuracy of all test results. We also offer the quickest possible turnaround time on all reporting, so you’ll be able to get right to work once your employer receives the results!

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Drug Policy for workplace

Raising children is a lifetime commitment. It costs up to $300,000 to support each child from birth through age 18, and each parent is responsible around the clock. Unfortunately, half of all marriages end in divorce, and less than half of the custodial parents in the United States receive all the child support that they have coming; over a quarter receive nothing at all! It’s unfortunate when parents neglect to meet their financial obligations, but First Choice is on your side, and we offer legally binding paternity testing administered in a discreet and confidential setting!

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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