Making Sure the Road Ahead is Clear

Drug Testing, Background Checks, Physicals & More

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A Fresh, New Design

Boring websites are no fun.
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A Different Approach

Akuatik approaches web 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

"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

Funny Behavior

If you have been reading these Cheater stories for very long, you have probably heard us refer to a collector’s “6th sense” as it pertains to drug test collections. Once you have done enough drug tests and have been properly trained, you begin to get a feeling when something isn’t right about a sample – and even a donor! A donor’s behavior can be an indicator we use to determine if there is a higher probability that person will try to cheat.

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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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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