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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experience on your website.

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A Different Approach

Akuatik approaches web design
from a different angle, putting
you ahead of the competition.

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Serving Central Arkansas and Nationwide

First Choice Drug Testing specializes in drug & alcohol testing services. We serve business, large or small, local or nationwide. From DOT mandated testing to Third Party Administration, let us be your First Choice for testing program management.


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

"Excellent company! We use First Choice for all of our DOT, random, and post incident drug screening. Additionally, they take care of our DOT physicals and Med Cards. Tim and Adam respond to all calls and emails promptly, with accurate answers to all of our questions."

News & Updates

Lack of Information

We recently had a donor give us a urine sample that we could not accept – if you read this blog regularly, you know it’s “same story, different day”. The donor was very emphatic that the specimen did come from his body and pressed the collector to tell him what logic we used to determine this was not his urine. As a collector, we have the right to reject any specimen for any reason. First Choice collectors are taught to simply reply, “we don’t believe it came out of your body.” We teach this response so as not to educate cheaters what methods and senses we use to determine why we believe the specimen did not come from their body.

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Drug Policy for workplace

First Choice offers virtually every conceivable medical testing procedure that you need, and we keep a Medical Review Officer (MRO) on staff to verify all testing results. This includes TB skin testing without an appointment! The test is very easy and noninvasive: the client receives a small injection of the testing solution under the skin and returns within 24-72 hours to have the test “read.” We offer TB skin tests every weekday except Thursday, and we’ll have you in and out in just a few minutes!

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It’s always challenging to fill job openings, and many companies are currently experiencing critical shortages of qualified workers; when they make new hires, it’s crucial to put them to work immediately! First Choice offers pre-employment drug screenings in a discreet and confidential setting, and we offer every conceivable laboratory test and procedure at our Little Rock facility or onsite. We can help you with respirator fit, pulmonary function tests, medical clearances, audiograms, blood draws, and more. We also offer pre-employment fit-for-duty exams and physicals.

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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