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Safety & Service

20+ Years of Safety & Service
24 Hour Post-Accident Testing

Local/Toll Free

252-535 4599


Mon - Fri
8:30am - 4:30pm
Saturday by appointment only
  • DOT Compliant
    Drug & Alcohol Testing

    First Med Alert, Inc. specializes in FMCSA DOT Drug and Alcohol Screening Compliance as well as DNA, Hair and Urine Collections.
  • All of Your Testing Needs
    For Professionals!

    Pre-Employment, Random Drug & Alcohol Tests, Post Accident Drug & Alcohol Tests, Return to Duty/Follow-Up Tests, Reasonable Suspicion Tests
  • Third Party Administrator Services

    Partnering your company with a TPA means you’re adding an extra level of security to your business
  • First Med Alert, Inc Post-Accident & Emergency Testing

    Post-Accident & Emergency Testing

    As a service of First Med Alert, Inc. clients, we will assist in Post-Accident after-hours

Welcome to First Med Alert Inc.

First Med Alert, Inc. was established in the Roanoke Valley of North Carolina in August of 2000 to serve the community in Drug Screening, DNA Testing, and Background Checks. It has grown to be a conscientious and well-respected facility servicing many local, national businesses, and government agencies across the US.

First Med Alert, Inc. keeps the Safety and Security of your Business and Employees in the forefront of its mind. Continuously educating its Employees to service the community accurately and effectively, First Med Alert, Inc. specializes in FMCSA DOT Drug and Alcohol Screening Compliance as well as DNA, Hair and Urine Collections. Customer Service is an expectation exceedingly met in this sensitive field.

First Med Alert Inc. in Roanoke Rapids, NC

All of Your Testing Needs

For over 23 years First Med Alert, Inc. has assisted clients large and small with DOT Drug and Alcohol Testing Compliance specializing in FMCSA. From Pointing to Regulations to setting up Trained Collection Facilities across the country, it is our job to help you navigate the 49 CRF Part 40, ODAPC and Part 382 of the FMCSA. First Med Alert, Inc. offers the following services for DOT “qualified” employers.

Non-DOT Testing

From Corporate Testing, Court Ordered to Private Screens. Non-DOT testing can consist of many different methods of testing and panels. Let us help design a program to meet your company’s needs and policy requirements. Most Companies use a Standard 5 or 10 panel. However, First Med Alert, Inc. can customize a panel to fit your company’s needs. All Positive Test are reviewed by a Medical Review Officer (MRO).

Hair – 5 Panel to 17 Panel

Urine – Quick and Lab

Oral Fluid – Quick and Lab

Breath Alcohol Testing - BAT / EBT

Your Full-service Testing Solution

Fill out this form and one of our experienced technicians will get in touch with you.

About the Testing

Our DOT drug & alcohol testing program is customizable to your specific regulations in 49 CFR Part 40. From railroad to fleet trucks, we’ve got you covered.

Contact First Med Alert, Inc.

Collection Only Facility

Already have a TPA and a Lab set up for your company? First Med Alert, Inc. is also a full collection facility located at 312 Roanoke Avenue in Roanoke Rapids, NC. Trained Collectors are ready to serve your employees conducting Urine, Oral Fluid, and Hair collections on your company’s Chain of Custody. Electronic Chains can be ordered as First Med Alert, Inc. is ESreen and FormFox capable.


No Appointment is necessary; walk-ins only. Saturday Appointments are available for an additional fee and must be scheduled before Friday at 4pm.

Collection & Testing

Specimen Collection and Breath Alcohol Testing is all we do!

Wait Times

No waiting for hours!


Monday through Friday 8:30am to 4:30pm


Donors must be signed in by 4pm to be completed that day

Contact Us

Need more information? Contact us today!