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266 <br />Effective March 6, 2020 CONTACT: <br />Designated Employer <br />Representative (DER) for drug and <br />alcohol policy, procedure <br />information, or for referral to a <br />Substance Abuse Professional <br />(SAP). <br />Medical Review Officer (MRO) <br />Medical Review of Test Results <br />Amy Pethers <br />Pitsch Companies <br />675 Richmond NW <br />Grand Rapids MI 49504 <br />Ph: 616-363-4895 <br />Fax: 616-363-5585 <br />Email: amy@pitschco.com <br />John Budnick, D.O., MRO-C <br />DRUG SCREENS PLUS (DSf) <br />3625 Clyde Park SW, Suite B <br />Grand Rapids MI 49509 <br />(800) 459-9012 ext 785 <br />Specimen Collection Site DRUG SCREENS PLUS (DSf) <br />for Drug/Alcohol Testing. <br />3625 Clyde Park SW, Suite A <br />Other site listings available. <br />Grand Rapids MI 49509 <br />See next page or below: <br />616-532-9034 <br />Locating a SAP or Collection Site <br />Jill Umfleet <br />This office can assist you with <br />DRUG SCREENS PLUS (L7Sfj <br />arranging SAP evaluations and/or <br />3625 Clyde Park SW, Suite B <br />specimen collection sites <br />Grand Rapids MI 49509 <br />throughout the U.S. <br />(800) 459-9012 ext 784 <br />Counseling/Treatment Referral will be made to <br />Must be an entity other than the appropriate facility/service <br />SAP who performed the evaluation. subsequent to SAP evaluation. <br />DHHS Certified Labs <br />Note: Primary lab may be used in any <br />combination with Secondary Lab (e.g_ <br />Secondary lab used as Primary lab) and <br />the combination may change from time to <br />time or according to circumstances (e.g., a <br />post -accident 'cab pack"specifies one <br />lab/air-carrier services, and pre- <br />employment test specifies clinic with 2nd <br />lab/courier service)_ Special Note: HHS <br />certifies each lab separately and on its own <br />merits"...a split specimen can be sent to a <br />2nd lab under the same corporate title" as <br />the primary lab. <br />Primary: (i.e., split -testing) <br />MedTox Laboratories Inc <br />354 West County Road D <br />Saint Paul MN 55112 <br />Secondary: (i.e., primary testing) <br />Quest Toxicology Network (QTN) <br />Quest Diagnostics <br />10101 Renner Blvd <br />Lenexa KS 66219 <br />Substance Abuse Crisis Hotlines: <br />Alcoholics Anonymous 800-356-9996 <br />Cocaine 800-COCAINE (262-2463) <br />Natl Institute on Drug Abuse 800-662-HELP (622-2255) <br />2020 Drug Screens Plus. All Rights Reserved. (5) FMCSA 20200101 266 <br />