DOT Physical Exams - Middletown, IA

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With 30 testing centers in the Middletown area, we offer drug and alcohol testing for employment, probation and DOT requirements. Additional services include DOT consortium enrollment, DNA Testing and background checks. Order your tests and services online or call (800) 221-4291.

30 DOT Drug-Testing Centers in Middletown

Minutes Away, Test Today

1221 S Gear Ave Po Box 2660

2.69 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
1221 S Gear Ave Po Box 2660
West Burlington, IA 52655

1401 W Agency Rd

4.62 mi
🕑 Testing Hours: M-Sun: 8:00 AM-8:00 PM✓ Walk-in with Electronic Donor Pass
1401 W Agency Rd
West Burlington, IA 52655

1401 West Agency Rd

4.69 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1401 West Agency Rd
West Burlington, IA 52655

1201 W Agency Rd

4.73 mi
🕑 Testing Hours: Mon–Fri: 9:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
1201 W Agency Rd
West Burlington, IA 52655

1221 S Gear Ave

4.80 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-4:30 PM✓ Walk-in with Electronic Donor Pass
1221 S Gear Ave
West Burlington, IA 52655

3115 Agency St

6.16 mi
🕑 Testing Hours: M,T 9:00 AM-4:00 PM • W,Th 9:00 AM-2:00 PM✓ Walk-in with Electronic Donor Pass
3115 Agency St
Burlington, IA 52601

1340 Mount Pleasant St

7.57 mi
🕑 Testing Hours: Sat:,Sun: 7:00 AM-7:00 PM✓ Walk-in with Electronic Donor Pass
1340 Mount Pleasant St
Burlington, IA 52601

510 Jefferson St

8.15 mi
🕑 Testing Hours: Mon–Fri: 9:00 AM-6:00 PM✓ Walk-in with Electronic Donor Pass
510 Jefferson St
Burlington, IA 52601

5445 Avenue O Ste 115

15.51 mi
🕑 Testing Hours: M-Sun: 8:00 AM-8:00 PM✓ Walk-in with Electronic Donor Pass
5445 Avenue O Ste 115
Fort Madison, IA 52627

407 S White St

20.57 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-8:00 PM • Sat:,Sun: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
407 S White St
Mount Pleasant, IA 52641

501 S White St

20.57 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
501 S White St
Mount Pleasant, IA 52641

214 N Prairie St

24.59 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
214 N Prairie St
Wapello, IA 52653

1600 Morgan St

29.85 mi
🕑 Testing Hours: M-Sun: 8:00 AM-8:00 PM✓ Walk-in with Electronic Donor Pass
1600 Morgan St
Keokuk, IA 52632

400 N 17th St

29.85 mi
🕑 Testing Hours: M-Th 10:00 AM-12:00 PM & 12:30 PM-2:00 PM • F 10:00 AM-12:00 PM & 12:30 PM-1:00 PM✓ Walk-in with Electronic Donor Pass
400 N 17th St
Keokuk, IA 52632

122 N Main St

29.92 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM • Sat: 9:00 AM-11:00 AM✓ Walk-in with Electronic Donor Pass
122 N Main St
Mount Pleasant, IA 52641

1454 N County Rd 2050

30.17 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1454 N County Rd 2050
Carthage, IL 62321

928 Main St

30.42 mi
🕑 Testing Hours: M-Sun: 8:00 AM-8:00 PM✓ Walk-in with Electronic Donor Pass
928 Main St
Keokuk, IA 52632

906 Main St

30.43 mi
🕑 Testing Hours: M-Th 9:00 AM-3:00 PM • F 9:00 AM-1:00 PM • Sat: 9:00 AM-11:00 AM✓ Walk-in with Electronic Donor Pass
906 Main St
Keokuk, IA 52632

629 Blondeau St Ste 201

30.47 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
629 Blondeau St Ste 201
Keokuk, IA 52632

1000 W Harlem Ave

32.04 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1000 W Harlem Ave
Monmouth, IL 61462

401 N Main St Ste B

32.47 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
401 N Main St Ste B
Monmouth, IL 61462

409 Nw 9th Ave

36.86 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
409 Nw 9th Ave
Aledo, IL 61231

103 E Commercial St

37.01 mi
🕑 Facility: Mon–Fri: 07:00 AM - 04:00 PM⚡ Drug Screens: Mon–Fri: 08:00 AM - 02:00 PM
103 E Commercial St
Kahoka, MO 63445

308 Mulberry St

37.35 mi
🕑 Testing Hours: Mon–Fri: 7:00 AM-1:20 PM • Sat: 7:00 AM-8:50 AM✓ Walk-in with Electronic Donor Pass
308 Mulberry St
Keosauqua, IA 52565

408 S Maple St

38.24 mi
🕑 Testing Hours: Mon–Fri: 7:30 AM-12:00 PM & 12:30 PM-4:00 PM • Sat: 7:00 AM-10:30 AM✓ Walk-in with Electronic Donor Pass
408 S Maple St
Fairfield, IA 52556

2000 S Main St

38.36 mi
🕑 Testing Hours: Mon–Fri: 7:30 AM-3:30 PM • Sat:,Sun: 7:30 AM-12:30 PM✓ Walk-in with Electronic Donor Pass
2000 S Main St
Fairfield, IA 52556

2000b S Main St

38.80 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-12:30 PM✓ Walk-in with Electronic Donor Pass
2000b S Main St
Fairfield, IA 52556

444 E Polk St

38.87 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
444 E Polk St
Washington, IA 52353

420 E Polk St

38.88 mi
🕑 Testing Hours: Mon–Fri: 9:00 AM-1:00 PM & 2:00 PM-4:30 PM✓ Walk-in with Electronic Donor Pass
420 E Polk St
Washington, IA 52353

400 E Polk St

38.89 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
400 E Polk St
Washington, IA 52353

Middletown, IA DOT Physical - What You Need to Know

A DOT physical is a thorough health evaluation necessitated by the Department of Transportation for every commercial motor vehicle operator. This checkup confirms that these drivers are capable physically, mentally, and emotionally to handle large vehicles on highways. Conducted by a certified medical examiner listed on the National Registry of Certified Medical Examiners, passing this assessment grants a DOT medical certificate, necessary for keeping a valid CDL as per FMCSA rules. For guidance on the proper DOT physical required for those governed by another DOT agency, call us at 800-221-4291

During your exam, the medical examiner will complete a thorough health assessment to determine if you meet the Federal Motor Carrier Safety Administration (FMCSA) medical standards. The process typically includes:

What Does a DOT Physical Include?

Health History Review
Vision Test

Hearing Test
Urinalysis

Vital Signs
Physical Examination

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available


What is checked in a DOT Physical?

  • Health history review and medication assessment
  • Vision screening (corrective lenses allowed; minimum standards apply)
  • Hearing assessment (forced whisper or audiometry)
  • Blood pressure and pulse rate
  • Physical examination (systems review)
  • Urinalysis (specific gravity, protein, glucose)

In Middletown, WV, completion leads to a Medical Examiner's Certificate (MEC) valid for up to 24 months. Some conditions may require shorter certification or specialist documentation.

Who needs a DOT Physical?

You must have a valid DOT medical certificate (card) if you:

  • Have a commercial driver's license (CDL)- class A, B, or C for interstate commerce
  • Drive a vehicle over 10,001 lbs. GVWR in interstate commerce
  • Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
  • Transport hazardous materials that require placarding under DOT regulations
  • Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA or USCG where DOT medical qualification is required

These regulations are especially notable in Middletown, PA.

What to bring with you to a DOT Physical?

  • Government-issued identification with photo
  • Spectacles/contact lenses and prescription
  • Medication list with dosages
  • CPAP usage records if relevant
  • Specialist medical approvals (cardiology, sleep apnea, diabetes, etc.)
  • Recent logs for A1C or blood pressure when monitored

Note: Middletown, OR requires these for a smooth process.

What happens if I fail a DOT Physical?

  • No Medical card will be issued
  • Temporary disqualification
  • Referral for treatment to your primary care doctor
  • FMCSA exemptions for certain medical conditions
  • Employer Notification
  • Next Steps (address the medical issues and retake the exam)

These steps are critical, particularly if you're operating in Middletown, PA. Follow the guidance to regain certification.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Failing to meet 20/40 vision standard in each eye with correction, inability to identify traffic signal colors, or hearing deficits that restrict forced whisper detection at 5 feet.
  • Blood Pressure & Heart Disease: Uncontrolled high blood pressure (≥180/110 mmHg), recent cardiac event, stroke, unmanaged angina, or unapproved implanted defibrillator.
  • Diabetes: Uncontrolled diabetes resulting in frequent low blood glucose incidents or complications (e.g., nerve or vision problems jeopardizing driving safety).
  • Sleep Apnea & Respiratory Issues: Unaddressed sleep apnea causing daytime sleepiness, or severe lung disease interfering with proper oxygenation.
  • Neurological Disorders: Epilepsy or other seizure conditions (barring exemptions), disorders causing sudden consciousness loss, dizziness, or tremors.
  • Substance Abuse: Current illegal substance use, alcohol addiction, or misuse of prescriptions impairing driving abilities.
  • Psychiatric & Cognitive Disorders: Uncontrolled serious psychiatric disorders (such as schizophrenia or bipolar events) or cognitive issues affecting judgment and reaction.

Temporary vs. Permanent Disqualification: Some problems may only temporarily disqualify until medical clearance or documentation is provided (e.g., controlled blood pressure). Others, like untreated seizure disorders or implanted defibrillators, are typically permanent disqualifications under FMCSA guidelines.

Middletown Drug Testing

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Middletown DNA Testing

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Middletown Hair Drug Testing

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Middletown Alcohol Testing

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Middletown 5 Panel Drug Test

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Middletown 10 Panel Drug Test

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Middletown On Site Drug Testing

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Middletown DOT Physicals

Certified DOT physicals with quick, reliable exams to keep Middletown, IA drivers compliant and on the road with confidence.

DOT Consortium

Join our DOT consortium for hassle-free compliance, random testing management, and reliable driver safety solutions.


Frequently Asked Questions

A DOT physical typically includes a review of the driver’s health history and medications, vision screening, hearing assessment, vital signs (blood pressure, pulse), urinalysis (checking specific gravity, protein, glucose), and a full physical examination by a certified medical examiner. Upon passing, a Medical Examiner’s Certificate (DOT medical card) may be issued for up to 24 months.
You must have a valid DOT medical certificate if you: hold a commercial driver’s license (CDL) Class A, B or C for interstate commerce; operate a vehicle over 10,001 lbs GVWR in interstate commerce; transport more than eight passengers (for hire) or over fifteen passengers (not for hire); or transport hazardous materials requiring placarding under DOT regulations.
DOT physicals are offered at test centres in all cities and all states, through Accredited Drug Testing’s nationwide network. You can schedule by calling 1-800-221-4291.
You should bring a government-issued photo ID; glasses or contact lenses and the prescription; a list of medications and dosages; CPAP usage data if applicable; and any specialist clearance letters or physician documentation (for conditions like heart disease, sleep apnea, diabetes) to your DOT physical.
If you fail the DOT physical, you will not receive the medical card; you may be temporarily or permanently disqualified depending on the condition; you will need to address any medical issues (e.g., uncontrolled hypertension, untreated sleep apnea, recent myocardial infarction) and then be re-examined.

Customer Reviews

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Where do I start?!! ADT is truly the best!! I had the pleasure of speaking with Tori today! She was excellent, professional and truly went above and beyond in her kind, compassionate care and commitment to providing me with the best service possible. I was in such a time crunch, but I was able to call, order the test, pay for it over the phone and get the test I needed within the hour. Not only did this put my mind at ease, they saved my job!! I am forever grateful for this team of hard workers, that care, with such great work ethics! Thank you from the very bottom of my heart!!! If you need a drug, alcohol, etc… screening, this team will be your lifesavers!!

Sarah Patterson - 4/8/2025

phone support has been excellent

I have used ADT several times. Their phone support has been excellent, both when putting in the orders and when asking for help to interpret results.

Tee Ess - 12/19/2024

quick to assist

They are very quick to assist with your orders and they helped when I needed to find a new testing facility.

Gary Matkin - 2/19/2025


(800) 221-4291