DOT Physical Exams - Middletown, MO

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With 33 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.

33 DOT Drug-Testing Centers in Middletown

Minutes Away, Test Today

504 N Sturgeon St

11.37 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
504 N Sturgeon St
Montgomery City, MO 63361

710 Business South

16.81 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
710 Business South
Bowling Green, MO 63334

905 N Business Highway 161

16.81 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
905 N Business Highway 161
Bowling Green, MO 63334

722 N State Highway 47 Ste B

21.71 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM • Sat: 8:00 AM-12:00 PM✓ Walk-in with Electronic Donor Pass
722 N State Highway 47 Ste B
Warrenton, MO 63383

600 Medical Park Dr

24.98 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
600 Medical Park Dr
Mexico, MO 65265

620 E Monroe St

25.00 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
620 E Monroe St
Mexico, MO 65265

626 E Summit St

25.08 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
626 E Summit St
Mexico, MO 65265

1000 E Cherry St

25.11 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
1000 E Cherry St
Troy, MO 63379

1343 Ne Service Rd

25.31 mi
🕑 Testing Hours: Mon–Fri: 8:30 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
1343 Ne Service Rd
Warrenton, MO 63383

230 E Booneslick Rd

26.19 mi
🕑 Testing Hours: Mon–Sat: 8:00 AM-4:00 PM✓ Walk-in with Electronic Donor Pass
230 E Booneslick Rd
Warrenton, MO 63383

2305 Georgia St 0

27.66 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2305 Georgia St 0
Louisiana, MO 63353

211 S 3rd St

29.60 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
211 S 3rd St
Louisiana, MO 63353

1714 Wein St

30.13 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1714 Wein St
Hermann, MO 65041

509 W 18th St

30.18 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
509 W 18th St
Hermann, MO 65041

2613 Fairway Dr Ste G

34.20 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2613 Fairway Dr Ste G
Fulton, MO 65251

801 Medical Dr, Ste 200

35.64 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
801 Medical Dr, Ste 200
Wentzville, MO 63385

10 S Hospital Dr

35.69 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
10 S Hospital Dr
Fulton, MO 65251

1201 Wentzville Pkwy Ste 117,

36.21 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1201 Wentzville Pkwy Ste 117,
Wentzville, MO 63385

1111 W Pearce Blvd

36.72 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM • Sat: 8:00 AM-12:00 PM✓ Walk-in with Electronic Donor Pass
1111 W Pearce Blvd
Wentzville, MO 63385

251 E Pearce Blvd

37.27 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
251 E Pearce Blvd
Wentzville, MO 63385

6000 Hospital Dr

38.92 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-2:30 PM✓ Walk-in with Electronic Donor Pass
6000 Hospital Dr
Hannibal, MO 63401

100 Medical Dr

38.92 mi
🕑 Testing Hours: Mon–Fri: 5:30 AM-2:00 PM✓ Walk-in with Electronic Donor Pass
100 Medical Dr
Hannibal, MO 63401

30 W Highway D Ste 201

40.67 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
30 W Highway D Ste 201
New Melle, MO 63365

5551 Winghaven Blvd Ste 100

44.16 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
5551 Winghaven Blvd Ste 100
O Fallon, MO 63368

300 Winding Woods Dr Ste 100

45.12 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
300 Winding Woods Dr Ste 100
O Fallon, MO 63366

901 Patients First Dr

45.44 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-4:00 PM✓ Walk-in with Electronic Donor Pass
901 Patients First Dr
Washington, MO 63090

851 E 5th St Ste 152

45.52 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
851 E 5th St Ste 152
Washington, MO 63090

1351 Jefferson St Ste 208

45.55 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1351 Jefferson St Ste 208
Washington, MO 63090

2967 Highway K

45.79 mi
🕑 Testing Hours: Mon–Fri: 7:00 AM-6:00 PM • Sat: 8:00 AM-12:00 PM✓ Walk-in with Electronic Donor Pass
2967 Highway K
O Fallon, MO 63368

640 W Washington St

45.87 mi
🕑 Testing Hours: ✓ Walk-in with Electronic Donor Pass
640 W Washington St
Pittsfield, IL 62363

1901 Trade Center Dr

46.10 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
1901 Trade Center Dr
Saint Peters, MO 63376

4 Abington Ct

46.25 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
4 Abington Ct
St. Peters, MO 63376

311 S Dickerson St

46.63 mi
🕑 Facility: Mon–Fri: 07:00 AM - 04:00 PM⚡ Drug Screens: Mon–Fri: 08:00 AM - 03:00 PM
311 S Dickerson St
Palmyra, MO 63461

Middletown, MO DOT Physical - What You Need to Know

DOT Physical: A thorough health check mandated by the Department of Transportation (DOT) for commercial vehicle operators (CMV) ensures drivers are apt physically, mentally, and emotionally for operating massive vehicles safely on public routes. Conducted by a certified medical examiner (CME) on the National Registry of Certified Medical Examiners (NRCME), passing grants a DOT medical certificate, vital for holding a valid CDL per FMCSA rules. Need help determining which exam applies? Call 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?

  • Medical history and drug review
  • Vision test (corrective lenses permissible; must meet basic criteria)
  • Hearing test (whisper test or audiometry)
  • Monitoring of blood pressure & pulse
  • Comprehensive physical assessment
  • Urine test (specific gravity, protein, glucose)

After clearing the exam, a Medical Examiner's Certificate (MEC) can be granted for up to two years. Specific health issues might warrant shorter certification terms or additional specialist documentation required in Middletown, NY.

Who needs a DOT Physical?

A valid DOT medical card is necessary if you:

  • Hold a CDL-class A, B, or C for interstate trade
  • Operate vehicles exceeding 10,001 lbs. GVWR across state lines
  • Carry more than 8 passengers for pay or over 15 passengers unpaid
  • Transport hazardous goods needing DOT permits
  • Are employed by entities overseen by DOT divisions like FMCSA, FAA, FRA, FTA, or USCG requiring DOT medical eligibility.
Middletown, AK

What to bring with you to a DOT Physical?

  • Government-issued photo
  • Glasses/contacts & prescription
  • List of medications & dosages
  • CPAP usage data (if applicable)
  • Specialist clearances (cardiology, sleep apnea, diabetes, etc.)
  • Recent A1C/blood pressure logs if monitored

Make sure to have these documents ready, especially in Middletown, PA, to ensure smooth processing during your medical exam.

What happens if I fail a DOT Physical?

  • In Middletown, TN, lack of a medical card issuance
  • Faced with temporary exam disqualification
  • Advised medical treatment via primary healthcare
  • Possible FMCSA health exemptions
  • Employer notified regarding outcomes
  • Steps to proceed involve addressing health issues followed by exam retest

Middletown, TN applicants must address disqualifying health aspects proactively to regain qualification status.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: If your vision is worse than 20/40 in each eye even with correction, cannot distinguish traffic signals' colors, or have hearing loss preventing the hearing of a forced whisper at five feet.
  • Blood Pressure & Heart Disease: Issues such as uncontrolled hypertension at or above 180/110 mmHg, recent cardiac events, or having a defibrillator without medical clearance.
  • Diabetes: Unmanaged diabetes with recurrent low sugar episodes or complications like neuropathy that affect safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing drowsiness or lung disease affecting oxygenation.
  • Neurological Disorders: Epileptic conditions (unless exempt), those causing sudden consciousness loss, dizziness, or uncontrolled tremors.
  • Substance Abuse: Usage of illegal drugs, alcohol dependency, or misuse of medication impairing driving.
  • Psychiatric & Cognitive Disorders: Severe uncontrolled psychiatric disorders affecting judgment or reaction time.

Certain issues may temporarily disqualify you until proper documentation is provided, such as blood pressure control. Others like untreated seizures are generally seen as permanent disqualifications per FMCSA.

Middletown Drug Testing

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Middletown DOT Drug Testing

Quickly find a local DOT drug testing center in Middletown, MO — fast, reliable, convenient nationwide service!

Middletown DNA Testing

DNA testing for legal and non-legal purposes including child support, and child custody around Middletown, MO.

Middletown Industry Training

Including specimen collector training, DER training, reasonable suspicion training and much more in Middletown, MO.v

Middletown Hair Drug Testing

Get fast, accurate hair drug testing at our convenient Middletown, MO locations—results you can trust, every time!

Middletown Alcohol Testing

Fast, reliable alcohol testing to keep your workplace safe and compliant every single day in Middletown, MO.

Middletown Drug Testing Services

Reliable nationwide drug testing services ensuring accuracy, compliance, and quick results for businesses and individuals in Middletown, MO.

Middletown 5 Panel Drug Test

Accurate 5 panel drug testing with fast, confidential results—trusted by Middletown, MO employers and individuals nationwide.

Middletown 10 Panel Drug Test

Comprehensive 10 panel drug testing with fast, reliable results—trusted for Middletown, MO workplace and personal testing needs.

Middletown On Site Drug Testing

Convenient on-site mobile drug testing with fast, reliable results—saving time while keeping your Middletown, MO workplace compliant.

Middletown DOT Physicals

Certified DOT physicals with quick, reliable exams to keep Middletown, MO 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

ADT is truly the best

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