DOT Physical Exams - St. Louis, MO

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With 29 testing centers in the St. Louis 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.

(800) 221-4291

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29 DOT Drug-Testing Centers in St. Louis

Minutes Away, Test Today

3100 Market St

0.80 mi
🕑 Testing Hours: Mon–Fri: 7:30 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
3100 Market St
Saint Louis, MO 63103
Call (800) 221-4291 Get Donor Pass

5000 Manchester Ave

1.56 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
5000 Manchester Ave
Saint Louis, MO 63110
Call (800) 221-4291 Get Donor Pass

40 N Kingshighway,

1.57 mi
🕑 Testing Hours: Mon–Fri: 8:30 AM-2:30 PM • Sat: 9:00 AM-12:00 PM✓ Walk-in with Electronic Donor Pass
40 N Kingshighway,
Saint Louis, MO 63108
Call (800) 221-4291 Get Donor Pass

1720 Olive St

1.91 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1720 Olive St
Saint Louis, MO 63103
Call (800) 221-4291 Get Donor Pass

400 N Tucker Blvd

2.30 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
400 N Tucker Blvd
Saint Louis, MO 63101
Call (800) 221-4291 Get Donor Pass

916 Olive Street, Unit 2

2.46 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
916 Olive Street, Unit 2
Saint Louis, MO 63101
Call (800) 221-4291 Get Donor Pass

2331 Hampton Ave

2.77 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2331 Hampton Ave
Saint Louis, MO 63139
Call (800) 221-4291 Get Donor Pass

2348 Hampton Ave

2.77 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2348 Hampton Ave
Saint Louis, MO 63139
Call (800) 221-4291 Get Donor Pass

6542 Manchester Ave

3.34 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
6542 Manchester Ave
Saint Louis, MO 63139
Call (800) 221-4291 Get Donor Pass

2321 Mccausland Ave Ste B

3.86 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2321 Mccausland Ave Ste B
Saint Louis, MO 63143
Call (800) 221-4291 Get Donor Pass

642 Clayton Rd.

3.89 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
642 Clayton Rd.
Saint Louis, MO 63117
Call (800) 221-4291 Get Donor Pass

6555 Chippewa St Ste 100

4.36 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
6555 Chippewa St Ste 100
Saint Louis, MO 63109
Call (800) 221-4291 Get Donor Pass

225 S Meramec Ave Ste 305

5.54 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
225 S Meramec Ave Ste 305
Clayton, MO 63105
Call (800) 221-4291 Get Donor Pass

8340 N Broadway

5.77 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-5:00 PM✓ Walk-in with Electronic Donor Pass
8340 N Broadway
Saint Louis, MO 63147
Call (800) 221-4291 Get Donor Pass

120 Kenrick Plz

5.85 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
120 Kenrick Plz
Saint Louis, MO 63119
Call (800) 221-4291 Get Donor Pass

9556 Manchester Rd

6.87 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
9556 Manchester Rd
Saint Louis, MO 63119
Call (800) 221-4291 Get Donor Pass

8300 Valcour Ave

6.92 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
8300 Valcour Ave
Saint Louis, MO 63123
Call (800) 221-4291 Get Donor Pass

2044 Madison Ave Ste G1

7.02 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2044 Madison Ave Ste G1
Granite City, IL 62040
Call (800) 221-4291 Get Donor Pass

2044 Madison Ave Ste G-4

7.02 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2044 Madison Ave Ste G-4
Granite City, IL 62040
Call (800) 221-4291 Get Donor Pass

2100 Madison Ave

7.09 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2100 Madison Ave
Granite City, IL 62040
Call (800) 221-4291 Get Donor Pass

8730 Big Bend Blvd Ste A

7.23 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
8730 Big Bend Blvd Ste A
Saint Louis, MO 63119
Call (800) 221-4291 Get Donor Pass

119 Church St Ste 223

8.65 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
119 Church St Ste 223
Ferguson, MO 63135
Call (800) 221-4291 Get Donor Pass

State Highway 76 & State Highway Lower Level Claybough Plaza Ma

8.67 mi
🕑 Testing Hours: Mon–Fri: 8:00 AM-2:00 PM✓ Walk-in with Electronic Donor Pass
State Highway 76 & State Highway Lower Level Claybough Plaza Ma
Branson West, MO 65737
Call (800) 221-4291 Get Donor Pass

2900 Lemay Ferry Rd Ste 101

8.79 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2900 Lemay Ferry Rd Ste 101
Saint Louis, MO 63125
Call (800) 221-4291 Get Donor Pass

3701 Nameoki Rd Ste E

9.24 mi
🕑 Testing Hours: M-Th 9:00 AM-5:00 PM • F 9:00 AM-1:00 PM✓ Walk-in with Electronic Donor Pass
3701 Nameoki Rd Ste E
Granite City, IL 62040
Call (800) 221-4291 Get Donor Pass

10296 Big Bend Rd Ste 110

9.53 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
10296 Big Bend Rd Ste 110
Saint Louis, MO 63122
Call (800) 221-4291 Get Donor Pass

28 Ronnies Plz

9.63 mi
🕑 Facility: Mon–Fri: 07:00 AM - 05:00 PM⚡ Drug Screens: Mon–Fri: 07:30 AM - 04:30 PM
28 Ronnies Plz
Saint Louis, MO 63126
Call (800) 221-4291 Get Donor Pass

455 S Kirkwood Rd

9.76 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
455 S Kirkwood Rd
Kirkwood, MO 63122
Call (800) 221-4291 Get Donor Pass

7706 Wagner Rd

10.07 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
7706 Wagner Rd
Millstadt, IL 62260
Call (800) 221-4291 Get Donor Pass

St. Louis, MO DOT Physical - What You Need to Know

A DOT physical is a detailed health assessment mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination ensures drivers are capable of handling large vehicles on public roads safely. A certified medical examiner, listed on the National Registry, conducts the evaluation. Successfully passing the exam results in gaining a DOT medical certificate, essential for maintaining a valid CDL as per FMCSA rules. For assistance with DOT agency requirements, 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?

  • 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)

Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months. Some conditions may require shorter certification or specialist documentation

This applies specifically to St. Louis, WI.

Who needs a DOT Physical?

Holding a valid DOT medical certificate (card) is imperative if you:

  • Possess a commercial driver's license (CDL)- class A, B, or C for interstate commerce
  • Operate a vehicle weighing over 10,001 lbs. gross vehicle weight rating in interstate commerce
  • Transport more than 8 passengers for hire, or over 15 passengers not for hire
  • Convey hazardous materials demanding placards under DOT rules
  • Are employed by entities regulated under DOT agencies like FMCSA, FAA, FRA, FTA, or USCG, where DOT medical certification is necessary
Ensure inclusion in St. Louis, VA.

DOT Physical Near St. Louis, MO

Nearby Testing Centers in Missouri

Kansas City, MO

Springfield, MO

Columbia, MO

Independence, MO

Lee's Summit, MO

O'fallon, MO

St. Joseph, MO

St. Charles, MO

St. Peters, MO

What to bring with you to a DOT Physical?

  • Government-issued photo ID
  • 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 in St. Louis, KS

What happens if I fail a DOT Physical?

  • Without a medical card
  • Face temporary barring
  • Doctor-referred treatment needed
  • FMCSA exceptions for specific conditions
  • Notifying your employer
  • Next steps: fix health issues and retake exam

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Visual acuity worse than 20/40 in either eye (even with glasses), difficulty identifying traffic lights, or inability to hear a whispered voice within 5 feet.
  • Blood Pressure & Heart Disease: Severe hypertension (≥180/110 mmHg), recent heart attack or stroke, unstable angina, or an unapproved defibrillator.
  • Diabetes: Frequent hypoglycemic events or complications like neuropathy impacting driving safety from uncontrolled diabetes.
  • Sleep Apnea & Respiratory Issues: Untreated sleep apnea resulting in daytime sleepiness or severe lung conditions affecting breathing.
  • Neurological Disorders: Epilepsy or seizures (unless exempt), conditions causing sudden blackouts or involuntary tremors.
  • Substance Abuse: Current illegal drug use, alcohol abuse, or misuse of prescription drugs affecting motor skills.
  • Psychiatric & Cognitive Disorders: Severe mental health issues (e.g., uncontrolled schizophrenia) or cognitive deficits harming decision-making skills.

Some conditions may temporarily prevent certification until resolved with documentation (e.g., controlled blood pressure). Other issues, like unmanaged seizures, usually lead to permanent ineligibility under FMCSA norms.

References:
- FMCSA Medical Examiner Physical Qualification Standards (§391.41)
- 49 CFR Part 391 - Qualification of Drivers
- Medical Examiner's Handbook
- FMCSA Driver Exemptions

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St. Louis DOT Physicals

Certified DOT physicals with quick, reliable exams to keep St. Louis, 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

Quick, Polite, Informative

Everyone has been quick to respond, polite, informative. It's been easy to order tests. I would recommend them to anyone to use.

April Rogers - 2/15/2025

Very helpful

They were very helpful in finding a place to get tested on the route back home! They made a difficult time seem easy with no judgement!

Anne Creden - 11/19/2024

ADT was able to get me the best tests

Dealing with allegation’s of drug use that completely false is stressful, ADT was able to get me the best tests, going back the farthest in the same day with as little hassle as possible, I spoke with 1 person and wasn’t transferred once, and they took my payment, and got me my work order for a clinic as close as possible for the service I needed. 5*

Christopher Hansis - 12/19/2024

Great service

Great service easy use quick processing! Need a hair follicle for my DCFS case , quick and convenient!

Jesse Dupre - 4/12/2025

Fast and easy

It was fast and easy a pleasure to talk to the customer service people great service

Peter Villegas - 1/19/2025

Extremely pleasant

Initially Torrie helped me but I needed to call back. When I called back Kayla stepped in and finished my order. Both were extremely pleasant over the phone and provided wonderful customer service. Kudos to them!

Brynne Beverly - 4/19/2024

Super Easy to Schedule

Super easy to schedule and get what you need, weather for a job, personal, or court ordered! I believe I spoke with Justine who was helpful in answering all my questions and stayed on the phone with me until she was sure I was all set and got the emails I needed.

Mandy Ryan - 12/14/2024

Reception is kind and helpful

Reception is kind and helpful , everything quick and simple , best urgent care

Yusuf Narmuradov - 11/19/2024

Extremely polite

They were very fast extremely polite walked you through every detail of the process if you had any questions they had no problems answering

Billy Williams - 2/19/2025

test was quick and easy

Company New Hire Employee Process for DOT Drug test was quick and easy. No need to make appt. All employee had to do is show prepaid qr code I sent to employee show ID and was set. Would Recommend.

Maria Lopez - 11/19/2024


(800) 221-4291