Toxicology

The toxicology department provides a 24/7/365 comprehensive menu of services to physician’s offices, treatment centers, and other hospitals throughout Maine and Vermont.  Drug testing is a valuable tool to determine which drug, or combination of drugs, a person may have ingested.  These results not only aid the emergency room physician in making a diagnosis but can also aid the healthcare provider monitoring compliance in drug rehabilitation programs or pain management clinics.  Our laboratory uses the latest technology for drug testing, including Liquid Chromatography Tandem Mass Spectrometry (LCMSMS).  We are the only lab in the state of Maine performing in-house drug confirmation testing by LCMSMS for diagnostic and treatment purposes. Our staff members are all ASCP-certified medical laboratory scientists and NRCC-certified toxicologists with years of training and experience in toxicology.  Assistance is always available for interpreting test results, recommending specimen collection times, and for general consultation.  ALI’s quality assurance program includes participation in proficiency testing surveys. 

Our services include:

  • Emergency qualitative screens and quantitative drug testing 24 hours a day, seven days a week for emergency rooms, physician offices, and clinics
  • Rapid urine screening test option for immediate turnaround times for Amphetamines, Barbiturates, Benzodiazepines, Cocaine metabolite, Marijuana (cannabinoids), EDDP (Methadone Metabolite), Opiates, and Oxycodone performed by immunoassay (Directory)
  • Substance of Abuse screen for all the drugs offered in the Rapid Urine Screen plus: Butalbital, Cocaine, Codeine, Hydrocodone, Meperidine, Methadone, Morphine, Pentobarbital, Phenobarbital, Methylenedioxypyrovalerone (MDPV) and alpha-pyrrolidinopentiophenone (alpha-PVP) (Bath Salts) (Directory)
  • More comprehensive urine screening tests for drugs of abuse and/or prescription drugs, including Amphetamine, Benzodiazepines, Cocaine metabolite, Marijuana, Methadone, Opiates, Oxycodone, Tramadol, Venlafaxine or any combination of these or over 30 other substances performed by immunoassay and gas chromatography mass spectrometry (Directory)
  • Urine confirmation tests, including Benzodiazepines (such as Valium, Xanax, and Klonopin) (Directory), Opiates (such as oxycodone and heroin (6-MAM) (Directory),  and Methylphenidate (Ritalin) (Directory) performed by Liquid Chromatography Tandem Mass Spectrometry (LCMSMS) 
  • Serum ethanol testing (Directory) by gas chromatography, with additional tests available for acetone (Directory), isopropanol (Directory), and methanol (Directory)
  • Comprehensive therapeutic drug monitoring for patients on medication
  • Immunosuppressant (such as Tacrolimus (Directory) and Cyclosporine A (Directory)) drug monitoring for organ transplant patients by LCMSMS

Contact Toxicology: (207) 973-6955