$70 Flat Rate • Walk-Ins Welcome • Same-Day Certification

8415 Pineville-Matthews Road, Suite 102, Charlotte, NC 28226

Monday–Friday 9:00am–5:00pm • Saturday 9:00am–12:00pm

✓ Why Commercial Drivers Travel from Across the Carolinas to See Us

We regularly serve commercial drivers who travel from across North Carolina and South Carolina for their DOT physicals, including drivers from Raleigh, Greensboro, Winston-Salem, Asheville, Wilmington, Durham, Fayetteville, Columbia SC, Greenville SC, and Spartanburg SC. Drivers choose our clinic because of our transparent $70 flat rate, same-day certification, FMCSA expertise across complex medical conditions, and our 35-year reputation in commercial driver medical examinations. Our two examiners understand FMCSA medical standards in depth, handle borderline and complicated cases with precision, and coordinate directly with treating physicians and specialists when documentation requires clarification.

🩺 DOT Medical Examinations — $70 Flat Rate

Our core service is the complete FMCSA physical qualification examination required by 49 CFR Part 391. Each exam includes vision screening to confirm 20/40 acuity in each eye, hearing assessment using FMCSA forced-whisper or audiometric standards, blood pressure measurement, urinalysis for glucose and protein, cardiovascular evaluation, respiratory assessment, musculoskeletal review, and a thorough medical history interview. We examine drivers against each medical standard in the FMCSA Medical Examiner’s Handbook and issue certification for the appropriate duration based on driver health. Most drivers qualify for 24-month certification, though drivers with managed conditions such as hypertension or insulin-treated diabetes may receive 12-month or shorter certificates requiring periodic monitoring.

After a qualifying examination, drivers receive their laminated Medical Examiner’s Certificate (MCSA-5876) before leaving our office. Our examiners submit results electronically to the FMCSA National Registry within one hour, and we provide a printed certificate for immediate proof of certification. Complete exams typically take 30 to 45 minutes from check-in to departure. Walk-ins are welcome during business hours, and we reserve priority appointment slots for scheduled fleet drivers and drivers traveling from out of town.

DOT Physical Details → Medical Conditions →

🚚 Fleet & Employer Services

Charlotte DOT Exam Center provides comprehensive fleet compliance programs for trucking companies, delivery services, school bus operators, Amazon DSPs, FedEx Ground ISPs, UPS contractors, and independent fleet managers throughout the Charlotte region. Our fleet services address the specific compliance obligations under 49 CFR 391.51, which requires employers to verify and maintain current DOT medical certificates for every commercial driver. We offer volume pricing for fleets with sixteen or more drivers, automated expiration tracking with notifications at 60, 30, and 14 days before certificate expiration, same-day new hire processing to minimize onboarding delays, and electronic delivery of Medical Examiner’s Certificates within four hours of examination.

Fleet accounts receive dedicated coordination through a single point of contact, batch reporting for groups of drivers examined together, and documentation support for Driver Qualification Files. We accommodate high-volume hiring during peak seasons including Amazon Prime Day, holiday peak for delivery services, and back-to-school for school bus operators. Our capacity expands during these periods with extended hours and consecutive-day scheduling for 10 to 50 drivers. No contracts or minimum commitments are required. Setup takes a single phone call with your business name, DOT number (if applicable), fleet size, and billing contact.

Fleet Services → DQF Requirements →

🧪 DOT Drug and Alcohol Testing — $140 (or $200 Combined)

We provide complete DOT-compliant drug and alcohol testing under 49 CFR Part 40 and 49 CFR Part 382. Our 5-panel DOT drug test screens for marijuana (THC), cocaine, amphetamines including methamphetamine and MDMA, opioids including codeine, morphine, hydrocodone, oxycodone, and heroin, and phencyclidine (PCP). All specimens are analyzed by LabCorp, an HHS-certified laboratory, with positive results reviewed by a certified Medical Review Officer before final reporting. We conduct pre-employment, random, post-accident, reasonable suspicion, return-to-duty, and follow-up testing for drivers and fleets. Our standalone DOT drug test is $140, and we offer a combined DOT physical and drug test package at $200, saving drivers and employers $10 versus scheduling separately.

Fleet accounts receive Clearinghouse query coordination, with guidance through the FMCSA Drug and Alcohol Clearinghouse reporting process. We maintain mobile collection availability for on-site testing at Charlotte-area terminals, supporting post-accident urgent testing when drivers cannot travel to our office. Our collection process follows federal chain-of-custody protocols with rapid screening results available in 20 minutes for negative specimens and laboratory-confirmed results within 24 to 48 hours for specimens requiring GC-MS confirmation.

Drug Testing Details → FMCSA Clearinghouse →

📋 Medical Conditions Resource Library

Our Medical Conditions Resource Library provides detailed certification guidance for sixty-plus medical conditions that affect DOT qualification. Each condition page explains the specific FMCSA medical standard, required documentation, specialist referral pathways when needed, certification duration implications, and strategies for meeting qualification requirements. Common conditions include hypertension (with thresholds of 140/90 for two-year certification, 140-159/90-99 for one-year certification, and 180/110 as disqualifying until treated), insulin-treated diabetes with the MCSA-5870 exemption process, sleep apnea with CPAP compliance documentation requirements, cardiovascular conditions including cardiac stents and pacemakers, and neurological conditions including seizure history.

We also maintain detailed guidance for sensory impairments including vision below 20/40 (with pathways to federal vision waivers), hearing impairment (including the FMCSA hearing exemption program established in 2013), and mental health conditions. Our examiners work closely with treating physicians and specialists when documentation requires clarification, often coordinating directly to resolve certification questions in a single appointment rather than requiring multiple return visits. Drivers with complex medical histories should review the relevant condition pages before scheduling to ensure they bring appropriate documentation.

Browse Medical Conditions →

Required for Every Driver

• Valid government-issued photo ID (driver’s license, passport, or state ID)
• Current glasses or contact lenses if worn for driving