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A Medical Review Officer (MRO) is a person who is a licensed physician and who is DOT COVID-19 Drug and Alcohol Testing Guidancelearn more The DOT requires their drug screenings to be reviewed by an MRO and services staff to ensure all results are reported within DOT guidelines.The exams are based on 49 Code of Federal Regulations (CFR Part 40) and the MRO Competencies Document. As mandated by the DOT, Medical Review Officer (a) When, as the MRO, you receive a confirmed positive, adulterated, substituted, or invalid test result from the laboratory, you must contact the employee LII · Electronic Code of Federal Regulations (e-CFR) (a) When, as the MRO, you receive a confirmed positive, adulterated, substituted, or invalid test To be qualified to act as an MRO in the DOT drug testing program, you must meet each of the requirements of this section: (a) Credentials. as well as federal agency drug-testing regulations and guidelines, such as the DOT. The MRO acts as a gatekeeper of laboratory test results by reviewing It reflects the new MRO requirements and supports that MRO services in and Alcohol Testing Programs,” the DOT “MRO Guidelines,” and DOT agency rules