What Dominion Diagnostics does

Dominion Diagnostics LLC is a U.S. clinical laboratory founded in 1997 and headquartered in North Kingstown, Rhode Island. The company specializes in clinical quantitative urine drug testing and medication monitoring, serving healthcare organizations across five primary verticals: Medication-Assisted Treatment and Opioid Treatment Programs (MAT/OTP), substance use disorder treatment providers, pain management providers, behavioral health programs, and health plans. The core product set spans four laboratory modalities — Urine Drug Testing (UDT), Oral Fluid Testing, Urine STI Testing, and Blood Testing — delivered as a single-source laboratory solution with industry-low detection limits and rapid turnaround times.

The technical foundation is a clinical laboratory testing platform wrapped in a proprietary web-based client portal called DominionConnect, which interfaces with over 100 different EHR systems through Change Healthcare integration. On top of the core testing services, Dominion layers add-on modules including an Automated Randomization Tool for compliance-driven specimen selection, Dynamic Results Reports backed by clinically validated references, Treatment Outcome Reports, and a Customizable Test Menu. Adjacent services include a Telehealth Solutions offering, real-time clinical consultation from an in-house pharmacist team, education and training programs, and a client services operation with dedicated account representatives and a self-serve supplies ordering channel.

Commercially, Dominion operates as a private, founder-owned LLC (founder Frank A. Fornari) with no disclosed institutional investment beyond a single 2010 funding round of $8.3M. Revenue is generated through per-test laboratory services, recurring subscription access to the portal and connectivity layer, and transaction-fee supply sales, with pricing handled via direct sales outreach rather than public disclosure. The go-to-market is a sales-led enterprise motion targeting healthcare organizations and health plans, supported by direct phone sales, white-glove client support, content marketing, and clinical training programs. The company holds no publicly listed patents, awards, or regulatory actions in the source materials and operates exclusively in the United States.

Name

Dominion Diagnostics

Legal name

Dominion Diagnostics LLC

Website

https://dominiondiagnostics.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Dominion Diagnostics is a U.S. clinical laboratory founded in 1997 that delivers quantitative urine drug testing, oral fluid testing, urine STI testing, and blood testing to substance use disorder treatment, pain management, behavioral health, and health plan customers via its DominionConnect portal and 100+ EHR integrations.

Ownership category

akta.pro rank

Product category

Clinical Toxicology Laboratory Services

NAICS

Medical Laboratories (621511), Medical and Diagnostic Laboratories (62151)

SIC

Services-Medical Laboratories (8071)

akta.pro primary industry

Central Laboratory Services (Core Lab Operations) (HLAGAEAA)

akta.pro secondary industries

Clinical Biomarker Testing Services (central labs, trial enrollment/monitoring assays) (HLAAAMAC), At-Home Lab Testing & Diagnostics-Integrated Virtual Care (HLALAAAE)

Keywords

• Clinical laboratory services
• Urine drug testing
• Toxicology screening
• Medication monitoring
• Substance use disorder testing

Headquarters

HQ city

North Kingstown

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales

Revenue model

1. Laboratory Testing Services: Revenue from comprehensive drug testing services including urine drug testing, oral fluid testing, urine STI testing, and blood testing. Services provided to healthcare organizations on a per-test or subscription basis.
2. Supply Sales: Sales of specimen collection supplies, shipping materials, and related equipment needed for in-clinic sample collection and testing protocols.
3. Portal and Connectivity Services: Online portal access for ordering, results reporting, and clinical decision support. Includes EMR/EHR integration services.

Go-to-market motion2 records

Distribution channels5 records

Marketing channels8 records

Core offering

Dominion Diagnostics is a clinical laboratory that performs quantitative urine drug testing, oral fluid testing, urine STI testing, and blood testing for medication monitoring and substance use disorder treatment programs. Services are supported by the proprietary DominionConnect portal, customizable test menus, and EMR/EHR integration with over 100 EHR systems via Change Healthcare.

Product overview

Dominion Diagnostics is a clinical laboratory offering a platform-plus-services portfolio centered on toxicology testing for substance use disorder, pain management, and behavioral health providers. The core offering spans four laboratory testing products — Urine Drug Testing, Oral Fluid Testing, Urine STI Testing, and Blood Testing — supported by a proprietary DominionConnect Portal that provides connectivity to over 100 EHR systems via Change Healthcare integration. On top of the core platform, the company layers add-on modules including an Automated Randomization Tool, Dynamic Results Reports, Treatment Outcome Reports, and a Customizable Test Menu. Adjacent services include Telehealth Solutions, a Clinical Pharmacist Team for real-time consultation, Education & Training programs, and Client Services & Supplies. The product portfolio is designed as an integrated workflow: providers order via the portal or supplies, submit specimens, receive actionable clinical reports, and can access pharmacist support — all within a single laboratory partner.

Differentiator

Problem solved

Functional benefit

Products and services

• Urine Drug Testing (UDT)

Quantifiable outcome

• Industry-low detection limits for medication monitoring
• +2 more outcomes

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature6 records

Partnerships

One partnership is on record.

• Change HealthcarecoreTechnology or IntegrationDominion Diagnostics utilizes Change Healthcare integration capabilities to interface with over 100 different EHR systems. This integration enables seamless connectivity between Dominion's laboratory testing services and healthcare provider electronic medical record systems, facilitating efficient order entry and results reporting workflows.

Scale indicators1 record

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• ARUP Laboratories: Major academic and reference laboratory offering toxicology and clinical drug monitoring among a broad specialty test menu. Competes with Dominion for hospital and large health system toxicology contracts.
• Laboratory Corporation of America (Labcorp): Major national clinical laboratory with established toxicology and medication monitoring services. Competes with Dominion for SUD treatment programs, pain practices, and health plan toxicology contracts.
• Quest Diagnostics: One of the two largest U.S. clinical laboratory networks, offering a broad menu including urine drug testing, oral fluid, and toxicology. Serves overlapping provider and payer segments as Dominion and competes on the same UDT, pain management, and SUD testing RFPs.

Direct peers

• Clinical Pathology Laboratories (CPL): Regional clinical laboratory offering toxicology and medication monitoring for healthcare providers. Competes for pain management and substance use testing orders across overlapping geographies.
• Precision Diagnostics: Specialty toxicology laboratory providing urine drug testing and medication monitoring services. Overlaps with Dominion in serving SUD treatment providers and pain management practices.
• Millennium Health: Specialty clinical laboratory focused on clinical drug testing and medication monitoring via urine and oral fluid. Direct competitor for SUD treatment, pain management, and behavioral health toxicology work.
• Aegis Sciences Corporation: Nashville-based specialty toxicology laboratory known for medication monitoring and drug testing for SUD and pain management. Closely comparable in vertical, customer base, and test menu to Dominion.
• Ameritox (now part of Millennium Health): Historically a leading UDT provider to pain management physicians, now operating under Millennium Health. Closely comparable in target customer (chronic pain prescribers), test menu, and reports positioning.

Emerging players

• Alcala Labs (Pathology Inc.): Specialty toxicology and clinical laboratory focused on medication monitoring and UDT services for SUD and pain management. Comparable niche positioning but smaller scale than Dominion.

Regional players

• Sonora Quest Laboratories: Southwest-anchored clinical laboratory network offering toxicology and drug testing. Comparable service line but with concentrated regional coverage versus Dominion's broader national reach.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/domdiag
• YouTubeyoutube.com/@domdiag
• Facebookfacebook.com/domdiag
• LinkedInlinkedin.com/company/dominion-diagnostics

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds1 record

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Dominion Diagnostics