What US Gateway does

US Gateway is a cloud-based SaaS platform purpose-built for Third-Party Administrators (TPAs) and Consumer Reporting Agencies (CRAs) to manage drug, alcohol, and occupational health testing programs. The platform provides electronic test ordering, real-time result tracking from collection through Medical Review Officer review, automated random pool and consortium management, Driver Qualification (DQ) file management, a built-in CRM, and billing automation with QuickBooks Online and Authorize.net integrations. It is differentiated by claimed full integration with all four major SAMHSA-certified laboratories in the United States — Quest Diagnostics, Labcorp, eScreen (Abbott-Alere), and Clinical Reference Laboratory (CRL) — providing access to more than 20,000 collection sites and 3,000+ exam clinic locations nationwide. The 2025 launch of Dynamic AI Scheduling layers an optimization engine over the four-lab network to select collection sites based on price, proximity, test panel availability, and employer preferences in under 60 seconds.

The platform is operated as the proprietary software of US Drug Test Centers and is privately held with no disclosed external funding, parent company, or institutional investors. Revenue is generated through a combination of subscription/usage-based platform fees for TPAs and CRAs and transactional fees on laboratory testing and occupational health services routed through the integrated networks. Go-to-market is an enterprise field sales motion targeting TPAs, CRAs, DOT-regulated employers, and transportation/fleet operators with scheduled demos, white-label client portals, and bundled full-time Medical Review Officer services. Marketing is primarily content-driven (educational blog, SEO-optimized feature pages) supplemented by industry conference participation (TazWorks LIVE 2026) and channel partnerships with dominant CRA platforms (TazWorks, AccioData). Geographic scope is domestic US only; there is no disclosed international expansion and no disclosed customer logos, headcount, or revenue figures.

Name

US Gateway

Legal name

US Gateway

Website

https://usgateway.com

Company type

Private

Operating status

Operating

Short description

US Gateway is a cloud-based SaaS platform that enables Third-Party Administrators and Consumer Reporting Agencies to manage drug, alcohol, and occupational health testing programs through full integration with all four major US SAMHSA-certified laboratories.

Ownership category

akta.pro rank

Product category

TPA/CRA Drug Testing Management Software

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Lab Data Exchange & Interoperability (HL7/FHIR/LDT Results Delivery) (HLACAMAL)

akta.pro secondary industry

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

Keywords

• Drug testing software
• TPA management platform
• DOT compliance software
• Laboratory integration platform
• Occupational health management

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Platform Subscription/Usage: Cloud-based SaaS platform providing drug and alcohol testing management services to TPAs and CRAs. Revenue generated through platform usage for ordering tests, managing compliance, and billing across integrated laboratory networks. Support for multiple billing cycles indicates subscription plus transaction-based elements.
2. Laboratory Testing Services: Facilitates ordering and coordination of drug tests, alcohol tests, and occupational health services through integrated lab networks. Platform routes orders to Quest, Labcorp, CRL, and eScreen based on AI analysis of price, proximity, and requirements.
3. Occupational Health Services: Integrated occupational health module offering DOT physicals, TB testing, vaccinations, vision/hearing exams, fit testing, and pulmonary function testing through partnerships with CRL, eScreen, and eNational Testing networks.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

US Gateway provides a cloud-based SaaS operating system for Third-Party Administrators (TPAs) and Consumer Reporting Agencies (CRAs) to manage workplace drug, alcohol, and occupational health testing programs. The platform integrates with all four major SAMHSA-certified laboratories (Quest Diagnostics, Labcorp, eScreen, and CRL) and provides AI-powered scheduling, electronic Chain of Custody forms, automated random/consortium pool administration, built-in CRM, billing automation, DQ file management, and DOT compliance tools across 20,000+ collection sites nationwide.

Product overview

US Gateway is a cloud-based TPA/CRA operating system — a single unified platform designed specifically for third-party administrators and consumer reporting agencies managing drug and alcohol testing programs. The core US Gateway Platform integrates with all four major SAMHSA-certified laboratories (Quest Diagnostics, Labcorp, eScreen, and CRL), providing access to 20,000+ collection sites nationwide. The portfolio includes AI Scheduling (for automated lab selection optimization), Electronic Ordering (e-CCF workflow), Fast Results (real-time tracking and MRO integration), Randoms & Consortiums (automated pool management), Built-In CRM (client relationship management), Accounting Efficiency (billing automation with QuickBooks and Authorize.net integration), DQ Files (FMCSA-compliant driver qualification management), Occupational Health Testing (physical exams, TB testing, vaccinations, and more), and DOT Compliance Management. These modules work together within the central platform to streamline the entire testing workflow from ordering through results delivery, billing, and compliance documentation.

Differentiator

Problem solved

Functional benefit

Products and services

• US Gateway Platform Cloud-based SaaS operating system for Third-Party Administrators (TPAs) and Consumer Reporting Agencies (CRAs) that manages the full drug, alcohol, and occupational health testing workflow. Integrates with all four major SAMHSA-certified laboratories (Quest Diagnostics, Labcorp, eScreen, and CRL) to provide electronic ordering, real-time result tracking, AI-powered scheduling, automated random/consortium pool administration, built-in CRM, billing automation, DQ file management, and DOT compliance tools through a single centralized dashboard. Targets TPAs, CRAs, DOT-regulated employers, transportation and fleet operators, and multi-site employers in the United States.

Quantifiable outcome

• Scheduling time reduced from 15-30 minutes per donor (manual/phone) to under 60 seconds (AI-powered)
• +3 more outcomes

Segments5 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration12 records

AI capability3 records

Feature8 records

Partnerships

Twelve partnerships are on record, tiered core and flagship.

• Quest DiagnosticscoreTechnology or IntegrationFull integration with Quest Diagnostics workplace drug testing and occupational health network. Enables electronic ordering, collection monitoring, specimen tracking, and results delivery through US Gateway platform. Quest provides one of the most expansive workplace drug testing networks in the US.
• LabcorpcoreTechnology or IntegrationFull integration with Labcorp for workplace drug testing and screening workflows. Users can place orders, monitor specimen status, access chain-of-custody documentation, and receive results directly in US Gateway platform.
• Clinical Reference Laboratory (CRL)coreTechnology or IntegrationFull integration with CRL for enterprise-level connectivity supporting compliance-driven workplace drug testing. Enables test ordering, collection monitoring, event documentation, and results within US Gateway platform.
• eScreen (Abbott-Alere)coreTechnology or IntegrationFull integration with eScreen for drug testing and occupational health services management within US Gateway platform. Allows electronic service initiation, status visibility, and results access directly in platform.
• TazWorksflagshipTechnology or IntegrationIntegration extends drug and alcohol testing connectivity into TazWorks background screening platform. CRAs gain access to all four of US Gateway's lab partners within TazWorks' TazCloud infrastructure for streamlined lab selection and centralized ordering workflows.
• Accio DataflagshipTechnology or IntegrationIntegration connects US Gateway drug/alcohol testing platform with Accio Data's background screening software. CRAs gain access to all four lab partners within single site map for ordering testing and occupational health services.
• Samba SafetycoreTechnology or IntegrationIntegration expands transportation screening capabilities by connecting to Samba Safety's Motor Vehicle Records (MVRs) and CDLIS reporting services. Enables electronic ordering of driver record screening within US Gateway platform.
• Authorize.netcoreTechnology or IntegrationIntegration provides secure, seamless payment processing. Authorize.net supports electronic payment workflows allowing clients to process transactions and route funds through connected merchant account for settlement to business bank account.
• QuickBooks OnlinecoreTechnology or IntegrationIntegration supports efficient customer invoicing and billing workflows through QuickBooks Online. Streamlines invoice creation, customer billing, and payment reconciliation by allowing billing data to flow between systems.
• US DQ FilescoreTechnology or IntegrationPartnership with US DQ Files provides trucking companies and transportation providers with secure, accurate Driver Qualification (DQ) Files management plus equipment tracking for DOT compliance with FMCSA regulations.
• SAMHSAcoreOthersPlatform integrates with SAMHSA-certified laboratories for compliant drug testing. All four integrated labs (Quest, Labcorp, CRL, eScreen) hold SAMHSA certification.
• Medical Review Officers (MROs)coreTechnology or IntegrationFull-time MRO service included with platform. Licensed physicians provide medical review and verification of drug tests with real-time result delivery as tests are completed.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• eScreen (Abbott): eScreen, part of Abbott, is one of the four SAMHSA-certified labs integrated into US Gateway and offers its own workplace drug-testing platform and electronic custody form system. It is comparable both as a US Gateway integration partner and as a competing platform offering employers direct eCCF-based drug testing workflows.
• Checkr: Checkr is a technology-driven background screening platform serving enterprises, gig-economy platforms, and CRAs. While primarily focused on background screening rather than the TPA drug-testing niche US Gateway serves, it is comparable as a modern CRA-facing software platform with API-driven workflows and embedded integrations.
• Quest Diagnostics: Quest Diagnostics operates one of the largest US workplace drug-testing and occupational health laboratory networks and is one of US Gateway's four core integrated labs. Quest's employer-direct portal and TPA-facing services represent both an integration dependency and a potential source of direct competition for US Gateway's platform layer.
• Labcorp: Labcorp operates a major US workplace drug-testing laboratory network with its own employer-facing ordering and results platform and is one of US Gateway's four core integrated labs. It overlaps with US Gateway's value proposition in serving employer and TPA customers for drug testing program management.

Direct peers

• Sterling: Sterling is one of the largest background screening and drug testing service providers in North America, offering integrated screening platforms for employers and CRAs. It overlaps with US Gateway on TPA-style drug testing program management and CRA-facing technology, with broader scale across the screening value chain.
• TazWorks: TazWorks offers TazCloud, a widely adopted background-screening platform for CRAs, and is US Gateway's flagship integration partner. The two systems are comparable as platform layers serving CRAs and TPAs, with US Gateway providing lab integration and TazWorks providing broader screening workflow technology.
• Accio Data: Accio Data provides background screening software used by CRAs and is a flagship integration partner of US Gateway. The platforms are comparable as CRA-facing operating systems for background screening and drug testing workflows; they coexist through partnership but represent adjacent software choices for CRA customers.
• DISA: DISA is a leading provider of workplace screening and substance abuse testing program management services, operating as a TPA serving DOT-regulated and safety-sensitive employers. It competes directly with US Gateway in providing integrated drug testing, occupational health, and compliance management services to employer customers.
• HireRight: HireRight is a global provider of background screening and drug testing services with employer-facing technology platforms. It is comparable to US Gateway as a competing TPA- and CRA-style platform offering integrated drug testing program management at greater scale and geographic breadth.

Regional players

• Samba Safety: Samba Safety is a US-based provider of MVR and CDLIS reporting services for transportation screening, integrated into US Gateway's platform. It is comparable as a complementary technology provider serving DOT-regulated employers and fleets through the same compliance ecosystem.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

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 US Gateway