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  5. MEDTOX LABORATORIES, INC.

MEDTOX LABORATORIES, INC.

Headquarter

Company Details

Name: MEDTOX LABORATORIES, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Foreign)
Status: Active / In Good Standing
Date formed: 09 Jan 1996 (29 years ago)
Company Number: 05e717fb-b3d4-e011-a886-001ec94ffe7f
File Number: 78930
Registered Office Address: 2780 Snelling Avenue N, Suite 101, Roseville, MN 55113, USA
ZIP code: 55113
County: Ramsey County
Place of Formation: Delaware

Links between entities

Type Company Name Company Number State
Headquarter of MEDTOX LABORATORIES, INC., CONNECTICUT 0272327 CONNECTICUT
Headquarter of MEDTOX LABORATORIES, INC., ILLINOIS CORP_56559027 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDTOX LABORATORIES, INC. 401(K) PLAN 2012 521130579 2013-11-13 MEDTOX LABORATORIES, INC. 1301
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621510
Sponsor’s telephone number 6516286171
Plan sponsor’s mailing address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112
Plan sponsor’s address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name MEDTOX LABORATORIES, INC.
Plan administrator’s address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112
Administrator’s telephone number 6516286171

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-11-13
Name of individual signing LISA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-13
Name of individual signing LISA STARR
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC. 401(K) PLAN 2012 521130579 2013-10-15 MEDTOX LABORATORIES, INC. 851
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621510
Sponsor’s telephone number 6516286171
Plan sponsor’s mailing address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112
Plan sponsor’s address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name MEDTOX LABORATORIES, INC.
Plan administrator’s address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112
Administrator’s telephone number 6516286171

Number of participants as of the end of the plan year
Active participants 736
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 563
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 999
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 37

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing LISA STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing LISA STARR
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC. 401(K) PLAN 2011 521130579 2012-10-05 MEDTOX LABORATORIES, INC. 814
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621510
Sponsor’s telephone number 6516286138
Plan sponsor’s mailing address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112
Plan sponsor’s address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name MEDTOX LABORATORIES, INC.
Plan administrator’s address 402 W. COUNTY ROAD D, ST. PAUL, MN, 55112
Administrator’s telephone number 6516286138

Number of participants as of the end of the plan year
Active participants 741
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 108
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 556
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 30

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing DEBBIE EINARSON
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC DENTAL PLAN 2011 521130579 2012-06-06 MEDTOX LABORATORIES, INC 1072
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-11-01
Business code 621510
Sponsor’s telephone number 6516367466
Plan sponsor’s mailing address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Plan sponsor’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name DEBRA LOEFFLER
Plan administrator’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Administrator’s telephone number 6516367466

Number of participants as of the end of the plan year
Active participants 575
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC LIFE/LTD PLAN 2011 521130579 2012-06-06 MEDTOX LABORATORIES, INC 623
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1992-11-01
Business code 621510
Sponsor’s telephone number 6516367466
Plan sponsor’s mailing address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Plan sponsor’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name DEBRA LOEFFLER
Plan administrator’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Administrator’s telephone number 6516367466

Number of participants as of the end of the plan year
Active participants 666

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC MEDICAL PLAN 2011 521130579 2012-06-06 MEDTOX LABORATORIES, INC 577
Three-digit plan number (PN) 501
Effective date of plan 2000-04-01
Business code 621510
Sponsor’s telephone number 6516286195
Plan sponsor’s mailing address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Plan sponsor’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name DEBRA LOEFFLER
Plan administrator’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Administrator’s telephone number 6516286195

Number of participants as of the end of the plan year
Active participants 578
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC LIFE/LTD PLAN 2011 521130579 2012-06-06 MEDTOX LABORATORIES, INC 623
Three-digit plan number (PN) 503
Effective date of plan 1992-11-01
Business code 621510
Sponsor’s telephone number 6516367466
Plan sponsor’s mailing address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Plan sponsor’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name DEBRA LOEFFLER
Plan administrator’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Administrator’s telephone number 6516367466

Number of participants as of the end of the plan year
Active participants 666

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC DENTAL PLAN 2011 521130579 2012-06-06 MEDTOX LABORATORIES, INC 1072
Three-digit plan number (PN) 502
Effective date of plan 1992-11-01
Business code 621510
Sponsor’s telephone number 6516367466
Plan sponsor’s mailing address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Plan sponsor’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name DEBRA LOEFFLER
Plan administrator’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Administrator’s telephone number 6516367466

Number of participants as of the end of the plan year
Active participants 575
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC LIFE/LTD PLAN 2011 521130579 2012-06-06 MEDTOX LABORATORIES, INC 623
Three-digit plan number (PN) 503
Effective date of plan 1992-11-01
Business code 621510
Sponsor’s telephone number 6516367466
Plan sponsor’s mailing address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Plan sponsor’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name DEBRA LOEFFLER
Plan administrator’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Administrator’s telephone number 6516367466

Number of participants as of the end of the plan year
Active participants 666

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
MEDTOX LABORATORIES, INC DENTAL PLAN 2011 521130579 2012-06-06 MEDTOX LABORATORIES, INC 1072
Three-digit plan number (PN) 502
Effective date of plan 1992-11-01
Business code 621510
Sponsor’s telephone number 6516367466
Plan sponsor’s mailing address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Plan sponsor’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112

Plan administrator’s name and address
Administrator’s EIN 521130579
Plan administrator’s name DEBRA LOEFFLER
Plan administrator’s address 402 WEST COUNTY ROAD D, ST PAUL, MN, 55112
Administrator’s telephone number 6516367466

Number of participants as of the end of the plan year
Active participants 575
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DEBRA LOEFFLER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
SANDRA D. VAN DER VAART Chief Executive Officer 531 SOUTH SPRING STREET, BURLINGTON, NC 27215, USA

Agent

Name Role
Corporation Service Company Agent

Filing

Filing Name Filing date
Global Registered Office and/or Agent - Business Corporation (Foreign) 2024-10-02
Annual Reinstatement - Business Corporation (Foreign) 2019-10-25
Business Corporation (Foreign) Other 2004-06-22
Reinstatement - Business Corporation (Foreign) 1998-01-21
Registered Office and/or Agent - Business Corporation (Foreign) 1998-01-21
Revocation - Business Corporation (Foreign) 1997-12-31
Business Corporation (Foreign) Business Name (Business Name: MEDTOX LABORATORIES, INC.) 1996-06-07
Business Corporation (Foreign) Business Name (Business Name: PSYCHIATRIC DIAGNOSTIC LABORATORIES OF AMERICA, INC.) 1996-01-09
Original Filing - Business Corporation (Foreign) 1996-01-09

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 75H71124F80159 2024-09-07 2025-06-30 2025-06-30
Unique Award Key CONT_AWD_75H71124F80159_7527_47QSWA20D007S_4732
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 23490.34
Current Award Amount 23490.34
Potential Award Amount 23490.34

Description
Title LAB SUPPLIES
NAICS Code 334515: INSTRUMENT MANUFACTURING FOR MEASURING AND TESTING ELECTRICITY AND ELECTRICAL SIGNALS
Product and Service Codes 6550: IN VITRO DIAGNOSTIC SUBSTANCES, REAGENTS, TEST KITS AND SETS

Recipient Details
Recipient MEDTOX LABORATORIES INC
UEI KVP6B95J5TB5
Recipient Address UNITED STATES, 402 COUNTY ROAD D W, SAINT PAUL, RAMSEY, MINNESOTA, 551123522
DELIVERY ORDER AWARD 75H70624F80073 2024-08-30 2025-08-31 2025-08-31
Unique Award Key CONT_AWD_75H70624F80073_7527_47QSWA20D007S_4732
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 58719.94
Current Award Amount 58719.94
Potential Award Amount 58719.94

Description
Title DRUGS OF ABUSE REAGENTS, ONE-YEAR SUPPLY, FOR THE IHS PINE RIDGE SERVICE UNIT. PERIOD OF PERFORMANCE FOR DELIVERY WILL BE BETWEEN SEPTEMBER 1, 2024 THROUGH AUGUST 31, 2025 (SEE SOW FOR DELIVERY SCHEDULE).
NAICS Code 334515: INSTRUMENT MANUFACTURING FOR MEASURING AND TESTING ELECTRICITY AND ELECTRICAL SIGNALS
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MEDTOX LABORATORIES INC
UEI KVP6B95J5TB5
Recipient Address UNITED STATES, 402 COUNTY ROAD D W, SAINT PAUL, RAMSEY, MINNESOTA, 551123522
DELIVERY ORDER AWARD 75H70623F80117 2023-09-18 2023-11-18 2024-06-14
Unique Award Key CONT_AWD_75H70623F80117_7527_47QSWA20D007S_4732
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 49350.30
Current Award Amount 49350.30
Potential Award Amount 49350.30

Description
Title THE PURPOSE OF MODIFICATION NO. P00002 IS TO DE-OBLIGATE REMAINING FUNDS AND TO ADMINISTRATIVELY CLOSE THIS PURCHASE ORDER.
NAICS Code 334515: INSTRUMENT MANUFACTURING FOR MEASURING AND TESTING ELECTRICITY AND ELECTRICAL SIGNALS
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MEDTOX LABORATORIES INC
UEI KVP6B95J5TB5
Recipient Address UNITED STATES, 402 COUNTY ROAD D W, SAINT PAUL, RAMSEY, MINNESOTA, 551123522
PURCHASE ORDER AWARD 36C26323P0531 2023-08-01 2025-07-31 2028-07-31
Unique Award Key CONT_AWD_36C26323P0531_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 52341.18
Current Award Amount 52341.18
Potential Award Amount 133649.74

Description
Title DRUG REFERRAL TEST SERVICE ADD TO RATE TABLE, INCREASE FY23FY24 AND FUTURE OPTIONS.
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: MEDICAL- PATHOLOGY

Recipient Details
Recipient MEDTOX LABORATORIES INC
UEI KVP6B95J5TB5
Recipient Address UNITED STATES, 402 COUNTY ROAD D W, SAINT PAUL, RAMSEY, MINNESOTA, 551123522
DELIVERY ORDER AWARD W81K0021F0051 2021-04-05 2025-09-30 2025-09-30
Unique Award Key CONT_AWD_W81K0021F0051_9700_47QSWA20D007S_4732
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 88913.65
Current Award Amount 108876.15
Potential Award Amount 108876.15

Description
Title URINE DRUG TESTING
NAICS Code 334515: INSTRUMENT MANUFACTURING FOR MEASURING AND TESTING ELECTRICITY AND ELECTRICAL SIGNALS
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MEDTOX LABORATORIES INC
UEI KVP6B95J5TB5
Recipient Address UNITED STATES, 402 COUNTY ROAD D W, SAINT PAUL, RAMSEY, MINNESOTA, 551123522
No data IDV 47QSWA20D007S 2020-06-16 No data No data
Unique Award Key CONT_IDV_47QSWA20D007S_4732
Awarding Agency General Services Administration
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 700000.00

Description
Title FEDERAL SUPPLY SCHEDULE CONTRACT
NAICS Code 334515: INSTRUMENT MANUFACTURING FOR MEASURING AND TESTING ELECTRICITY AND ELECTRICAL SIGNALS
Product and Service Codes 4910: MOTOR VEHICLE MAINTENANCE AND REPAIR SHOP SPECIALIZED EQUIPMENT

Recipient Details
Recipient MEDTOX LABORATORIES INC
UEI KVP6B95J5TB5
Recipient Address UNITED STATES, 402 COUNTY ROAD D W, SAINT PAUL, RAMSEY, MINNESOTA, 551123522
DELIVERY ORDER AWARD HHSI245201701407G 2017-09-26 2018-06-30 2018-06-30
Unique Award Key CONT_AWD_HHSI245201701407G_7527_GS07F0246K_4730
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 46457.76
Current Award Amount 46457.76
Potential Award Amount 46457.76

Description
Title DEOBLIGATE AND CLOSE OUT
NAICS Code 334516: ANALYTICAL LABORATORY INSTRUMENT MANUFACTURING
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MEDTOX LABORATORIES INC
UEI KVP6B95J5TB5
Recipient Address UNITED STATES, 402 W COUNTY RD D, SAINT PAUL, RAMSEY, MINNESOTA, 551123522

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SANDRA D. VAN DER VAART

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2780 Snelling Avenue N, Suite 101, Roseville, MN 55113, USA

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Date of last update: 14 Jan 2025

Sources: Minnesota's Official State Website

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