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Accredited Drug Testing delivers a complete suite of drug and alcohol screening options at 40 testing sites in the Cleveland, Alabama vicinity. We cater to both DOT and non-DOT urine drug tests, breath alcohol exams, EtG alcohol measurements, and hair drug assessments for personal, employer, and legal purposes. In Cleveland, AL, we offer swift result testing and utilize SAMSA certified labs—enabling same-day service, with most centers conveniently located close to residential or business areas. We also provide Occupational Health Testing, Clinical Evaluations, and Background Verification services.
Reach out at (800) 221-4291 or register via our website. You can effortlessly select the test type and pick a nearby facility—tests are open for you, your employees, or another individual. Arranging a test is Quick and Simple; contact our scheduling department or set up your appointment online at any hour. Our efficient and accessible system ensures you can set up drug testing near Cleveland with ease.
* You must register by phone or online to receive your donor pass/registration prior to proceeding to the testing center. You must bring a valid government issued ID along with the registration/barcode number which was sent to you by email.
When you're searching for drug testing near me or drug testing locations, we provide a simple and convenient process to find a drug and alcohol testing location near you that is certified to provide all of your drug and alcohol testing needs.
At our Cleveland drug testing collection sites, Accredited Drug Testing provides one of the widest selections of drug and alcohol testing services available. Whether you're an employer, attorney, court, or private individual, we offer both DOT and non-DOT testing options—ranging from rapid tests to comprehensive lab-based screenings—capable of detecting nearly any substance.
DOT Drug Testing and Requirements
DOT Employer Drug Policy Development
If you're an employer needing to test 25 or more employees and looking to save time and money, we offer mobile on-site drug testing where we come to you. Call us today for more information.
In 2021, Cleveland, Blount County reported a 15% increase in opioid-related overdoses.
Methamphetamine arrests accounted for 40% of drug-related crimes in Cleveland, Blount County in 2022.
The rate of drug-related emergency room visits in Cleveland, Blount County rose by 20% between 2019 and 2022.
Fentanyl was involved in 25% of drug overdose deaths in Cleveland, Blount County in 2020.
In 2023, 18% of high school students in Cleveland, Blount County reported using illicit drugs.
Drug elimination is the sum of the processes of removing an administered drug from the body. In the pharmacokinetic ADME scheme (absorption, distribution, metabolism, and excretion), it is frequently considered to encompass both metabolism and excretion. Hydrophobic drugs, to be excreted, must undergo metabolic modification making them more polar. Hydrophilic drugs, on the other hand, can undergo excretion directly, without the need for metabolic changes to their molecular structures.
Although many sites of metabolism and excretion exist, the chief organ of metabolism is the liver, while the organ primarily tasked with excretion is the kidney. Any significant dysfunction in either organ can result in the accumulation of the drug or its metabolites in toxic concentrations.
A variety of other factors impact elimination — intrinsic drug properties, such as polarity, size, or pKa. Also other factors include genetic variation among individuals, disease states affecting other organs, and pathways involved in the way the drug distributes through the body, such as first-pass metabolism.
Drug elimination is the removal of an administered drug from the body. It is accomplished in two ways, either by excretion of an unmetabolized drug in its intact form or by metabolic biotransformation followed by excretion. While excretion is primarily carried out by the kidneys, other organ systems are involved as well. Similarly, the liver is the primary site of biotransformation, yet extrahepatic metabolism takes place in a variety of organ systems affecting multiple drugs.
Given the multiple organ systems and the variety of metabolic transformations present, drug elimination can entail a significant degree of complexity. Hydrophilic drugs are typically directly excreted by the kidneys, while hydrophobic drugs undergo biotransformation before excretion. The purpose here is twofold – biotransformation serves both detoxify the exogenous substances as well as to increase their hydrophilicity, ensuring their elimination via the kidneys.
Two broad metabolic pathways of hepatic drug transformation exist. Phase I is the direct modification of the target molecule, whereas phase II entails conjugation of the target to a polar molecule of low molecular weight. Phase I prepare the drug to enter phase II, but single-phase metabolism also exists.
Phase I involves oxidation, reduction, and hydrolysis of the exogenous molecule. These reactions are accomplished by hepatic microsomal enzymes, which reside in the smooth endoplasmic reticulum of the hepatocytes. Best known among them is the cytochrome P450 system, whose enzymes are predominantly involved in oxidative metabolism. Within the cytochrome P450 family (CYP), the enzyme responsible for the metabolism of more than 50% of existing drugs is the CYP3A4. Its activity encompasses various classes of medications, including opioids, immunosuppressants, antihistamines, and benzodiazepines. The enzymes can also be induced or inhibited by a variety of substances they interact with, including pharmaceuticals. The increase in metabolic activity with CYP induction results in a diminished activity of drugs targeted by that particular isoform. Conversely, CYP inhibition will result in increased drug plasma concentration, potentially leading toxicity. The CYP3A4 is induced by phenytoin, phenobarbital, and St. John's wort, while diltiazem, erythromycin, and grapefruit inhibit it. Caution is, therefore, necessary when administering CYP3A4-metabolized drugs in the presence of any of the inhibitors or inducers.
Phase II consists of covalent bonding of polar groups to nonpolar molecules to render them water-soluble and allow renal or biliary excretion. Target molecules enter phase II directly or via initial processing through phase I. A variety of polar adjuncts is transferred, including amino acids, glucuronic acid, glutathione, acetate, and sulfate. Glucuronidation is one of the major pathways of phase II biotransformation. The UDP-glucuronosyltransferase (UGT) enzyme family performs this activity. Typically, glucuronide derivatives possess less or no activity of the original drug, but in some cases, pharmacologically active compounds result. Morphine-6-glucuronide is a phase II metabolite of morphine with significant analgesic activity. As with the CYP enzymes, inducers, and inhibitors of phase II, enzymes exist and may influence the efficacy of drugs that rely on conjugation before excretion.
The first-pass effect is a feature of hepatic metabolism that also plays a role in the elimination of multiple drugs. Here, the enteric consumed drugs are exposed directly to the liver via the portal vein, where they undergo biotransformation before entering the systemic circulation. This activity reduces the bioavailability and needs to be factored into the dose administered to the patient. Intravenously administered drugs are not subject to the first-pass effect.
Extrahepatic drug metabolism takes place in the GI tract, kidneys, lungs, plasma, and skin.
Renal excretion completes the process of elimination that begins in the liver. Polar drugs or their metabolites get filtered in the kidneys and typically do not undergo reabsorption. They subsequently get excreted in the urine. Urinary pH has a significant impact on excretion, as drug ionization changes depending on the alkaline or acidic environment. Increased excretion occurs with weakly acidic drugs in basic urine and weakly basic drugs in acidic urine.
Excretion in the bile is another significant form of drug elimination. The liver can actively secrete ionized drugs with a molecular weight greater than 300 g/mol into bile, from where they reach the digestive tract and are either eliminated in feces or reabsorbed as part of the enterohepatic cycle.
Other pathways of excretion include the lungs, breast milk, sweat, saliva, and tears
Employers in Cleveland, AL, including those in manufacturing and service industries, have implemented stringent drug testing policies to ensure a drug-free workplace. Random drug testing is commonly practiced, and pre-employment screenings are standard procedures. This is in compliance with guidelines set by the Alabama Department of Labor, which can be visited here.
The goal of these policies is not only to maintain a safe and productive working environment but also to deter drug use among employees. Employers often partner with local health departments to provide educational sessions on the impact of drug use and its consequences in the workplace, thus promoting a healthier community overall.
The government of Cleveland, AL, along with Blount County authorities, has been actively working to combat drug abuse through various initiatives. The Blount County Sheriff's Office works closely with federal agencies to enhance enforcement efforts. Public health departments are playing a crucial role in conducting awareness campaigns, aiming to educate residents about the dangers of drug abuse and available help resources.
The Alabama Department of Mental Health, accessible via this link, provides resources for substance abuse treatment and prevention. Local initiatives, supported by federal grants, have been launched to provide rehabilitation services and support recovery programs designed to reduce drug dependency and prevent future substance abuse in the community.
In recent months, law enforcement agencies in Cleveland, AL, and Blount County have conducted several successful operations targeting drug trafficking networks. A significant drug bust in early 2023 led to the seizure of large quantities of methamphetamine and fentanyl, disrupting the local supply chain and leading to numerous arrests.
Community involvement in reporting suspicious activities has been crucial in these efforts, highlighting the cooperation between residents and authorities. Educational forums and drug take-back events have also been organized to raise awareness and reduce the presence of unused prescription drugs that might otherwise circulate illegally.
Accredited Drug Testing offers fast, reliable employment screening services in Cleveland, AL. Trusted by employers nationwide for accurate results and exceptional service.
SAMHSA National Helpline
Alabama Department of Public Health - Substance Abuse
Alabama Office of Drug Control Policy
Alabama Law Enforcement Agency
Mental Health America - Alabama
Blount County Sheriff's Office
The White House Office of National Drug Control Policy
National Association for Children of Addiction
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Trish last week and Tatiana this week, very fun and easy folks to deal with. Well be using them more and more in the future.
Tom O - 12/19/2024
Trish was amazing and got me through the sytem very fast and swift. I had a hard time hearing her a couple of times, but she was super sweet and helpful throughout the process. Highly recommend her!
Sophia Schutze - 6/19/2024
I've had to use this service twice for out of state physicians we've hired and both times it was super easy. Both customer service reps I spoke with were super helpful and courteous. I won't hesitate to use their service again if needed.
Alicia Rau - 6/19/2024