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Accredited Drug Testing provides all-encompassing drug and alcohol assessments at our 32 centers in Haleiwa, Hawaii. Our services include DOT and non-DOT urine analysis, breathalyzer tests, EtG alcohol evaluation, and hair drug screenings for personal, corporate, or legal purposes. In Haleiwa, HI, we deliver prompt test results and use SAMSA certified labs; same-day service is an option with most centers conveniently located nearby. We also conduct Occupational Health Testing, Clinical Testing, and Background Verification Services.
Reach us at (800) 221-4291 or register through our website. Choose your required test and find the closest center for individual, employee, or third-party testing. Organizing a test is quick and straightforward—contact our scheduling team or book online any time, day or night. Our efficient and intuitive system enables hassle-free drug testing arrangements near Haleiwa.
* 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 Haleiwa 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, Haleiwa in Honolulu County reported a 12% increase in opioid overdoses.
Methamphetamine arrests comprised 60% of drug-related crimes in Haleiwa, Honolulu County, in 2022.
In Haleiwa, Honolulu County, 18% of high school students reported using illicit drugs in 2022.
The year 2022 saw a 30% rise in drug rehabilitation enrollments in Haleiwa, Honolulu County.
Prescription drug misuse was reported by 10% of adults in Haleiwa, Honolulu County, in 2022.
Haleiwa, Honolulu County, experienced a 15% decline in opioid prescriptions in 2022.
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 Haleiwa, HI, have adopted strict drug testing policies to ensure workplace safety and productivity. Many companies require pre-employment drug screening and random tests, in line with guidelines from the Hawaii Health Department. Such measures aim to deter drug use among employees.
To maintain a drug-free workplace, businesses often conduct training and educational programs about the repercussions of substance abuse. Employers are supported by the federal Substance Abuse and Mental Health Services Administration, which provides resources and best practices for workplace drug policies.
The government in Haleiwa, HI, has implemented several initiatives to combat drug problems. Through partnerships with the City and County of Honolulu, they focus on prevention, treatment, and enforcement strategies. Initiatives include education programs in schools and community outreach.
The state government of Hawaii, via the Hawaii Health Department, also supports efforts by funding treatment centers and developing recovery programs. Regular task forces meet to assess and respond to the changing landscape of drug use in the region.
Recent drug busts in Haleiwa, HI, underscore the community's proactive approach to tackling drug-related activities. In early 2023, local law enforcement, in collaboration with the Honolulu Police Department, confiscated significant quantities of methamphetamine, resulting in multiple arrests.
Furthermore, community-led initiatives, such as drug take-back events, are organized regularly to safely dispose of unused medications. These events are crucial in preventing prescription drugs from being misused, thereby curbing addiction in the community.
Accredited Drug Testing offers fast, reliable employment screening services in Haleiwa, HI. Trusted by employers nationwide for accurate results and exceptional service.
Hawaii Island Recovery
Hooikaika Health
Hina Mauka
Kapolei Ke Hill
SAMHSA
Hawaii Health Department
Pearl City Rehab
Alcohol and Drug Abuse Division
Drug Rehab Hawaii
The Coleman Institute
Quickly find trusted local drug testing centers in Haleiwa, HI — fast, convenient, and reliable every time!
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Time was running out before my Cdl got downgraded because of a violation I had on clearinghouse. I couldn't find an employer to send me for my return to duty test, but these guys had my test scheduled and done in the same day! They saved my cdl. Thank you again!
Michael Williams - 12/2/2024
I always have a good experience setting up company driver drug screens through ADT. I'm really happy I found them while searching online, they have made my job much easier.
Exodus Heath - 2/13/2025
I use their service for new hire and DOT employee's. Spoke with Taisha Walker this morning, and she was very helpful. She made the process smooth and seamless.
Christina Galdos - 3/9/2025