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Accredited Drug Testing provides an array of drug and alcohol testing services at 34 locations around Cleveland, Virginia. Offered tests include both DOT and non-DOT urine drug screening, breath and EtG alcohol tests, along with hair drug analysis for individual, corporate, or legal reasons. Our Cleveland, VA centers facilitate quick result tests and SAMSA-approved lab evaluations; most sites are conveniently close to your residence or workplace with same-day service options. We also cover Occupational Health Tests, Clinical Testing, and Background Check services.
To schedule a test, call (800) 221-4291 or visit us online. Choose the needed test and a convenient location nearby—catering to personal needs, employee checks, or other individuals. Booking is quick and straightforward with our 24/7 online scheduling or by contacting our booking team. Our seamless approach makes setting up drug screening in Cleveland hassle-free.
* 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.
Cleveland, VA saw a 15% increase in opioid-related incidents in 2022, highlighting a growing concern in Russell County.
In 2022, Russell County reported 25 drug overdose deaths, with the majority occurring within Cleveland, VA.
The number of drug-related arrests in Cleveland, VA increased by 10% from 2021 to 2022, according to local police data.
Russell County, which includes Cleveland, reported 120 incidents of opioid abuse in 2022.
Approximately 7% of Cleveland, VA residents reported some form of substance misuse in a 2022 community health survey.
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
Many employers in Cleveland, VA, have adopted strict drug testing policies to maintain workplace safety. Compliance with U.S. Department of Labor guidelines is crucial for businesses to avoid liability and ensure employee well-being.
Local employers often require pre-employment drug screenings and conduct random tests to deter substance abuse among employees. Moreover, businesses collaborate with Russell County health services to provide support and counseling to employees facing addiction issues.
Employers work alongside the Occupational Safety and Health Administration (OSHA) to ensure that their drug-free workplace programs comply with safety standards, fostering an environment of responsibility and well-being.
The government of Cleveland, VA, along with Russell County authorities, has ramped up efforts to combat the drug crisis. Initiatives include expanded drug education programs in schools and increased funding for local Virginia Department of Behavioral Health services. The state of Virginia supports these efforts through legislative measures aimed at curbing opioid distribution.
Cleveland, VA continues to collaborate with state agencies to establish rehabilitation centers. The partnership with Virginia Department of Health is pivotal in ensuring a coordinated response to the drug epidemic, facilitating better tracking of drug-related cases and arranging statewide public health campaigns.
Recent drug busts in Cleveland, VA, highlight the ongoing battle against illicit drug trafficking in Russell County. Law enforcement agencies worked closely with the Virginia State Police to dismantle a major drug ring operating in the area, resulting in multiple arrests.
The Cleveland Police Department has increased patrolling in known hot spots for drug activity, leading to several significant seizures of narcotics this year. These efforts, in collaboration with neighboring jurisdiction units, have been instrumental in curbing the trafficking of illegal substances.
An increased number of community outreach events organized by the police and Department of Justice are focused on educating the public about dangers and prevention measures. These events help to build trust and encourage community involvement in drug prevention strategies.
Accredited Drug Testing offers fast, reliable employment screening services in Cleveland, VA. Trusted by employers nationwide for accurate results and exceptional service.
Virginia Alcohol Safety Action Program
Virginia Recovery Connection
Virginia Association of Local Human Service Officials
VDH Substance Abuse Prevention
Virginia Department of Behavioral Health
SAMHSA National Helpline
Rappahannock Rapidan Community Services Board
Narconon Virginia Stats
Virginia DBHDS Resources
The Coalition
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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