Our automated scheduling system is available 24/7. Order your test online and receive your donor/registration pass by email. Click Here
Same Day Service
Accredited Drug Testing delivers all-encompassing drug and alcohol screening services from our 35 testing centers located in Toms Brook, Virginia. We conduct both DOT and non-DOT urine drug tests, breath alcohol assessments, EtG alcohol tests, and hair drug analyses for a variety of clients including individuals, employers, and legal entities. Rapid results and SAMSA-certified laboratory analysis are offered in Toms Brook, VA. Most testing sites are conveniently located just minutes away from your home or workplace, with same-day service available. We also provide Occupational Health Testing, Clinical Testing, and Background Verification services.
Contact us at (800) 221-4291 or register through our website. Choose your preferred test and a nearby center—suitable for self-testing, employees, or other individuals. You can effortlessly schedule a test by calling our booking department or online, anytime. Our efficient and intuitive process simplifies drug test scheduling in Toms Brook, ensuring convenience.
* 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 Toms Brook 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 Toms Brook, Shenandoah County, 15% of adults reported illicit drug use in 2022.
Shenandoah County recorded a 12% increase in opioid-related overdoses in 2021.
Toms Brook saw a 20% rise in drug-related arrests in 2022 compared to the previous year.
In 2021, 8% of residents in Shenandoah County reported misuse of prescription drugs.
Toms Brook accounted for 5% of Shenandoah County's drug-related emergency visits in 2021.
Heroin was involved in 37% of drug overdose deaths in Shenandoah County in 2021.
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 Toms Brook, VA, adhere to rigorous drug testing policies to ensure a safe workplace environment. These policies often include pre-employment drug screenings and random testing during employment, aligning with standards set forth by the U.S. Department of Labor. The goal is to mitigate substance abuse issues affecting employee productivity and safety.
Additionally, businesses encourage employees to utilize resources from the Virginia Prevention Works initiative, offering education about substance abuse and support for recovery. Such measures also include employee assistance programs designed to provide counseling and intervention services in collaboration with local healthcare providers.
The government of Toms Brook, VA has actively addressed drug problems by implementing collaborative initiatives with Shenandoah County authorities. The town participates in programs facilitated by Virginia’s Department of Housing and Community Development, focusing on increasing awareness through campaigns and education workshops. Furthermore, state-level efforts, such as those by the Commonwealth's Attorney Office, aim to reduce availability and demand for illicit drugs.
At the federal level, local government takes part in the Substance Abuse and Mental Health Services Administration grants designed to combat the opioid crisis. Additional support comes from the U.S. Department of Justice to enhance drug enforcement and prevention measures in Shenandoah County, including Toms Brook.
Local law enforcement in Toms Brook, VA, has conducted several notable drug busts in recent years. In 2022, a coordinated effort led to the arrest of multiple individuals involved in distributing narcotics in the Shenandoah County area. The operation, conducted by the Shenandoah County Sheriff's Office, resulted in the seizure of significant quantities of illegal substances and firearms, as part of ongoing efforts to dismantle drug trafficking networks in the region.
Additionally, community events, such as drug take-back days, are frequently organized in Toms Brook to encourage the safe disposal of expired or unused medications. These events, supported by local authorities and the Drug Enforcement Administration, aim to reduce the risk of prescription drug misuse and raise community awareness about substance abuse issues.
Accredited Drug Testing offers fast, reliable employment screening services in Toms Brook, VA. Trusted by employers nationwide for accurate results and exceptional service.
Virginia Department of Health
Virginia Department of Social Services
NCADD of Virginia
Bridging the Gap
St. Vincent de Paul Village Virginia
Addiction Center Virginia
Virginia Recovery Center
The Council of Southeast Virginia
Quickly find trusted local drug testing centers in Toms Brook, VA — fast, convenient, and reliable every time!
Quickly find a local DOT drug testing center in Toms Brook, VA — fast, reliable, convenient nationwide service!
DNA testing for legal and non-legal purposes including child support, and child custody around Toms Brook, VA.
Including specimen collector training, DER training, reasonable suspicion training and much more in Toms Brook, VA.v
Get fast, accurate hair drug testing at our convenient Toms Brook, VA locations—results you can trust, every time!
Fast, reliable alcohol testing to keep your workplace safe and compliant every single day in Toms Brook, VA.
Reliable nationwide drug testing services ensuring accuracy, compliance, and quick results for businesses and individuals in Toms Brook, VA.
Accurate 5 panel drug testing with fast, confidential results—trusted by Toms Brook, VA employers and individuals nationwide.
Comprehensive 10 panel drug testing with fast, reliable results—trusted for Toms Brook, VA workplace and personal testing needs.
Convenient on-site mobile drug testing with fast, reliable results—saving time while keeping your Toms Brook, VA workplace compliant.
Certified DOT physicals with quick, reliable exams to keep Toms Brook, VA drivers compliant and on the road with confidence.
Join our DOT consortium for hassle-free compliance, random testing management, and reliable driver safety solutions.
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