DOT Physical Exams - Appalachia, VA

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With 29 testing centers in the Appalachia area, we offer drug and alcohol testing for employment, probation and DOT requirements. Additional services include DOT consortium enrollment, DNA Testing and background checks. Order your tests and services online or call (800) 221-4291.

(800) 221-4291

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29 DOT Drug-Testing Centers in Appalachia

Minutes Away, Test Today

507 W Main St

0.22 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
507 W Main St
Appalachia, VA 24216
Call (800) 221-4291 Get Donor Pass

1418 Park Ave Nw

8.00 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1418 Park Ave Nw
Norton, VA 24273
Call (800) 221-4291 Get Donor Pass

310 3rd St Ne

9.24 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
310 3rd St Ne
Norton, VA 24273
Call (800) 221-4291 Get Donor Pass

517 W Main St

12.02 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
517 W Main St
Wise, VA 24293
Call (800) 221-4291 Get Donor Pass

295 Wharton Ln Ne

12.21 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
295 Wharton Ln Ne
Norton, VA 24273
Call (800) 221-4291 Get Donor Pass

18880 N Us Highway 119

13.94 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
18880 N Us Highway 119
Cumberland, KY 40823
Call (800) 221-4291 Get Donor Pass

240 Hospital Rd

14.39 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
240 Hospital Rd
Whitesburg, KY 41858
Call (800) 221-4291 Get Donor Pass

357 Main St

14.73 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
357 Main St
Whitesburg, KY 41858
Call (800) 221-4291 Get Donor Pass

226 Medical Plaza Ln

15.30 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
226 Medical Plaza Ln
Whitesburg, KY 41858
Call (800) 221-4291 Get Donor Pass

Us Hwy 58

16.93 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
Us Hwy 58
Jonesville, VA 24263
Call (800) 221-4291 Get Donor Pass

100 Main St

17.00 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
100 Main St
Saint Charles, VA 24282
Call (800) 221-4291 Get Donor Pass

127 Health Care Dr

18.07 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
127 Health Care Dr
Pennington Gap, VA 24277
Call (800) 221-4291 Get Donor Pass

1800 Combs Rd Medical Arts Bldg. #2, Suite 12

18.07 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1800 Combs Rd Medical Arts Bldg. #2, Suite 12
Pennington Gap, VA 24277
Call (800) 221-4291 Get Donor Pass

1800 Combs Rd Ste 7

18.37 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1800 Combs Rd Ste 7
Pennington Gap, VA 24277
Call (800) 221-4291 Get Donor Pass

101 Chad St

22.85 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
101 Chad St
Evarts, KY 40828
Call (800) 221-4291 Get Donor Pass

State Highway 63

25.83 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
State Highway 63
Saint Paul, VA 24283
Call (800) 221-4291 Get Donor Pass

16419 Wise St

25.85 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
16419 Wise St
St. Paul, VA 24283
Call (800) 221-4291 Get Donor Pass

16559 Riverside Dr

25.91 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
16559 Riverside Dr
Saint Paul, VA 24283
Call (800) 221-4291 Get Donor Pass

111 W Stone Dr Ste 110

27.09 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
111 W Stone Dr Ste 110
Kingsport, TN 37660
Call (800) 221-4291 Get Donor Pass

105 W Stone Dr Ste 1j

27.09 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
105 W Stone Dr Ste 1j
Kingsport, TN 37660
Call (800) 221-4291 Get Donor Pass

135 W Ravine Rd Ste 1-b

27.52 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
135 W Ravine Rd Ste 1-b
Kingsport, TN 37660
Call (800) 221-4291 Get Donor Pass

1101 E Stone Dr

28.01 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
1101 E Stone Dr
Kingsport, TN 37660
Call (800) 221-4291 Get Donor Pass

2020 Brookside Dr Ste 20

28.67 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2020 Brookside Dr Ste 20
Kingsport, TN 37660
Call (800) 221-4291 Get Donor Pass

2534 Mendota Rd

29.70 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
2534 Mendota Rd
Mendota, VA 24270
Call (800) 221-4291 Get Donor Pass

123 E Central St

30.17 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
123 E Central St
Harlan, KY 40831
Call (800) 221-4291 Get Donor Pass

3041 Shipley St

30.28 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
3041 Shipley St
Kingsport, TN 37664
Call (800) 221-4291 Get Donor Pass

59 Cowtown Rd

31.38 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
59 Cowtown Rd
Hindman, KY 41822
Call (800) 221-4291 Get Donor Pass

217 Lovern St

32.80 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
217 Lovern St
Hazard, KY 41701
Call (800) 221-4291 Get Donor Pass

120 Professional Ln Ste 101

33.11 mi
🕑 Mon–Fri: 8:00 AM – 4:00 PM✓ Walk-in with Electronic Donor Pass
120 Professional Ln Ste 101
Harlan, KY 40831
Call (800) 221-4291 Get Donor Pass

Appalachia, VA DOT Physical - What You Need to Know

A DOT physical is an all-encompassing health assessment mandated by the Department of Transportation for every commercial motor vehicle (CMV) operator. This examination establishes that drivers are physically, mentally, and emotionally capable of maneuvering large vehicles safely on public highways. A certified medical examiner, listed on the National Registry of Certified Medical Examiners, conducts the exam. Success in this exam awards the driver a DOT medical certificate, necessary to keep a valid CDL license as per FMCSA guidelines. If another DOT agency regulates you and you're unsure which DOT physical you require, call us at 800-221-4291.

During your exam, the medical examiner will complete a thorough health assessment to determine if you meet the Federal Motor Carrier Safety Administration (FMCSA) medical standards. The process typically includes:

What Does a DOT Physical Include?

Health History Review
Vision Test

Hearing Test
Urinalysis

Vital Signs
Physical Examination

DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available


What is checked in a DOT Physical?

  • Health history review and medication assessment
  • Vision screening (corrective lenses allowed; minimum standards apply)
  • Hearing assessment (forced whisper test or audiometry)
  • Blood pressure and pulse rate
  • Physical examination (systems review)
  • Urinalysis (specific gravity, protein, glucose)

Upon successful completion, your Medical Examiner's Certificate (MEC) may be issued for up to 24 months. Some conditions may require shorter certification or specialist documentation, especially in Appalachia, VT.

Who needs a DOT Physical?

You must have a valid DOT medical certificate (card) if you:

  • Have a commercial driver's license (CDL) - class A, B, or C for interstate commerce
  • Drive a vehicle over 10,001 lbs. GVWR in interstate commerce
  • Transport more than 8 passengers (for hire) or more than 15 passengers (not for hire)
  • Transport hazardous materials that require placarding under DOT regulations
  • Work for employers regulated by DOT agencies such as FMCSA, FAA, FRA, FTA or USCG where DOT medical qualification is required in Appalachia, KS

DOT Physical Near Appalachia, VA

Riverview, VA

Saint Charles, VA

Clinchport, VA

Lignum, VA

Fort Blackmore, VA

Duffield, VA

Dryden, VA

Wise, VA

Norton, VA

Keokee, VA

Stonega, VA

Big Stone Gap, VA

What to bring with you to a DOT Physical?

  • Official photo id
  • Prescription glasses/contacts and related prescription
  • Medication list & dosages
  • CPAP usage records (if relevant)
  • Specialist authorizations (e.g., cardiology, sleep apnea, diabetes)
  • Recent A1C/blood pressure data if monitored

Remember, in Appalachia, NC, ensuring all these necessary materials are brought can smooth the health clearance process.

What happens if I fail a DOT Physical?

  • No Medical card will be issued
  • Temporary disqualification applies
  • Directed treatment with your general practitioner
  • FMCSA exceptions for particular medical concerns
  • Informing the employer
  • Follow-up actions involve tackling health issues and re-attempting the examination
Appalachia, ID.

What Will Fail a DOT Physical?

Medical Conditions That Can Fail a DOT Physical

  • Vision & Hearing: Vision worse than 20/40 in each eye (with correction), inability to distinguish traffic signal colors, or hearing loss that prevents hearing a forced whisper at 5 feet.
  • Blood Pressure & Heart Disease: Uncontrolled hypertension (≥180/110 mmHg), recent heart attack, stroke, uncontrolled angina, or an implanted defibrillator without clearance.
  • Diabetes: Uncontrolled diabetes with frequent low blood sugar episodes or complications (neuropathy, vision impairment) that interfere with safe driving.
  • Sleep Apnea & Respiratory Issues: Untreated obstructive sleep apnea causing daytime drowsiness, or severe lung disease impairing oxygenation.
  • Neurological Disorders: Epilepsy/seizure disorders (unless exempted), conditions causing sudden loss of consciousness, dizziness, or uncontrolled tremors.
  • Substance Abuse: Current use of illegal drugs, alcohol dependence, or misuse of prescription medications that impair driving.
  • Psychiatric & Cognitive Disorders: Severe uncontrolled psychiatric illness (e.g., schizophrenia, bipolar disorder with recent episodes) or cognitive impairment affecting judgment and reaction time.

Temporary vs. Permanent Disqualification: Some issues may only temporarily disqualify you until you provide medical clearance or documentation (e.g., controlled blood pressure, diabetes management). Others, such as untreated seizure disorders or implanted defibrillators, are generally considered permanently disqualifying under FMCSA rules.

References:
- FMCSA Medical Examiner Physical Qualification Standards (§391.41)
- 49 CFR Part 391 - Qualification of Drivers
- Medical Examiner's Handbook
- FMCSA Driver Exemptions

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Appalachia On Site Drug Testing

Convenient on-site mobile drug testing with fast, reliable results—saving time while keeping your Appalachia, VA workplace compliant.

Appalachia DOT Physicals

Certified DOT physicals with quick, reliable exams to keep Appalachia, VA drivers compliant and on the road with confidence.

DOT Consortium

Join our DOT consortium for hassle-free compliance, random testing management, and reliable driver safety solutions.


Frequently Asked Questions

A DOT physical typically includes a review of the driver’s health history and medications, vision screening, hearing assessment, vital signs (blood pressure, pulse), urinalysis (checking specific gravity, protein, glucose), and a full physical examination by a certified medical examiner. Upon passing, a Medical Examiner’s Certificate (DOT medical card) may be issued for up to 24 months.
You must have a valid DOT medical certificate if you: hold a commercial driver’s license (CDL) Class A, B or C for interstate commerce; operate a vehicle over 10,001 lbs GVWR in interstate commerce; transport more than eight passengers (for hire) or over fifteen passengers (not for hire); or transport hazardous materials requiring placarding under DOT regulations.
DOT physicals are offered at test centres in all cities and all states, through Accredited Drug Testing’s nationwide network. You can schedule by calling 1-800-221-4291.
You should bring a government-issued photo ID; glasses or contact lenses and the prescription; a list of medications and dosages; CPAP usage data if applicable; and any specialist clearance letters or physician documentation (for conditions like heart disease, sleep apnea, diabetes) to your DOT physical.
If you fail the DOT physical, you will not receive the medical card; you may be temporarily or permanently disqualified depending on the condition; you will need to address any medical issues (e.g., uncontrolled hypertension, untreated sleep apnea, recent myocardial infarction) and then be re-examined.

Customer Reviews

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Where do I start?!! ADT is truly the best!! I had the pleasure of speaking with Tori today! She was excellent, professional and truly went above and beyond in her kind, compassionate care and commitment to providing me with the best service possible. I was in such a time crunch, but I was able to call, order the test, pay for it over the phone and get the test I needed within the hour. Not only did this put my mind at ease, they saved my job!! I am forever grateful for this team of hard workers, that care, with such great work ethics! Thank you from the very bottom of my heart!!! If you need a drug, alcohol, etc… screening, this team will be your lifesavers!!

Sarah Patterson - 4/8/2025

phone support has been excellent

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(800) 221-4291