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At 29 testing centers around Birmingham, Alabama, Accredited Drug Testing delivers extensive drug and alcohol evaluations. Our offerings include both DOT and non-DOT urine screenings, breath and EtG alcohol exams, plus hair tests for drugs, catering to personal, corporate, and legal requirements. Birmingham residents benefit from swift testing services and SAMSA-certified lab analysis, plus convenient same-day service, with most centers close to your home or workplace. We also provide Occupational Health, Clinical Testing, and Background Verification services.
Reach out at (800) 221-4291 or register online, choose your test, and select a nearby site—ideal for personal, employee, or third-party needs. Enjoy quick and simple scheduling, either through our helpline or by using our 24/7 online booking system. Our easy process ensures drug testing within Birmingham is a breeze.
* 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 Birmingham 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
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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 2020, Jefferson County, where Birmingham is located, reported a 25% increase in opioid overdose deaths.
A 2021 survey found that 12% of high school students in Birmingham reported using illicit drugs at least once a month.
In 2022, Birmingham accounted for over 40% of drug-related hospital admissions in Jefferson County.
Birmingham's heroin-related overdose deaths increased by 18% from 2019 to 2021.
In 2023, Birmingham's drug court program reported a 15% increase in successful treatment completions compared to 2022.
Jefferson County's opioid prescription rate in 2021 was over 90 prescriptions per 100 residents.
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 Birmingham, AL, are adopting drug testing policies to create safe and productive work environments. Many companies adhere to guidelines provided by the U.S. Department of Labor, which offers resources on maintaining a drug-free workplace. These policies often include pre-employment drug screening and random drug tests to ensure compliance among employees.
Several Birmingham-based organizations also collaborate with the Substance Abuse and Mental Health Services Administration (SAMHSA) to promote health and safety standards. Local chambers of commerce frequently host workshops on the benefits and legal considerations of drug testing policies, supporting employers in their efforts to address drug use within the workforce.
The Birmingham city government has been actively working to combat drug issues through various programs. The Birmingham City Hall collaborates with local organizations to provide education and resources for drug prevention. Additionally, the Alabama Department of Mental Health implements statewide initiatives aimed at reducing drug abuse by offering counseling services and treatment facilities.
Further efforts include the participation in federal initiatives such as the Drug Enforcement Administration (DEA) programs to curb the trafficking and availability of illicit substances in Birmingham. The city law enforcement agencies also partner with the Office of Justice Programs for grants that fund community-driven strategies to address drug-related issues.
Birmingham, AL has been part of multiple drug-related incidents, sparking a rise in community concerns. In recent events, local law enforcement has successfully executed several drug busts, unveiling a network of illegal substances moving through neighborhoods. These operations have led to numerous arrests, shedding light on the persistence of drug trafficking in the area, and prompting ongoing investigations.
Recent crackdowns by the Birmingham Police Department have focused on combating the opioid crisis. Officers have been actively involved in intercepting the distribution of dangerous substances, with heroin and methamphetamine being frequent targets. Their diligent efforts have resulted in the confiscation of large quantities, thus preventing significant potential harm within the community.
Several community outreach programs have been initiated in response to these drug busts, aiming to increase awareness and provide support to affected families. Local organizations have joined forces with law enforcement to address the root causes of drug abuse and offer educational programs to deter young people from substance experimentation, hoping to foster a safer environment for Birmingham's residents.
Accredited Drug Testing offers fast, reliable employment screening services in Birmingham, AL. Trusted by employers nationwide for accurate results and exceptional service.
Alabama Department of Public Health
Freedom House Recovery Center
The Foundry Ministries
Diocese of Birmingham Resource Links
Alabama Addiction and Recovery Resources
Bridge Recovery Center
Right Steps Inc
JBS Mental Health Authority
Chilton-Shelby Mental Health
Chelsea Counseling Center
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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