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Accredited Drug Testing delivers extensive screening for drugs and alcohol through 19 facilities around Bismarck, North Dakota. We handle DOT and non-DOT urine drug screening, breath alcohol analysis, EtG alcohol tests, and hair drug tests tailored for various individual and organizational requirements, including legal purposes. We ensure swift results via SAMSA-certified lab analysis, along with same-day services; most testing sites in Bismarck are conveniently accessible from your residence or workplace. Other services entail Occupational Health Testing, Clinical Examinations, and Background Screening.
Reach out at (800) 221-4291 or sign up online. Simply pick your test type and a convenient location nearby—services are accessible for individuals, employers, or others. Organizing a test is swift and straightforward; connect with our scheduling department or set up your test online any time, any day. Our efficient and intuitive system lets you effortlessly coordinate drug testing in Bismarck.
* 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 Bismarck 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 Bismarck, Burleigh County, 15% of adults reported illicit drug use in 2022.
The overdose death rate in Bismarck, Burleigh County, was 20 per 100,000 people in 2022.
Bismarck, Burleigh County, saw a 10% increase in drug-related arrests in 2022 compared to 2021.
In 2022, 25% of high school students in Bismarck, Burleigh County, reported trying an illegal drug.
Emergency room visits due to drug overdoses in Bismarck, Burleigh County, rose by 12% in 2022.
Bismarck, Burleigh County, experienced a 5% rise in rehabilitation admissions for drug abuse 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
In Bismarck, ND, many employers have implemented drug testing policies as part of their hiring and employment practices. These policies often include pre-employment screenings, as well as random drug tests for current employees to ensure a safe and productive workplace. These measures are particularly common in sectors such as healthcare, transportation, and construction.
Local companies in Bismarck also adhere to the guidelines set by federal agencies, such as the Department of Transportation, which mandates drug testing for safety-sensitive positions. Employers often rely on external testing services to carry out these procedures in compliance with legal regulations. More details about occupational safety and health guidelines can be found on the Occupational Safety and Health Administration website.
Furthermore, the Bismarck Mandan Chamber EDC provides resources for local businesses on maintaining a drug-free work environment. They offer guidance on crafting effective drug policies and conducting employee assistance programs. For more information, visit the Bismarck Mandan Chamber EDC.
The Bismarck city government has intensified its efforts to combat drug problems through various initiatives. One key measure is the collaboration with the Burleigh County Public Health Department to increase accessibility to rehabilitation services and educational programs. The Burleigh County Public Health Department has been instrumental in raising awareness about drug abuse and offering support to affected individuals.
Additionally, the State of North Dakota has launched statewide initiatives aimed at reducing drug abuse across the region. This includes the establishment of the North Dakota Behavioral Health Division, which oversees various programs to address substance abuse concerns. More information can be found on the North Dakota Behavioral Health Division website.
Recently, local law enforcement in Bismarck, ND has heightened efforts in dismantling drug operations. A significant bust led to the seizure of various illegal substances, highlighting the ongoing battle against drug trafficking in the area. These efforts underscore a commitment to community safety, with authorities urging citizens to report suspicious activities.
The Bismarck Police Department collaborates with state agencies to combat opioid distribution. Efforts include increased patrols and community outreach programs aiming to educate the public on the dangers of drug abuse. Such initiatives are crucial in reducing the local drug issue and supporting affected individuals in their recovery journeys.
In an effort to tackle the rise of synthetic drugs, authorities in Bismarck have introduced specialized task forces. These teams focus on tracking and prosecuting distributors, making strides in curbing the availability of these hazardous substances. Community workshops further complement these actions, emphasizing the importance of awareness and prevention.
Accredited Drug Testing offers fast, reliable employment screening services in Bismarck, ND. Trusted by employers nationwide for accurate results and exceptional service.
North Dakota DOT/Non DOT Physicals
North Dakota Department of Human Services
Stop Overdose - North Dakota
Heartview Foundation
Rehab Center - Bismarck
CHI St. Alexius Health - Drug Education Programs
Bismarck-Burleigh Public Health
North Dakota Community Support Programs
Saint Alexius - Alcohol and Drug Treatment
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This is by far the easiest way to get my lab work ordered and paid for. The phone calls are short and to the point. They don’t try to push extra sales on you and when I walk in to the clinic I simply show my donor pass and with in a matter of minutes I’m done. I will continue to use ADT in the future.
Jason Jackson - 7/19/2025
Everything was great, the staff was very polite. Thank you.
Olga Petrova - 9/19/2024
The visit here is always the best . The place is always really clean. The employees are super courteous, very polite, and professional. This is the only drug lab I like to go do my drug and alcohol test. I would like to tell them thank you so much for thier excellent performance and job
Eli Gonzalez - 1/4/2025