Highland, CA Facts, Population, Income, Demographics, Economy

Population (total): Population in 2017: 55,342 (100% urban, 0% rural). >Population change since 2000: +24.1%

Population (male): 27,281

Population (female): 28,061

Median Age: 32.9 years

Cost of Living: March 2019 cost of living index in Highland: 81.6 (low, U.S. average is 100)

Poverty (overall): Percentage of residents living in poverty in 2017: 20.1%

Poverty (breakdown): (8.7% for White Non-Hispanic residents, 20.5% for Black residents, 26.6% for Hispanic or Latino residents, 35.8% for American Indian residents, 3.3% for Native Hawaiian and other Pacific Islander residents, 34.5% for other race residents, 15.4% for two or more races residents)

Ancestries: Ancestries: American (2.5%), German (2.2%), Irish (1.7%), English (1.6%), European (1.5%), Italian (1.3%).

Elevation: 1315 feet

Land Area: 13.6 square miles.

Races:
      Hispanic - 29,256 - 52.6%
      White alone - 14,665 - 26.4%
      Asian alone - 5,228 - 9.4%
      Black alone - 4,407 - 7.9%
      Two or more races - 1,269 - 2.3%
      Native Hawaiian and Other
>Pacific Islander alone - 563 - 1.0%
      American Indian alone - 262 - 0.5%
      Other race alone - 95 - 0.2%

Goldribbon

Recognitions and Certifications

Accredited Drug Testing has been recognized as one of the "Top 10 drug testing companies" for excellent customer service and we have received TPA Accreditation from the National Drug and Alcohol Screening Association. We are active in all drug testing industry associations and our staff are trained and certified as drug and alcohol testing specialists.

Important Links

National Drug and Alcohol Screening Association (https://ndasa.com/)

National Drug Free Workplace Alliance (https://www.ndwa.org/)

Substance Abuse Program Administrators Association (https://www.sapaa.com/)

Substance Abuse Mental Health Safety Administration (https://www.samhsa.gov/)

US Drug Enforcement Administration (https://www.dea.gov/)

Office of Drug alcohol Policy Control (https://www.transportation.gov/odapc)

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Mobile Drug Testing Highland, CA

We Come To You On-Site!

Land, Air or Sea

24 Hours A Day, 7 Days A Week

Local Mobile Drug Testing and Mobile Alcohol Testing services in Highland, CA and the surrounding areas is provided at your business or other specified locations such as a Construction Site, Warehouse, Port, Office Building, Accident Scene or Hospital. Mobile Drug Testing in Highland, CA is available for DOT and NON-DOT Testing. Both laboratory analysis and instant result testing is offered.

(800) 221-4291

Request On-site Mobile Testing

How To Schedule A Mobile Drug Testing Service in Highland, CA

To schedule any type of Mobile Drug or Alcohol Test in Highland, CA, call our local scheduling department at (800) 221-4291. Information we will need includes, number of employees to be tested, type of test, preferred date and time and if the employees are DOT or NON-DOT regulated.

Mobile Drug Testing in Highland, CA

Our laboratories are SAMHSA certified and all test results are verified by our in-house licensed physicians who serve as Medical Review Officers (MRO).

Mobile drug testing is utilized in most cases by companies needing multiple employee drug tests performed on-site which will eliminate the need for employees to leave the worksite and go to a testing center; this prevents "down time".

Mobile drug testing is also available when an employer wishes to conduct a "sweep" due to reasonable suspicion of drug use in the workplace.

Mobile drug testing services are also utilized for post-accident situations for DOT and NON-DOT drug and alcohol testing requirements.

Mobile Drug Testing for Highland, CA Employers

Mobile drug testing is used by many businesses including:

  • Construction Sites
  • Motor Pool Facilities
  • Car Dealerships
  • Trucking/Transportation Companies
  • Schools
  • Sports Venues
  • Hospitals
  • Oil & Gas Drilling Sites

Mobile DOT Drug and Alcohol Testing Services in Highland, CA

We also specialize in providing Mobile/On-site Drug Testing Services for all DOT Modes including Trucking Industry (FMCSA), Maritime Industry (USCG), Aviation Industry (FAA), Public Transportation (FTA), Railroad Industry (FRA) and Pipeline Industry (PHMSA) in accordance with Part 40 of the US Department of Transportation Compliance Regulations. Additional DOT Services include Consortium Enrollment, MVR reports, Supervisor Training and Policy Manual Development. In addition, we offer a complete DOT Compliance Program for single operators and small trucking companies.

Additional DOT Services:

  • Consortium Enrollment
  • DOT Physicals
  • Supervisor Training
  • Employer Drug Policy Development
  • MVR Reports
  • Employee Training
  • Background Checks
  • FMCSA Clearinghouse Verification/Search

The Opioid Overdose Crisis

Every day, more than 130 people in the United States die after overdosing on opioids. The misuse of and addiction to opioids, including prescription pain relievers, heroin, and synthetic opioids such as fentanyl, is a serious national crisis that affects public health as well as social and economic welfare. The Centers for Disease Control and Prevention estimates that the total "economic burden" of prescription opioid misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement.

  • Roughly 21 to 29 percent of patients prescribed opioids for chronic pain misuse them.
  • Between 8 and 12 percent develop an opioid use disorder.
  • An estimated 4 to 6 percent who misuse prescription opioids transition to heroin.
  • About 80 percent of people who use heroin first misused prescription opioids.
  • Opioid overdoses increased 30 percent from July 2016 through September 2017 in 52 areas in 45 states.
  • The Midwestern region saw opioid overdoses increase 70 percent from July 2016 through September 2017.
  • Opioid overdoses in large cities increase by 54 percent in 16 states.

In the late 1990s, pharmaceutical companies reassured the medical community that patients would not become addicted to prescription opioid pain relievers, and healthcare providers began to prescribe them at greater rates. This subsequently led to widespread diversion and misuse of these medications before it became clear that these medications could indeed be highly addictive.3,4 Opioid overdose rates began to increase. In 2017, more than 47,000 Americans died as a result of an opioid overdose, including prescription opioids, heroin, and illicitly manufactured fentanyl, a powerful synthetic opioid.1That same year, an estimated 1.7 million people in the United States suffered from substance use disorders related to prescription opioid pain relievers, and 652,000 suffered from a heroin use disorder (not mutually exclusive)

Drug Testing Locations in Highland, CA

In addition to providing Mobile/On-Site Drug Testing, Accredited Drug Testing has drug testing locations in Highland, CA and the surrounding areas. Many of our drug testing centers open early and have evening hours to accommodate a person's work schedule. Our drug testing locations in Highland, CA have certified and trained drug testing specialists ready to serve your testing needs in a friendly, knowledgeable and confidential manner.

Drug testing purposes for employers include pre-employment, random selection, post-accident and reasonable suspicion. Testing purposes for individuals can include court ordered, probation, child custody or for any other personal reason.

Accredited Drug Testing is a nationwide drug testing company with testing centers in Highland, CA specializing in Drug, Alcohol, DNA testing, DOT Physicals and Background Checks.

ANYWHERE, ANYTIME!

With over 20,000 testing centers throughout the United States, Accredited Drug Testing has testing centers in all States and in most cities and towns.

Certified Mobile Drug Testing Highland, CA

All Accredited Drug Testing specialists are certified and qualified for urine, hair and saliva drug collections and breath alcohol screenings for DOT and NON-DOT Drug and Alcohol Testing.

Which Drug Testing Panel Is Right For You?

Drug test screening groups are commonly referred to as a drug testing panel. The most common panels used are a 5 panel, 10 panel and 12 panel drug tests, (panels specify how many drugs will be screened) however customized screening can be analyzed for drugs such as opiates, bath salts, synthetic cannabinoids and a wide range of prescription drugs.

What Is A Drug Test?

A drug test is a technical analysis of a biological specimen, for example urine, hair, blood, breath, sweat, and/or oral fluid/saliva to determine the presence or absence of specified parent drugs or their metabolites. Major applications of drug testing include detection of the presence of performance enhancing steroids in sport, employers and parole/probation officers screening for drugs prohibited by law (such as cannabis, cocaine, methamphetamine, and heroin) and police officers testing for the presence and concentration of alcohol (ethanol) in the blood commonly referred to as BAC (blood alcohol content). BAC tests are typically administered via a breathalyzer while urinalysis is used for the vast majority of drug testing in sports and the workplace. Numerous other methods with varying degrees of accuracy, sensitivity (detection threshold/cutoff), and detection periods exist. A drug test may also refer to a test that provides quantitative chemical analysis of an illegal drug, typically intended to help with responsible drug use.

More Information About Mobile Drug Testing in Highland, CA

Mobile Drug Testing can also provide instant drug tests, where the result is available on-site. However, if an instant test has a non-negative result the specimen will be sent to a certified laboratory for confirmation testing.

Mobile drug testing is convenient and a cost-effective method when a company has multiple employees needing a drug or alcohol test.

When providing mobile drug testing for DOT employees, Accredited Drug Testing can provide all required documentation including the Federal Chain of Custody Forms.

399 E. HIGHLAND AVE. STE 510 3.9 miles

399 E. HIGHLAND AVE. STE 510
SAN BERNARDINO, CA 92404
Categories: SAN BERNARDINO CA

2150 N Waterman Ave Ste 100b, 4.1 miles

2150 N Waterman Ave Ste 100b,
San Bernardino, CA 92404
Categories: San Bernardino CA

2101 N WATERMAN AVE 4.3 miles

2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Categories: SAN BERNARDINO CA

1850 S WATERMAN AVE 4.7 miles

1850 S WATERMAN AVE
SAN BERNARDINO, CA 92408
Categories: SAN BERNARDINO CA

328 COMMERCIAL RD 0STE 101 4.7 miles

328 COMMERCIAL RD 0STE 101
SAN BERNARDINO, CA 92408
Categories: SAN BERNARDINO CA

742 W HIGHLAND AVE 5.2 miles

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Categories: SAN BERNARDINO CA

25805 Barton Rd Ste A-104, 5.9 miles

25805 Barton Rd Ste A-104,
Loma Linda, CA 92354
Categories: Loma Linda CA

25455 BARTON RD STE A106 6.0 miles

25455 BARTON RD STE A106
LOMA LINDA, CA 92354
Categories: LOMA LINDA CA

1894 COMMERCENTER W STE 106 6.0 miles

1894 COMMERCENTER W STE 106
SAN BERNARDINO, CA 92408
Categories: SAN BERNARDINO CA

295 E Caroline St Ste D1 6.1 miles

295 E Caroline St Ste D1
San Bernardino, CA 92408
Categories: San Bernardino CA

350 TERRACINA BLVD 6.3 miles

350 TERRACINA BLVD
REDLANDS, CA 92373
Categories: REDLANDS CA

1805 MEDICAL CENTER DR 6.5 miles

1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Categories: SAN BERNARDINO CA

1461 E COOLEY DR STE 200 7.1 miles

1461 E COOLEY DR STE 200
COLTON, CA 92324
Categories: COLTON CA

935 S MOUNT VERNON AVE STE 101 7.7 miles

935 S MOUNT VERNON AVE STE 101
COLTON, CA 92324
Categories: COLTON CA

290 N 10TH ST STE 100 7.7 miles

290 N 10TH ST STE 100
COLTON, CA 92324
Categories: COLTON CA

850 E WASHINGTON ST 8.3 miles

850 E WASHINGTON ST
COLTON, CA 92324
Categories: COLTON CA

105 TERRAINA BLVD 8.5 miles

105 TERRAINA BLVD
REDLANDS, CA 92373
Categories: REDLANDS CA

PO BOX 2109 8.5 miles

PO BOX 2109
REDLANDS, CA 92373
Categories: REDLANDS CA

425 E FOOTHILL BLVD 9.0 miles

425 E FOOTHILL BLVD
RIALTO, CA 92376
Categories: RIALTO CA

34050 COUNTY LINE RD 12.0 miles

34050 COUNTY LINE RD
YUCAIPA, CA 92399
Categories: YUCAIPA CA

1760 CHICAGO AVE STE J3 12.1 miles

1760 CHICAGO AVE STE J3
RIVERSIDE, CA 92507
Categories: RIVERSIDE CA

1405 SPRUCE ST STE F 12.2 miles

1405 SPRUCE ST STE F
RIVERSIDE, CA 92507
Categories: RIVERSIDE CA

24318 HEMLOCK AVE STE E1 13.0 miles

24318 HEMLOCK AVE STE E1
MORENO VALLEY, CA 92557
Categories: MORENO VALLEY CA

9961 SIERRA AVE FL 6 13.5 miles

9961 SIERRA AVE FL 6
FONTANA, CA 92335
Categories: FONTANA CA

6485 Day St Ste 102, 14.2 miles

6485 Day St Ste 102,
Riverside, CA 92507
Categories: Riverside CA

4121 BROCKTON AVE STE 104 14.2 miles

4121 BROCKTON AVE STE 104
RIVERSIDE, CA 92501
Categories: RIVERSIDE CA

6200 BOX SPRINGS BLVD 14.2 miles

6200 BOX SPRINGS BLVD
RIVERSIDE, CA 92507
Categories: RIVERSIDE CA

13800 Heacock St Ste C134 14.5 miles

13800 Heacock St Ste C134
Moreno Valley, CA 92553
Categories: Moreno Valley CA

4646 Brockton Ave Ste 102, 14.6 miles

4646 Brockton Ave Ste 102,
Riverside, CA 92506
Categories: Riverside CA

6485 DAY ST Ste 302 15.5 miles

6485 DAY ST Ste 302
RIVERSIDE, CA 92507
Categories: RIVERSIDE CA

3600 CENTRAL AVE STE 3 16.0 miles

3600 CENTRAL AVE STE 3
RIVERSIDE, CA 92506
Categories: RIVERSIDE CA

10444 LIVE OAK AVE 16.2 miles

10444 LIVE OAK AVE
FONTANA, CA 92337
Categories: FONTANA CA

4300 CENTRAL AVE 16.3 miles

4300 CENTRAL AVE
RIVERSIDE, CA 92506
Categories: RIVERSIDE CA

3579 ARLINGTON AVE STE 300 16.3 miles

3579 ARLINGTON AVE STE 300
RIVERSIDE, CA 92506
Categories: RIVERSIDE CA

1375 CAMINO REAL STE 130 16.5 miles

1375 CAMINO REAL STE 130
SAN BERNARDINO, CA 92408
Categories: SAN BERNARDINO CA

7798 CHERRY AVE 16.6 miles

7798 CHERRY AVE
FONTANA, CA 92336
Categories: FONTANA CA

14384 SLOVER AVE 16.8 miles

14384 SLOVER AVE
FONTANA, CA 92337
Categories: FONTANA CA

16420 PERRIS BLVD STE Q 17.0 miles

16420 PERRIS BLVD STE Q
MORENO VALLEY, CA 92551
Categories: MORENO VALLEY CA

890 BEAUMONT AVE 18.9 miles

890 BEAUMONT AVE
BEAUMONT, CA 92223
Categories: BEAUMONT CA

40880 Pedder PO Box 6445 18.9 miles

40880 Pedder PO Box 6445
BIG BEAR LAKE, CA 92315
Categories: BIG BEAR LAKE CA

9300 SANTA ANITA AVE STE 104 19.2 miles

9300 SANTA ANITA AVE STE 104
RANCHO CUCAMONGA, CA 91730
Categories: RANCHO CUCAMONGA CA

599 INLAND CTR STE 105 19.2 miles

599 INLAND CTR STE 105
SAN BERNARDINO, CA 92408
Categories: SAN BERNARDINO CA

3975 JACKSON ST. STE 104 19.2 miles

3975 JACKSON ST. STE 104
RIVERSIDE, CA 92503
Categories: RIVERSIDE CA

9041 MAGNOLIA AVE STE 107B 19.2 miles

9041 MAGNOLIA AVE STE 107B
RIVERSIDE, CA 92503
Categories: RIVERSIDE CA

3865 JACKSON ST 19.3 miles

3865 JACKSON ST
RIVERSIDE, CA 92503
Categories: RIVERSIDE CA

41949 BIG BEAR BLVD 19.8 miles

41949 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
Categories: BIG BEAR LAKE CA

42002 FOX FARM RD 20.0 miles

42002 FOX FARM RD
BIG BEAR LAKE, CA 92315
Categories: BIG BEAR LAKE CA

41870 GARSTIN DR 20.0 miles

41870 GARSTIN DR
BIG BEAR LAKE, CA 92315
Categories: BIG BEAR LAKE CA

7777 MILLIKEN AVE STE A 20.0 miles

7777 MILLIKEN AVE STE A
RANCHO CUCAMONGA, CA 91730
Categories: RANCHO CUCAMONGA CA

264 N HIGHLAND SPRINGS AVE STE 5 20.3 miles

264 N HIGHLAND SPRINGS AVE STE 5
BANNING, CA 92220
Categories: BANNING CA

9405 FAIRWAY VIEW PL 20.3 miles

9405 FAIRWAY VIEW PL
RANCHO CUCAMONGA, CA 91730
Categories: RANCHO CUCAMONGA CA

4325 E GUASTI RD 20.5 miles

4325 E GUASTI RD
ONTARIO, CA 91761
Categories: ONTARIO CA

59 S MILLIKEN AVE STE 100 20.5 miles

59 S MILLIKEN AVE STE 100
ONTARIO, CA 91761
Categories: ONTARIO CA

10841 WHITE OAK AVE 20.5 miles

10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Categories: RANCHO CUCAMONGA CA

402 S MILLIKEN AVE STE E2 20.6 miles

402 S MILLIKEN AVE STE E2
ONTARIO, CA 91761
Categories: ONTARIO CA

1101 S MILLIKEN AVE STE C 20.7 miles

1101 S MILLIKEN AVE STE C
ONTARIO, CA 91761
Categories: ONTARIO CA

10801 FOOTHILL BLVD, STE 105 20.7 miles

10801 FOOTHILL BLVD, STE 105
RANCHO CUCAMONGA, CA 91730
Categories: RANCHO CUCAMONGA CA

10800 MAGNOLIA AVE MOB 1, 4TH FL, 4J 21.0 miles

10800 MAGNOLIA AVE MOB 1, 4TH FL, 4J
RIVERSIDE, CA 92505
Categories: RIVERSIDE CA

4045 E GUASTI RD STE 215 21.1 miles

4045 E GUASTI RD STE 215
ONTARIO, CA 91761
Categories: ONTARIO CA

8805 HAVEN AVE STE 100 21.2 miles

8805 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
Categories: RANCHO CUCAMONGA CA

9695 BASELINE RD 21.6 miles

9695 BASELINE RD
RANCHO CUCAMONGA, CA 91730
Categories: RANCHO CUCAMONGA CA

2226 MEDICAL CENTER DR Ste 101 21.7 miles

2226 MEDICAL CENTER DR Ste 101
PERRIS, CA 92571
Categories: PERRIS CA

3200 INLAND EMPIRE BLVD STE 100 21.7 miles

3200 INLAND EMPIRE BLVD STE 100
ONTARIO, CA 91764
Categories: ONTARIO CA

2224 MEDICAL CENTER DR 21.8 miles

2224 MEDICAL CENTER DR
PERRIS, CA 92571
Categories: PERRIS CA

3550 E PHILADELPHIA ST STE 150 21.9 miles

3550 E PHILADELPHIA ST STE 150
ONTARIO, CA 91761
Categories: ONTARIO CA

4234 Riverwalk Parkway Suite 200 21.9 miles

4234 Riverwalk Parkway Suite 200
Riverside, CA 92505
Categories: Riverside CA

2920 Inland Empire Blvd Ste 108 22.1 miles

2920 Inland Empire Blvd Ste 108
Ontario, CA 91764
Categories: Ontario CA

12821 Main St Ste 140 22.9 miles

12821 Main St Ste 140
Hesperia, CA 92345
Categories: Hesperia CA

8408 THOROUGHBRED ST 23.8 miles

8408 THOROUGHBRED ST
ALTA LOMA, CA 91701
Categories: ALTA LOMA CA

11919 HESPERIA RD STE C 23.9 miles

11919 HESPERIA RD STE C
HESPERIA, CA 92345
Categories: HESPERIA CA

8283 Grove Ave Ste 204, 24.0 miles

8283 Grove Ave Ste 204,
Rancho Cucamonga, CA 91730
Categories: Rancho Cucamonga CA

1310 SAN BERNARDINO RD STE 107 24.4 miles

1310 SAN BERNARDINO RD STE 107
UPLAND, CA 91786
Categories: UPLAND CA

12402 INDUSTRIAL BLVD STE B6 24.5 miles

12402 INDUSTRIAL BLVD STE B6
VICTORVILLE, CA 92395
Categories: VICTORVILLE CA

12401 HESPERIA RD STE 9 24.5 miles

12401 HESPERIA RD STE 9
VICTORVILLE, CA 92395
Categories: VICTORVILLE CA

12408 HESPERIA RD 24.5 miles

12408 HESPERIA RD
VICTORVILLE, CA 92395
Categories: VICTORVILLE CA

12424 HESPERIA RD, STE 5 24.6 miles

12424 HESPERIA RD, STE 5
VICTORVILLE, CA 92395
Categories: VICTORVILLE CA

999 San Bernardino Rd 24.6 miles

999 San Bernardino Rd
Upland, CA 91786
Categories: Upland CA

15791 BEAR VALLEY RD 24.9 miles

15791 BEAR VALLEY RD
HESPERIA, CA 92345
Categories: HESPERIA CA

2171 S GROVE AVE STE A 24.9 miles

2171 S GROVE AVE STE A
ONTARIO, CA 91761
Categories: ONTARIO CA

Mobile Drug Testing Costs/Fees in Highland, CA

The fees for mobile drug testing can vary depending on the number of employees being tested, on-site location address and the time in which the on-site testing is needed. Call for more information or to schedule your Mobile/On-Site Drug Testing service in Highland, CA.

"When You Need a Test, Choose the Best"

Accredited Drug Testing Inc

(800)221-4291

Local Area Info: Highland, California

Highland is a city in San Bernardino County, California, United States. The population in 2010 (US Census) was 53,104, up from 44,605 at the 2000 census. The term Highland also refers to a geographical area of the city of San Bernardino (generally east of Del Rosa Avenue to the eastern city limits), and parts of unincorporated San Bernardino County. Highland is generally divided into two regions, East Highland and Highland (Generally considered west of the 210, with the majority of inhabitants living east of the freeway.)

According to the United States Census Bureau, the city has a total area of 18.9 square miles (48.9 km²). 18.8 square miles (48.6 km²) of it is land and 0.1 square miles (0.3 km²) of it (0.71%) is water.

The 2010 United States Census reported that Highland had a population of 53,104. The population density was 2,811.3 people per square mile (1,085.4/km²). The racial makeup of Highland was 27,836 (52.4%) White (30.8% Non-Hispanic White), 5,887 (11.1%) African American, 542 (1.0%) Native American, 3,954 (7.4%) Asian, 168 (0.3%) Pacific Islander, 11,826 (22.3%) from other races, and 2,891 (5.4%) from two or more races. Hispanic or Latino of any race were 25,556 persons (48.1%).

Show Regional Data

Population (total): Population in 2017: 55,342 (100% urban, 0% rural). >Population change since 2000: +24.1%

Population (male): 27,281

Population (female): 28,061

Median Age: 32.9 years

Cost of Living: March 2019 cost of living index in Highland: 81.6 (low, U.S. average is 100)

Poverty (overall): Percentage of residents living in poverty in 2017: 20.1%

Poverty (breakdown): (8.7% for White Non-Hispanic residents, 20.5% for Black residents, 26.6% for Hispanic or Latino residents, 35.8% for American Indian residents, 3.3% for Native Hawaiian and other Pacific Islander residents, 34.5% for other race residents, 15.4% for two or more races residents)

Ancestries: Ancestries: American (2.5%), German (2.2%), Irish (1.7%), English (1.6%), European (1.5%), Italian (1.3%).

Elevation: 1315 feet

Land Area: 13.6 square miles.

Races:
      Hispanic - 29,256 - 52.6%
      White alone - 14,665 - 26.4%
      Asian alone - 5,228 - 9.4%
      Black alone - 4,407 - 7.9%
      Two or more races - 1,269 - 2.3%
      Native Hawaiian and Other
>Pacific Islander alone - 563 - 1.0%
      American Indian alone - 262 - 0.5%
      Other race alone - 95 - 0.2%

(800) 221-4291