North Carolina Drug Testing

North Carolina is struggling with an opioid problem well above the national average. North Carolina's substance abuse related overdose rate increased 260% from 1999 and remains on the rise in rural areas.

With the growing number of drug related incidents taking place in North Carolina, it's important to have the information you need regarding drug and alcohol testing. Whether you're an employer who includes pre-employment drug testing in your application process, or you are an individual in need of testing for a court order or probation, US Drug Test Centers can help you with your testing needs.

Urine and hair follicle testing are available at our locations; we even offer same day tests and results. Employers in North Carolina may require applicants to take a drug test as a condition of employment or if you are required by the court to take a test, we are here to assist you. Call today for more information or stop by one of our locations.


Our testing locations do not accept payment and require a drug test order form at the time of testing. Please click the "Order a Test" button to order your test. Once your order has been processed, your drug test order form will be emailed to you. Testing options may vary on a site by site basis. Additional fees may apply depending on your location.

Committed to Accuracy

We only work with SAMHSA-certified laboratories and have all test results confirmed by a medical review officer.

Unparalleled Convenience

With drug testing locations spread throughout North Carolina, you never have to go far to find us. For speedy results, we offer instant urine drug testing and on-site mobile testing.

Endless Variety

We can screen for dozens of illicit substances via hair, urine, and breath. Additionally, we have hundreds of drug test panels to choose from.

1043 Testing locations in North Carolina

1706 S Cannon Blvd

Kannapolis North Carolina 28083

Phone: 866-566-0261

110 Professional Park

Oxford North Carolina 27565

Phone: 866-566-0261

3123 N Davidson St

Charlotte North Carolina 28205

Phone: 866-566-0261

1309 Lees Chapel Rd

Greensboro North Carolina 27455

Phone: 866-566-0261

1033 Randolph St

Thomasville North Carolina 27360

Phone: 866-566-0261


1038 more location(s) available in North Carolina

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Local Reviews

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Review by R.B.
on January 23, 2024

"Easy to deal with.Good communications"

Review by M.J.
on May 8, 2023

"Very pleased with your services"

Review by M.P.
on April 26, 2023

"Excellent customer service and fast to resolve any issues."

Review by T.G.
on April 6, 2023

"Efficient and professional"

Review by J.T.
on March 18, 2023

"Very Well, and Fast service"

Review by D.D.
on February 1, 2023


Review by T.D.
on January 17, 2023

"I was hired for a job by just beating the pavement. A drug test was needed to the seal the deal. The test was apparently one those drug test from the store, it was done in the office, which came back positive. There was no way! So, I took it upon myself to do my own drug screening. All results were negative!"

US Drug Test Centers

US Drug Test Centers

We are your complete drug-free workplace solution for employers. We provide drug testing for all reasons such as pre-employment, random, reasonable suspicion, post-accident, and return to duty. We have a state-of-the-art cloud-based software that allows you to order drug testing 24/7, store all drug test results and chain of custody forms (forever), and you can see the status of all completed drug testing. We have random drug and alcohol testing consortiums and follow all DOT rules and regulations to direct your company in the right direction to stay in compliance. We can create drug-free workplace policy manuals specific to your company's needs, and we provide online trainings. Our online trainings are perfect for company Supervisors to learn what signs to look for if someone might be under the influence. We also have trainings that explain what Supervisors should know about the DOT rules and regulations in regards to the drug and alcohol testing program. We are a part of the Drug and Alcohol Testing Industry Association (DATIA), and we always stay up to date with all drug testing-related rules and regulations. If you have any questions about state-specific laws regarding drug and alcohol testing, please contact our office and one of our team members will be glad to help you. If your company would like more information regarding setting up a corporate account you can set up an account online or contact us at 866-566-0261.

Frequently Asked Questions About North Carolina Drug Testing

This material is intended for informational purposes only and should not be relied upon for legal guidance. State & local laws change frequently and vary greatly. These are state & local laws and do not over rule the federal Department of Transportation laws & policies. Readers are advised to consult with their legal counsel or industry experts before acting based on this information. Last Updated Apr 2023

North Carolina Drug Testing FAQs

Do employers in North Carolina need to comply with mandatory state-specific rules when drug & alcohol testing?
Yes. North Carolina has specific rules for employers that wish to conduct employee drug testing.
Is a Drug-Free Workplace policy required in North Carolina?
No, however, employers are strongly encouraged to have a written policy in place (Policy is specifically required to comply with the North Carolina’s voluntary law).
What are some compliance requirements in North Carolina?
Employers are required to use HHS/SAMHSA, or CAP approved laboratories. Employers are required to ensure that their service providers comply with all state drug testing laws. At the time of each test, the employer must give the donor a written notice of their rights under the law. On-site testing is permitted for pre-employment drug testing only. Written notice of a positive test result must be given but may be given in any manner such as in person, mail or otherwise. Everyone tested has a right to a retest and must pay all reasonable expenses; reasonable expenses mean in part actual costs of retest and chain of custody procedures.  The individual tested may only be asked to pay up to $15 of this cost.
Are employers in North Carolina able to use drug screening for any other claim defenses or state-specific financial benefits?
Yes. Employers may be able to leverage a ‘Rebuttable Presumption of Intoxication’ defense to a Workers’ Compensation Claim, based on a positive drug test result. A positive drug test may also make an employee ineligible for unemployment compensation if terminated for misconduct. Employers wishing to leverage either of these benefits must voluntarily comply with very detailed program rules.
Does North Carolina authorize marijuana (THC) or cannabidiol (CBD) use?
Yes. North Carolina authorizes the medical use of cannabidiol (CBD) for very limited medical conditions. The law does not address the workplace.
Can I be fired or lose a job offer in North Carolina if I fail a drug test?
In North Carolina, if you test positive on a drug test it can be grounds for termination or a rescinded job offer.

Drug Testing Stats - North Carolina

Drug and Alcohol Abuse Statistics from North Carolina

Last Updated: March 1, 2024

  • A study done in North Carolina showed that 2.50% or $129.8 million is spent on providing care for those struggling with addiction each year, while living in an inpatient rehab center.
  • 438 patients are in the hospital in North Carolina for drug or alcohol abuse treatment and rehabilitation.
  • When a study was done, looking at the percentage of deaths of those under the age of 21 in North Carolina, 3.08% of those people lost their life due to alcohol misuse.
  • In North Carolina, the death rate per 100,000 residents due to opioid overdose was 18.0
  • Studies show that in North Carolina, 1.05% of newborns have a neonatal opioid withdrawal symptom each year.
  • 64.4% of employers enrolled into the Clearinghouse in North Carolina received a violation.

Substance Misuse in North Carolina

In North Carolina, substance misuse remains a consistent challenge. Statistics reveal that 15.80% of adults aged 18 and over partake in binge drinking once monthly or more frequently. The state experiences 2,266 deaths annually due to drug overdoses, with opioid overdoses alone claiming around 783 lives each year.

Expenses of Rehabilitation

Around 670 rehab centers are operational in North Carolina, but the financial burden is significant. Inpatient rehab, for instance, costs $56,759 per person, making it financially daunting for many. The typical expense for outpatient rehab services is around $1,703.


  1. The National Survey on Drug Use and Health (NSDUH), conducted annually by the Substance Abuse and Mental Health Services Administration (SAMHSA)
  2. Provisional Multiple Cause of Death database contains mortality and population for U.S. counties.
  3. Alcohol Use in the United States: Age Groups and Demographic Characteristics
  4. United States Department of Transportation - FMCSA Drug and Alcohol Clearinghouse - December 2023 Report

Find A Drug Test Center Near You

US Drug Test Centers have over 650 locations in North Carolina, from Murphy to Nags Head we are here to serve the entire state. We have 71 locations in Charlotte, 21 in Greensboro, 17 in Greenville, 11 in Mooresville, 23 in Raleigh, 12 in Ashville, 10 in Burlington, 14 in Fayetteville, 25 in Winston-Salem, 11 in Wilmington, and many more locations spread out in most cities and towns throughout the state.

In addition to our drug and alcohol testing locations, we also provide resources for online drug tests on our website, along with the ability to purchase a test online. If you have further questions call us today at 866-566-0261 to speak to a representative to help guide you.

Instant Drug Testing

Instant or on site urine testing drug devices may be used in North Carolina, which allows for same day negative results. Most of our locations offer instant drug testing. Employers or individuals can order drug tests with same day service with one simple phone call to 866-566-0261. Drug testing specialists are standing by to take your order for a hair follicle test, breath alcohol test, EtG alcohol test, DOT consortium random drug testing program or for a five or ten panel drug test.

Confirmation of drug tests that have screened positive is always required. If a screening test for a prospective employee produces a positive result, an approved laboratory will confirm that result by a second examination of the sample utilizing gas chromatography with mass spectrometry or an equivalent scientifically accepted method, unless the examinee signs a written waiver at the time or after they receive the preliminary test result. All screening tests for current employees that produce a positive result shall be confirmed by a second examination of the sample utilizing gas chromatography with mass spectrometry or an equivalent scientifically accepted method. All confirmation testing must be conducted by a SAMHSA certified laboratory.

Workplace Drug Testing

Employers in North Carolina may require applicants to take a drug test as a condition of employment. A positive test must be confirmed at an approved laboratory. Applicants have the right to retest a confirmed positive sample at their own expense, at the same lab that confirmed the sample or at another approved lab of their choosing. North Carolina is a drug testing friendly state, where there are no employee drug testing restrictions.

North Carolina does not require an employer to have a written policy before conducting controlled substance testing; however, a written drug free workplace policy is essential to a successful drug prevention program. A written policy will set out the expectations of the particular employer and allow employees and supervisors to become familiar with those expectations.

Employees cheating on a drug test in North Carolina may not remain employed. If the employer has reason to believe that the sample has been adulterated (diluted or contaminated), the employer can refuse that sample for testing. Methods used to determine adulteration include: observation, temperature of sample, pH of sample and specific gravity of sample.

Hair follicle testing in North Carolina includes up to 12 panel hair test: Marijuana, Cocaine, PCP, Opiates – 6AM (Heroin) & Expanded Opiates, Amphetamine w MAMP & MDMA (Ecstasy), Barbiturates, Benzodiazepines, Propoxyphene, Methadone, Oxycodone, Meperidine and Tramadol. The expanded panels are available from our LabCorp locations. Hair testing from our Quest Diagnostics locations includes the five panel plus expanded opiates and Oxycodone testing for: Cocaine, Marijuana, PCP, Opiates – 6AM & Expanded Opiates with Oxycodone and Amphetamine w MAMP & MDMA. This includes testing for Ecstasy.

Individuals and employers must call first to order drug tests. Our drug testing centers throughout North Carolina require pre-registration for all drug and alcohol testing. Same day service and same day results can be available for most urine drug testing. Call US Drug Test Centers today to set up your drug or alcohol testing service at 866-566-0261.

More About North Carolina

North Carolina is a popular tourist destination. Among the major attractions are the Great Smoky Mountains, the Blue Ridge National Parkway, the Cape Hatteras and Cape Lookout National Seashores, the Wright Brothers National Memorial at Kitty Hawk, Guilford Courthouse and Moores Creek National Military Parks, Carl Sandburg's home near Hendersonville, and the Old Salem Restoration in Winston-Salem. North Carolina is bordered by South Carolina on the south, Georgia on the southwest, Tennessee on the west, Virginia on the north, and the Atlantic Ocean on the east.

North Carolina, with over 300 miles of coastline to the east, the first in flight state has plenty to see and do. With a population of over 10 million residents, North Carolina is full of beautiful coastal towns where you can spend the day hang gliding and discovering old ship wrecks at Outer Banks or head to the Arboretum botanical garden in Southern Appalachian Mountains.

Available Collection Types

US Drug Test Centers offers the full range of collection types, including urine, hair and breath samples, each with its own advantages and applications for accurate substance screening.

Legal Drug Testing

Legal drug testing is a critical procedure often mandated by employers, law enforcement agencies, and organizations to ensure compliance with regulations and maintain safety in various settings. US Drug Test Centers can help you with your testing needds.

DOT Testing Services

DOT Testing Services are specifically designed to meet the stringent drug and alcohol testing requirements mandated by the U.S. Department of Transportation (DOT) for safety-sensitive positions in the transportation industry, ensuring compliance and public safety.

Our Drug Testing Partners