Table of Contents - Correction Enterprises



Accident Reporting Procedures and InformationNORTH CAROLINADEPARTMENT OF PUBLIC SAFETYCORRECTION ENTERPRISESWritten By:Enterprise Safety ConsultantDate Implemented: November 18, 1999Revised: June 3, 2019Revision #: 26Accident Reporting Procedures and InformationTable of ContentsSection IEmployee Accidents and Injuries (Non-Vehicular)3Section IIEmployee Accidents and Injuries (Vehicular) 4Section IIIInmate Accidents and Injuries (Non-Vehicular and Vehicular)7Appendix AFirst Notice of Loss Completed online at (CorVel)Appendix BHR201 WC-EE Employees Initial Report of Injury (Formally DOC-WC-4)Appendix CDC-138B Statement By Witness FormAppendix DDC-192 Driver’s Report of Motor Vehicle Traffic Accident(DPS) Appendix EDC-193 Report of Accident to Inmate FormAppendix FCorrection Enterprise Plants and Phone NumbersAppendix GDivision of Prison Facilities and Phone NumbersAppendix HDrug and Alcohol Testing Facilities Contact Information Appendix IFastMed Urgent Care Clinics- NCAppendix J Corvel Users’ GuideAppendix K NCAIA Claims Reporting Web SystemAccident Reporting Procedures and InformationThe procedures and information in this program shall be used when reporting accidents to both employees and inmates (Non-Vehicular and Vehicular). It is a requirement of Correction Enterprises that all procedures and information contained in this program are followed as they are written. The procedures and information in this program will be updated as necessary. I.EMPLOYEE ACCIDENTS and INJURIES (Non-Vehicular)For ALL Employee injuries (non-vehicular), regardless of the degree, please notify the first two of the following people:Correction Enterprises Main Number: 1-800-241-0124 or 919-716-3600(1) Richard Turner Office 919-324-1339 Cell 919-218-0722 (2) Donta’ Jackson Office 919-324-1331(3) Phillip SykesOffice 919-324-1351(4) Billy RobbinsOffice 919-324-1336(5) Anthony VannOffice 919-324-1320(6) Robert Leon Office 919-324-1326You are also REQUIRED to contact your Plant plete a Form HR201 WC-EE Employee's Initial Report of Injury. This form should be filled out by the employee. This form does not have to be typed.If the injured employee seeks outside medical treatment complete the First Notice of Loss (FNOL). This will generate the FORM-19 (Industrial Commission Form). (See Appendix A) The First Notice of Loss is filled out at Complete a Form DC-138B Statement By Witness Form. This form does not have to be typed.(Forward all paperwork to Enterprise Safety Consultant, and the HR Department)Mail 2 copies of the FORM-19 (if applicable), HR201 WE-EE (formally the DOC-WC-4), DC-138B, handwritten statements, investigations, photographs, etc., to Enterprise Safety Consultant upon completion and the HR Department. Refer those employees in need of medical treatment, except in true emergency situations where emergency room assistance is required (traumatic injury, severe bleeding, obstruction of airway), to a physician listed in the PPO Network. To locate a physician closest to you, go to then click on Provider Look-Up and follow the prompts. CorVel has a pharmacy network to fill prescriptions for employees that have been injured on the job. Forward all out of work medical excuses to Enterprise Safety Consultant and Enterprise HR Department upon receipt.Maintain frequent contact with the injured employee. You must check on his/her progress, and maintain a copy of all out-of-work notes while forwarding the original copies to Enterprise Safety Consultant and Enterprise HR Department.NOTICE! Injured employee(s) ordered by a doctor to stay out of work due to a work-related injury, will NOT be permitted to return to work without a Doctor’s note. The plant manager must notify Donta’ Jackson the day the employee returns to work. II.EMPLOYEE ACCIDENTS and INJURIES (Vehicular)For ALL Employee injuries (non-vehicular), regardless of the degree, please notify the first two of the following people:Correction Enterprises Main Number: 1-800-241-0124 or 919-716-3600(1) Richard Turner Office 919-324-1339 Cell 919-218-0722 (2) Donta’ Jackson Office 919-324-1331(3) Phillip SykesOffice 919-324-1351(4) Billy RobbinsOffice 919-324-1336(5) Anthony VannOffice 919-324-1320(6) Robert Leon Office 919-324-1326You are also REQUIRED to contact your Plant Director. Web Accident Reporting Follow Appendix J GuidelinesIf an accident involves an outside party, you will need to call Traveler’s Insurance as soon as possible at 1-800-832-7839. Policy Number: TRJ-CAP-104T6800. Traveler’s will issue a claim number. Be sure to record the date, time, and name of person taking the report on the DC-192 (Driver’s Report of Motor Vehicle Traffic Accident). Also include the claim number on this form if one is assigned. For Department of Public Safety vehicles, contact Transportation and Communication at (919) 662-4700. Have all of the vehicular information (i.e. license tag number, equipment number, license and tag information from third party, etc.) readily accessible prior to telephoning.DPS vehicles - Prepare and type a DC-192 (Driver’s Report of Motor Vehicle Traffic Accident). For Department of Administration vehicles, contact Motor Fleet Management at (919) 733-6540. Have all of the vehicular information (i.e. license tag number, equipment number, license and tag information from other party, etc.) readily accessible prior to telephoning.DOA vehicles - Prepare and type a FM-16 (Motor Vehicle Traffic Accident). Complete a Form HR201 WE-EE (formally the DOC-WC-4) Employee's Initial Report of Injury (This should be filled out even if the employee does not have an injury.) This form should be filled out by the employee. This form does not have to be plete a Form DC-138B Statement By Witness Form. This form does not have to be typed.If the injured employee seeks outside medical treatment complete the First Notice of Loss (FNOL). This will generate the FORM-19 (Industrial Commission Form). (See Appendix A) The First Notice of Loss (FNOL) which is filled out at (Forward all paperwork to Enterprise Safety Consultant, and the HR Department)Mail 2 copies of the FORM-19 (if applicable), HR201 WE-EE (formally the DOC-WC-4), DC 138B, DC-192, FM-16, handwritten statements, investigations, photographs, etc., to Enterprise Safety Consultant, and the HR Department upon completion.Forward all out of work medical excuses to Enterprise Safety Consultant, and the HR Dedartment upon receipt.Maintain frequent contact with the injured employee. You must check on his/her progress, and maintain a copy of all out-of-work notes while forwarding the original copies to Enterprise Safety Consultant.NOTICE! Injured employee(s) ordered by a doctor to stay out of work due to a work-related injury, will NOT be permitted to return to work without a Doctor’s note. They must notify Donta’ Jackson the day they return to work. Vehicle DamageIf a DOA or DPS vehicle is damaged, get 2 estimates of the damage.Obtain a copy of the Investigating Officer’s Report (i.e. highway patrol, sheriff, local police, and/or public safety).Obtain a copy of the employee’s driver’s license and social security card.Citations should be reported immediately through the chain of command.NOTICE! Send two copies of the above information to Enterprise Safety Consultant.Note:Employees involved in third party liable automobile accidents may elect to refuse workers' compensation benefits. Unless the employee signs a release statement, they will receive workers' compensation coverage.This means if you are involved in an accident with an outside party, you may either elect to receive benefits through the workers’ compensation system, or from the insurance of the other individual. If you choose not to accept coverage through the workers compensation system, you must complete a hand-written statement, date it, and return it to Enterprise Safety Consultant’s office.Drug and Alcohol Testing Conditions (CDL Licensed Drivers in State Vehicles or in a Private Vehicle on State Business):All CDL licensed employees involved in a car accident while driving a vehicle shall be tested for alcohol and controlled substances when:A life is lost; orIf operating a motor vehicle, the driver was cited for a moving traffic violation and:An individual, either DPS personnel or outside party, is transported for medical treatment or;A vehicle involved was disabled and removed from the scene by other than its own power.As soon as practical following the accident, the employee to be tested shall submit to the alcohol test and proceed to the specimen collection site for the controlled substance test (see Appendix H). Prior to submitting to a Post Accident drug and/or alcohol drug test, the applicant shall read and sign the “Drug and/or Alcohol Screening Consent Form.”Post-accident Alcohol Testing:Post-accident alcohol testing shall be conducted within two (2) hours of the accident.If the employee has not been tested within the two (2) hour time-frame, then the supervisor shall prepare and maintain on file a record stating the reason the test was not promptly administered within two (2) hours.If the alcohol test has not been accomplished within eight (8) hours of the accident, efforts to administer the alcohol test shall be ceased. The supervisor shall prepare and maintain a record stating the reason that the test was not promptly administered.An employee subject to post-accident alcohol testing shall refrain from consuming alcohol for eight (8) hours following the accident, or until he/she submits to an alcohol test, whichever comes first.If the vehicular accident occurs on a weekend or after working hours, the alcohol testing will have to be conducted at a Correctional Facility. For a complete list of alcohol testing sites refer to the list:Alcohol Testing Facilities Contact InformationSee Appendix HPost-accident Drug Testing:Post-accident urinalysis drug testing shall be done within thirty-two (32) hours following the accident.If the employee has not submitted to a urinalysis drug test within the required time frame, attempts to administer the test shall be ceased. The supervisor shall prepare and maintain a record stating the reason the test was not promptly administered.For a complete list of drug testing sites refer to the list:Drug Testing Facilities Contact InformationSee Appendix HNOTE: Employees are required to submit to post-accident testing. An employee subject to post-accident testing must remain available, otherwise he/she may be considered to have refused to submit to testing. If an employee refuses to be tested or avoids meeting the time requirements identified, he/she will be subject to the consequences of a positive test result.NOTE: None of the previously stated requirements should be construed as to require the delay of necessary medical attention for injured people following an accident, or to prohibit a driver from leaving the scene of an accident for the period necessary to obtain assistance in responding to the accident, or to obtain necessary medical care.Return-To-Duty Alcohol Testing:Employees covered under this policy shall be subject to a return-to-duty alcohol test prior to returning to work after having been removed from the work site due to an injury, accident or prohibited activity such as illegal alcohol use. The test results must indicate an alcohol level of less than 0.02 in order for the employee to return to work.Employees are subject to one of the tests required by this policy and the FHWA guideline, i.e. random, post-accident, etc. If the results of the alcohol test indicate an alcohol level of 0.04 or greater, the employee shall be subject to a return-to-duty alcohol test prior to returning to work. III.INMATE ACCIDENTS and INJURIES (Non-Vehicular and Vehicular)If an Inmate is injured, above the first aid level, please notify one of the following people:Correction EnterprisesMain Number: 1-800-241-0124 or 919-716-3600 (1) Richard Turner Office 919-324-1339 Cell 919-218-0722 (2) Phillip Sykes Office 919-324-1351(3) Billy RobbinsOffice 919-324-1336(4) Anthony VannOffice 919-324-1320 (5) Robert LeonOffice 919-324-1326 (6) Donta’ JacksonOffice 919-324-1331If it is after hours and Enterprise Safety Consultant cannot be contacted, call the next person on the list and leave a message.If inmate(s) are involved in vehicular accidents, submit written documentation from a Medical Professional verifying the inmate(s) were examined and/or treated. (ALL INMATES MUST BE SEEN BY A DOCTOR/NURSE IF THEY ARE INVOLVED IN A VEHICULAR ACCIDENT). There are no exceptions to this rule!If inmate(s) can be returned to the unit, have them immediately checked out by the medical facility on-site. If the inmate(s) goes to the hospital, a nurse or doctor will examine them. Obtain medical paperwork and attach to DC-193 Report of Accident Report Form and the DC-138B Statement By Witness Form.(Non-Vehicular and Vehicular) Complete and forward 2 copies of the DC-193 Report of Accident to Inmate Form (have section on FIRST AID and/or MEDICAL TREATMENT completed by medical staff or appropriate employee), the DC-138B Statement By Witness Form and any additional paperwork to Enterprise Safety Consultant. ALL INMATE INJURIES, REGARDLESS OF SEVERITY MUST BE DOCUMENTED ON A DC-193 REPORT OF ACCIDENT REPORT FORM And forwarded to Enterprise Safety Consultant!Appendix AFirst Notice of Loss (FNOL) (Must Be Completed Online at )Employee Accident/Injury on the JobEmployee completes Form DOC-WC-4Employee SEEKS Outside Medical TreatmentEmployee DOES NOT Seek Outside Medical TreatmentComplete First Notice of Loss (FNOL)online at (This will generate a Form 19)Forward two copies of all paper work to Safety ConsultantRetain a copy of HR201 WC-EE (formally the DOC-WC-4) for your records and forward 2 copies along with other required paperwork to Safety ConsultantIf employee seeks outside medical treatment later, follow instructions for outside medical careContact Safety ConsultantChose provider from Worker’s Compensation Network located on the CorVel website. Call provider to let them know the employee is comingCorVel will provide employee with acknowledgement letter, copy of First Notice of Loss (FNOL), and a blank Form 18Assigned Corvel Users enter @ Employee Accident/Injury on the JobEmployee completes Form DOC-WC-4Employee SEEKS Outside Medical TreatmentEmployee DOES NOT Seek Outside Medical TreatmentComplete First Notice of Loss (FNOL)online at (This will generate a Form 19)Forward two copies of all paper work to Safety ConsultantRetain a copy of HR201 WC-EE (formally the DOC-WC-4) for your records and forward 2 copies along with other required paperwork to Safety ConsultantIf employee seeks outside medical treatment later, follow instructions for outside medical careContact Safety ConsultantChose provider from Worker’s Compensation Network located on the CorVel website. Call provider to let them know the employee is comingCorVel will provide employee with acknowledgement letter, copy of First Notice of Loss (FNOL), and a blank Form 18Assigned Corvel Users enter @ Appendix BHR201 WC-EE Employees Initial Report of Injury(Formally the DOC-WC-4)Appendix CDC-138B Statement By Witness FormAppendix DDC-192 Driver’s Report of Motor Vehicle Traffic Accident (DPS)Appendix EDC-193 Report of Accident to Inmate FormDC-193NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY(Rev. 06/07)REPORT OF ACCIDENT TO INMATE Every question must be answered. Please Type or Print. Submit to DPS Safety Office within Thirty (30) Working Days.NAME OF INJURED: FORMTEXT ?????OPUS No. FORMTEXT ?????Unit/Institution Assigned: FORMTEXT ?????Facility No. FORMTEXT ?????INJUREDCheck: FORMCHECKBOX Minimum FORMCHECKBOX Medium FORMCHECKBOX Close FORMCHECKBOX MaximumDOB: FORMTEXT ?????INMATECheck: FORMCHECKBOX Married FORMCHECKBOX Single FORMCHECKBOX Widowed FORMCHECKBOX DivorcedCheck: FORMCHECKBOX Male FORMCHECKBOX FemaleRace: FORMTEXT ?????Date of Injury: FORMTEXT ?????Day of Week: FORMTEXT ?????Time of Injury: FORMTEXT ????? FORMCHECKBOX AM FORMCHECKBOX PMDescribe activity inmate was engaged in when injured: FORMTEXT ?????TIME FORMTEXT ?????PLACECheck Activity:Jobs: FORMCHECKBOX A. Food Service FORMCHECKBOX B. Unit Services FORMCHECKBOX C. Maintenance FORMCHECKBOX D. EnterpriseAND FORMCHECKBOX E. Road Squad FORMCHECKBOX F. Construction FORMCHECKBOX G. Work Release FORMCHECKBOX H. DOTACTIVITYPrograms: FORMCHECKBOX I. Vocational Ed. FORMCHECKBOX J. Recreational FORMCHECKBOX K. Labor Contract FORMCHECKBOX L. OtherLocation where injury took place (describe fully): FORMTEXT ?????Name/Title of person responsible for inmate at time of injury: FORMTEXT ?????Date/Time this person was notified of the injury: FORMTEXT ?????Machine, tool, or thing causing injury: FORMTEXT ?????Describe fully how the injury occurred: FORMTEXT ?????CAUSE FORMTEXT ?????OF FORMTEXT ?????INJURY FORMTEXT ????? FORMTEXT ?????Check: FORMCHECKBOX Accident FORMCHECKBOX Carelessness FORMCHECKBOX Horseplay by inmate FORMCHECKBOX Horseplay by others FORMCHECKBOX OtherNATURE OFIdentify part of the body injured: FORMTEXT ?????INJURYDescribe nature of injury (fracture, bruise, cut, puncture, etc.): FORMTEXT ?????Describe Safety Equipment and/or Procedures used: FORMTEXT ?????Check:Was injury caused by the failure to use proper safety equipment or procedure? FORMCHECKBOX Yes FORMCHECKBOX NoSAFTEYDescribe what actions have been taken or will be taken to prevent a reoccurrence of this accident:ISSUES FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????First Aid Provider: FORMTEXT ?????Unit: FORMTEXT ?????FIRSTDate/Time Treated: FORMTEXT ?????AIDTreatment Rendered: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Name/Address of Treating Physician: FORMTEXT ?????Name/Address of Hospital: FORMTEXT ?????Date/Time Treated: FORMTEXT ?????Diagnosis: FORMTEXT ?????MEDICAL FORMTEXT ?????TREATMENT FORMTEXT ?????Treatment Rendered: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Check if transferred to: FORMCHECKBOX Central Prison Hospital FORMCHECKBOX NCCIWDate: FORMTEXT ????? FORMCHECKBOX First Aid Only FORMCHECKBOX Medical Treatment and Released Without RestrictionsDISPOSITION FORMCHECKBOX Medical Treatment and Work RestrictionsDate Beginning: FORMTEXT ?????Date Ending: FORMTEXT ????? FORMCHECKBOX Medical Treatment and Removal From WorkDate Beginning: FORMTEXT ?????Date Ending: FORMTEXT ????? FORMCHECKBOX DeathDate of Death: FORMTEXT ?????Information Provided by (Name/Title): FORMTEXT ?????SIGNATURESForm Completed by (Name/Title): FORMTEXT ????? Date: FORMTEXT ?????Superintendent’s Signature: FORMTEXT ????? Date: FORMTEXT ?????DPS Safety Office: FORMTEXT ????? Date: FORMTEXT ????? Distribution:Original to DPS Safety Office1 Copy to Unit Office1 Copy to Unit JacketAppendix FCorrection Enterprises Plants and Phone NumbersEnterprise Plant RCCEnterprise Plant/OperationAddressPhone No.(s)Fax No.5600ADMINISTRATION2020 Yonkers Rd, MSC 4240, Raleigh, 27699-4240(919)716-3600(919)716-3974-Lobby (919)716-3975-Sales5601WAREHOUSE APEX2301 Schiefflin Rd, Apex, 27502(919)387-1000 (919)733-7824(919)387-12565605TAG1150 Martin Luther King Jr. Blvd, Raleigh, 27610(919)733-0867(919)733-24005610Smithfield Warehouse2465 US 70 West, Smithfield, 27577N/AN/A5615PRINT Alt Hwy 64 W, Nashville, 27856(252)459-6409(252)459-49565620SIGN6008 Hwy 39 South, Bunn, 27508(919)496-3095,4114(919)496-34955623Moore Awards981 Priest Hill Rd, Carthage, 28327(910)947-2316(910)947-12685624SIGN RECLAIMING981 Priest Hill Rd, Carthage, 28327(910)947-2316(910)947-12685625BRAILLE TRANSCRIPTION SERVICES22385 McGirt's Bridge Rd., Laurinburg, 28353(910)844-4507(910)844-45065630QUICK COPY1150 Martin Luther King Jr. Blvd, Raleigh, 27610(919)733-0175 (919)715-06045636WOODWORKING633 Old Landfill Rd., Taylorsville, 28681(828)632-1364(828)632-11225643SCOTLAND SEWING22385 McGirt's Bridge Rd., Laurinburg, 28353(910)844-5646(910)844-50635644COLUMBUS SEWING1201 Prison Camp Rd, Whiteville, 28472(910)914-4182 (910)914-4183(910)914-41845647PENDER SEWINGBox 1058, Penderlea Hwy, Burgaw, 28425(910)259-8073(910)259-35955648PASQUOTANK SEWING527 Commerce Dr., Elizabeth City, 27909(252)335-0514(252)335-75815649MOUNTAIN VIEW SEWING545 Amity Park Road, Spruce Pine, NC 28777(828)765-4753 (828)765-14015656WARREN JANITORIAL231 Soul City Blvd., Norlina, 27563(252)456-1168(252)456-29075661METAL PRODUCTSBox 310, Camden Church Rd, Polkton, 28135(704)695-1400(704)695-13445665UPHOLSTERY633 Old Landfill Rd., Taylorsville, 28681(828)632-1364(828)632-13635670REUPHOLSTERY1245 Camp Rd, Salisbury, 28147(704)639-7647(704)639-75505680OPTICALAlt Hwy 64 W, Nashville, 27856(252)459-6200(252)459-74005710CP LAUNDRY1300 Western Blvd, MSC 4242, Raleigh, 27699-4242(919)733-0800,Ext.453(919)733-24005715CRAGGY LAUNDRYBox 8908, Asheville, 28814(828)232-2425(828)232-24295725BROUGHTON LAUNDRY1000 S. Sterling St, Morganton, 28655(828)438-5571(828)433-40245740SAMPSON LAUNDRY120 North Blvd, Clinton, 28328(910)592-7968(910)590-33075750UMSTEAD LAUNDRY12th St, Butner, 27509(919)575-7504(919)575-71215755CHASE LAUNDRY201 Stevens Mill Rd, Goldsboro, 27530(919)581-1037(919)581-10365805MEAT PROCESSINGBox 1569, 1204 E. McNeil St, Lillington, 27546(910)893-4499(910)814-40835815CALEDONIA CANNERYBox 100, Prison Camp Rd, Tillery, 27887(252)826-2263,5838(252)826-24365821CALEDONIA FARMBox 67, Tillery, 27887(252)826-3821(252)826-36915830CALEDONIA FRESH VEGGIE WHSEBox 67, Tillery, 27887(252)826-4038(252)826-25285866INMATE PACKAGING552 Prison Camp Road, Polkton, 28135(704)695-0621(704)695-0624Appendix GDivision of Prison Facilities and Phone NumbersFacility Phone #Facility Phone #Albemarle CI704-422-3036Polk CI919-575-3070Alexander CI828-632-1331Raleigh CCW919-733-4248Avery/Mitchell CI828-765-0229Randolph CC336-625-2578Bertie CI252-794-8600Robeson CC910-618-5535Bladen CC910-862-3107Rutherford CC828-286-4121Brown Creek CI704-694-2622Sampson CI910-592-2151Buncombe CC828-645-7630Sanford CC919-776-4325Caldwell CC828-726-2509Scotland CI910-844-3078Caledonia CI252-826-5621Southern CI910-572-3784Carteret CC252-223-5100Swannanoa CCW828-686-0567Caswell CC336-694-4531Tabor City CI910-653-6413Catawba CC828-466-5521Tillery CC252-826-4165Central Prison919-733-0800Tyrrell PWF252-796-1085Columbus CI910-642-3285Wake CC919-733-7988Craggy CC828-645-5315Warren CI252-456-3400Craven CC252-244-3337Wayne CC252-734-5580Dan River PWF336-694-1583Western YI828-438-6037Davidson CC336-249-7528Wilkes CC336-667-4533Duplin CC910-296-0315Eastern CI252-747-8101Foothills CI828-438-5585Forsyth CC336-896-7041Fountain CCW252-442-9712Franklin CC919-496-6119Gaston CC704-922-3861Greene CI252-747-3676Harnett CI910-893-2751Hoke CI910-944-7612Hyde CI252-926-1810Johnston CI919-934-8386Lanesboro CI704-695-1013Lincoln CC704-735-0485Lumberton CC910-618-5574Marion CI828-659-7810Maury CI252-747-1400Morrison CI910-281-3161 Mountain View CI828-766-2555Nash CI252-459-4455NCCIW919-733-4340Neuse CI919-731-2023New Hanover CC910-251-2666North Piedmont CCW336-242-1259Odom CI252-534-5611Orange CC919-732-9301Pamlico CI252-745-3074Pasquotank CI252-331-4881Pender CI910-259-8735Piedmont CI704-639-7540Appendix HDrug and/or Alcohol Testing Facilities Contact Information and FormsDRUG TESTING /URINE COLLECTION SITES ONLYCollection Site NameStreet AddressCityZipPhone #Hours of OperationLabCorp1021 Williams Street #102Apex72502919-362-0932M-F 8am-11:30am 1pm-3:30pmLabCorp *610 N Fayetteville St # 100Asheboro27203336-633-4797M-F8am-11:30am 1pm-3:30pmLabCorp7 McDowell Street # 100Asheville28801828-254-1376M-F8am-11:30am 1pm-3:30pmLabCorp237 Longvue DriveBoone28607828-626-1455M-F 8:00am-4:00pmLabCorp1690 Westbrook aveBurlington27215336-584-8484M-F8am-11:30am 1pm-3:30pmLabCorp855 Heather RoadBurlington27215336-436-7070M-F8am-11:30am 1pm-3:30pmLabCorp5031-G West T Harris BlvdCharlotte28210704-544-2066M-F 8am-11:30am 1pm-3:30pmLabCorp10512 Park Rd # 107Charlotte28607704-544-2066M-F8am-11:30am 1pm-3:30pm Saliva AlcLabCorp15830 Ballantyne Med PL,STE140Charlotte28207704-540-0251M-F8am-11:30am 1pm-3:30pmLabCorp1928 RANDOLPH RD STE 109Charlotte28207704-334-2629M-F8am-11:30am 1pm-3:30pmLabCorp900 southv Lombard Sreet # 100Clayton27520919-359-0890M-F8am-11:30am 1pm-3:30pmLabCorp95 SPRINGBROOK AVE. STE. 107Clayton27520919-359-0471M-F10am-4:30LabCorp478 Copperfield BlvdConcord28025704-795-2710M-F8am-11:30am 1pm-3:30pmLabCorp2945 Miami Blvd # 132Durham27703919-361-2165M-F8am-11:30am 1pm-3:30pmLabCorp942 Johnson Ridge Road # UElkin28621336-526-2012M-F 8am-11:30am 1pm-3:30pmLabCorp705 Keystone courtFayetteville28304910-483-1135M-F 8am-11:30am 1pm-3:30pmLabCorp2356 JOHN SMITH ROAD STE 202Fayetteville28306910-426-0893M-F 8:30am-12noon 2pm-4pmLabCorp640 Summit Crossing #206Gastonia28054704-854-9497M-F8am-11:30am 1pm-3:30pmLabcorp1506E Wayne Memorial Dr #EGoldsboro27534919-735-8022M-F 8am-11:30am 1pm-3:30pmLabCorp1126 North Church Street #104Greensboro27405336-272-5021M-F 8am-11:30am 1pm-3:30pmLabCorp2253 Stantonsburg RoadGreenville27834252-758-1493M-F 10am-Noon-2pm-4pmLabCorp1949 Tate BlvdHickory27401828-324-8697M-F 8:30am – 4:30pmLabCorp3610 Peters Court # 200High point27265336-842-2376M-F 8:30am-4pmLabCorp104 BASS LAKE ROAD #100Holly Springs27540919-552-1700M-F 8am-11:30am 1pm-3:30pmLabCorp14330 Oakhill Park Lane #125Huntersville28078704-948-8101M-F 8am-11:30am 1pm-3:30pmLabCorp7 Office ParkJacksonville28540910-455-1060M-F 8am-11:30am 1pm-3:30pmLabCorp2111-B North Queen StreetKinston28501252-523-5970M-F 8am-11:30am 1pm-3:30pmLabCorp1500 Matthews TownshipMatthews21085704-849-0154M-F 8am-11:30am 1pm-3:30pmLabCorp3940 Arrowhead Blvd. #240Mebane27302919-563-9500M-F 8am-11:30am 1pm-3:30pmLabCorp134 Medical park RoadMooresville28117704-799-6230M-F 8am-4pmLabCorp312 Commerce Ave # CMorehead City28557252-726-8301M-F 8:00am-3:30pmLabCorp752 Andy Griffith ParkwayMount Airy27030336-789-6622M-F 8am-4pmLabCorp4009 Barret Dr #104Raleigh27612919-571-6514M-F 8am-11:30am 1pm-3:30pmLabCorp611 Mocksville AveSalisbury28144704-637-1676M-F 9:00 am-5:00 pm|Sa VaryLabCorp809 North Lafayette StShelby28150704-480-1681M-F 8am-11:30am 1pm-3:30pmLabCorp328 North Brightleaf BlvdSmithfield27577919-934-1732M-F 8am-11:30am 1pm-3:30pmLabCorp1710 A Davie AveStatesville28625704-878-0948M-F 8am-11:30am 1pm-3:30pmLabCorp137 Calvary Road #BThomasville27360336-472-3600M-F 8am-11:30am 1pm-3:30pmLabCorp1201 School StreetWilkesboro28697336-838-7609M-F 8am-11:30am 1pm-3:30pmLabCorp2505 Delaney RDWilmington28403336-838-7609M-F 8:30 am-12 pm & 1 pm-5:00pmLabCorp2605 Forrest Hills Road #cWilson27893252-206-7917M-F 8:30 am-12 pm & 1 pm-5:00pmLabCorp2932 Lyndhurst AveWinston Salem27103336-768-7034M-F 8am-11:30am 1pm-3:30pmBREATH ALCOHOL COLLECTION SITES ONLYDO NOT USE FOR DRUG TESTING URINE COLLECTION UNLESS NO LAB CORP IS IN THE AREACollection Site NameStreet AddressCityZipPhone #Hours of OperationFast Med Urgent Care1800 North Sandhills BoulevardAberdeen98315910-724-2334M-F 8am-8pm Sat&Sun 8am-4pmHope Medical Associates815 North 3rd streetAlbermarle28001704-983-3508M-Thurs 8am-4pm F-8am-12noonFast Med Urgent Care160 Hendersonville RdAsheville28803828-210-2835M-F 8am-8pm Sat &Sun 8am-4pm-4pm Sun10-6Any Lab Test Now409 Congress Parkway N suite AAthens37303423-252-0793M-F 8:30 am-5:00 pmSafeT Works1029 Sunset ave AsheboroNC336-736-8038M-F 830-5Arc Point206 North 4th StreetBurgaw28425910-762-1223M-F 8:00am-5:00pmFast Med Urgent Care1407 east Franklyn StreetChaple Hill27514919-913-0996M-F 8am-8pm Sat&Sun 8am-4pmArc Point Lab2136 Ayrsley Town Blvd. Suite BCharlotte28273704-753-7309M-F 8:30 am-12 pm 1 pm-5:00pmClinton Urgent Care1004 Beaman StreetClinton28328910-592-9113M-S 8am-5pmCabarrus Urgent Care1090 NE Gateway CourtConcord28025704-786-512224 hoursAffordable On-Sites, Inc3209 Guess Rd Ste 201Durham27705919-620-0822M-F 9:00 am-5:00 pmReady Test201 A Mill StreetElizabeth City252-338-252-338-9039T-Th 8-4pm and F 8-1pmBlaiden County Hospital Lab501 Poplar StreetElizabethtown28337910-862-511924 hoursFit 4 Work/ Blaiden Occupational107 Dunham StreetElizabethtown28337910-862-1224M-F 7:0am-4pmFast Med Urgent Care3007 Town CenterFayetteville18306910-354-1281M-F 8am-8pm Sat&Sun 8am-4pmFast Med Urgent Care5156 NC Hwy 42 WestGarner27529919-329-5000M-F 8am-8pm Sat&Sun 8am-4pmMedScreen224 South New Hope RoadGastonia?704-836-8378 M-F 8:30 am – 4:30 pm Arc Point Lab2315 B Executive CircleGreenville 27834252-814-2739M-F 8:30 am-12 pm 1 pm-5:00pmFast Med Urgent Care2280 Hwy 70 South EastHickory28602828-404-3656M-F 8am-4pm Sat&Sun 8am-4pmAny Lab Test Now14231 Market Square Drive,# C2Hunterville28078704-948-7444M-F 9:00 am to 6:00 pm on S- 9am-2pmFast Med Urgent Care1024 South Main StreetKernersville27284366-564-1916M-F 8am-4pm Sat&Sun 8am-4pmFast Med Urgent Care2908 N. Herritage StreetKinston28501252-532-3111M-F 8am-8pm Sat&Sun 8am-4pmCaldwell Industrial Medicine (CIM)308 Mulberry St SWLenoir28545828-754-8482M-F 8:00am-12n 1pm-5pmLexington Family 800 E Central Street Lexington?336-237-0648M-F 9am-5pmJeskri Associates1821 Rocky River Rd NMonroe28110704-291-9991M-F 8am-5pmFast Med Urgent Care3722 Bridges StreetMorehead City28557252-622-4033M-F 8am-8pm Sat 8am-4pm Sun10-6Burke Occupational Health103 Medical Heights DrMorganton28655828-433-0604M-F 8am-4pmG & G Drug Testing Services790 Cardinal Rd #13New Bern28562252-514-2204M-F 9:00 am-5:00 pmAny Lab Test Now - Raleigh6401 Triangle Plantation Dr #D-103Raleigh27616919-521-4475M-F 8:00 am-6:00 pm|Sa 9 am-2 pmFast Med Urgent Care1261 Jullian R Allsbrook HwyRoanoke Rapids27870252-537-5600M-F 8am-8pm Sat&Sun 8am-8pmFast Med Urgent Care2001 Sunset AveRocky Mount27804252-458-2508M-F 8am-8pm Sat&Sun 8am-4pmFast Med Urgent Care234 Turnersburg HwyStatesville28625704-235-0686M-F 8am-8pm Sat&Sun 8am-4pmJeskri Associates217 leak aveWadesbero28170704-695-1975M-F 8am-5pm By appointmentFast Med Urgent Care2001 South Main Street # 200Wake Forrest27549919-562-3155M-F 8am-8pm Sat&Sun 8am-4pmArc Point-Wilmington206 N. 4th Street #6Wilmington28401910-762-1223M-F 8:30 am-12 pm & 1 pm-5:00pmOTS3410 Healy Dr #111Winston Salem27103336-448-1322M-F 9-5 APPENDIX IFastMed Urgent Care Clinics- NCFastMed Urgent Care Clinics- NC??????Street AddressCitySTCountyZip+4PhoneFax104 Huffman Mill Rd.BurlingtonNCAlamance27215-5113336-506-1720336-270-5480202 Village Road NortheastLelandNCBrunswick28451910-782-3600910-769-8041160 Hendersonville Rd.AshevilleNCBuncombe28803-2680828-210-2835828-210-2839511 Smokey Park HwyCandlerNCBuncombe28715828-365-1088828-633-2185391 George W Liles Pkwy NWConcordNCCabarrus 28027-8218704-886-1780704-918-45054415 School House CommonsHarrisburgNCCabarrus 28075-7558704-456-1218980-258-8093825 Blowing Rock BoulevardLenoirNCCaldwell28645828-991-0999828-572-41483722 Bridges StreetMorehead CityNCCarteret28557252-808-6641252-240-35862280 Highway 70 SoutheastHickoryNCCatawba28602828-404-3656828-322-32813007 Town Center Drive, Suite 100-101FayettevilleNCCumberland28306-3639910-354-1281910-779-20254401 Ramsey St. Suite 104FayettevilleNCCumberland28311-2224910-354-3372910-354-33727010 NC Hwy 751, Suite 101DurhamNCDurham27707-5500919-313-3900919-908-84202001 Sunset Ave.Rocky MountNCEdgecombe/Nash27804-2523252-458-2508252-210-2833550 North Winstead AvenueRocky MountNCEdgecombe/Nash27804252-451-3411252-451-34231024 S. Main Street Suite BKernersvilleNCForsythe27284-8178336-564-1916336-904-01204937 Old Country Club Rd.Winston-SalemNCForsythe27104-5071336-546-1666336-608-4017310 S. Stratford Rd.Winston-SalemNCForsythe27103-1820336-714-5399336-448-11915701 University ParkwayWinston-SalemNCForsythe27105336-714-4616336-245-83773215 Battleground Ave.GreensboroNCGuilford27408-2603336-387-5020336-676-48725402 West Market StreetGreensboroNCGuilford27409-2507336-387-3346336-676-55831589 Skeet Club Road, Suite 155 High PointNCGuilford27265-8817336-899-2160336-812-90282101 North Main StreetHigh PointNCGuilford27262336-875-6575336-781-00731261 Julian R Allsbrook HighwayRoanoke RapidsNCHalifax27870252-537-5600252-537-2375825 Spartanburg Hwy., Suite 17HendersonvilleNCHenderson28792-4770828-233-1664828-233-1668107A Commons Dr.MooresvilleNCIredell28117-9262704-235-0686704-661-3161234 Turnersburg HwyStatesvilleNCIredell28625-2797704-818-0369704-380-308111491 US Hwy 70 WestClaytonNCJohnston27520-5598919-550-2484919-550-7059724 S. Horner Blvd.SanfordNCLee27330-4822919-776-6767919-776-67732908 North Herritage StreetKinstonNCLenoir28501252-523-3111252-523-95722728 West Mallard Creek Church Rd. Suite 300CharlotteNCMecklenburg28262-2309980-218-1860980-819-79003250 Wilkinson Blvd., Suite ICharlotteNCMecklenburg28208-5667704-319-5176704-910-44891800 N. Sandhills Blvd. Suite BAberdeenNCMoore28315-2336910-724-2334910-246-09525214 Market StreetWilmingtonNCNew Hanover28405910-782-3284910-769-49891407 E. Franklin St. SuiteChapel HillNCOrange27514-2886919-913-0996919-537-8577910 N Madison Blvd, Suite BRoxboroNCPerson27573336-592-2230336-322-0996315 Greenville Blvd SE, Suite 100GreenvilleNCPitt27838-5733252-917-5621252-565-87221262 East Broad AvenueRockinghamNCRichmond28379910-817-9200910-817-92055080 Kahn Drive, Suite 120LumbertonNCRobeson28538-2302910-738-5588910-738-55111361 Klumac RoadSalisburyNCRowan28147-9086704-603-1175704-870-8572907 US 401 BypassLaurinburgNCScotland28352910-276-0033910-276-00862242-A West Roosevelt Blvd.MonroeNCUnion28110-3071704-220-1904704-776-9495FastMed Urgent Care Clinics- NC??????Street AddressCitySTCountyZip+4PhoneFax1418 N. Main St.Fuquay-VarinaNCWake27526-8901919-552-1733919-552-14955156 NC Hwy 42 WestGarnerNCWake27529-8417919-329-5000919-329-5300104 Bass Lake Rd., Suite B-2Holly SpringsNCWake27540-7620919-346-1482919-346-14816500 Creedmoor Rd., Suite 110RaleighNCWake27613-3698919-825-4000919-803-36011311 E. Millbrook RoadRaleighNCWake27609-5473919-719-0119919-615-24602001 S. Main St., Suite 200Wake ForestNCWake27587-1652919-562-3155919-562-7401220 US 70GarnerNCWake27529919-779-7890?6010 Glenwood AveRaleighNCWake 27612984-232-2164984-200-46943420 Ten Ten Rd., Suite 318CaryNCWake/Chatham27518-6101919-362-5871919-362-5874100 Cornerstone Dr.CaryNCWake/Chatham27519-8453919-650-3660919-650-3169178 Hwy. 105 Ext., Suite 101BooneNCWatauga28607-5667828-265-7146828-265-7150212 North Spence AvenueGoldsboroNCWayne27534919-778-0851919-778-17271903 Addison Ave.WilkesboroNCWilkes28697-2262336-667-2710336-667-27702503 Forest Hills Road WestWilsonNCWilson27893252-991-0555252-991-0596APPENDIX JCorvel Users’ GuideAPPENDIX KNCAIA ClaimsReporting Web System ................
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