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STD Testing in Durham, NC: Free, Same-Day & Confidential

New HIV diagnoses in Durham County run about 79% higher than the US average. Whether seeking one-time peace of mind or regular check-ups in Durham County, North Carolina, weigh clinics that may bill insurance against private labs that offer flat self-pay prices. Find options below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Durham, NC

12 testing options are listed for Durham, NC. The nearest, Lincoln Community Health Center, is about 0.3 miles away. Compare community and public clinics, private labs, and at-home kits below.

How to read these listings

Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.

Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.

Premium Partner
Labcorp

Labcorp

Most popular Results in 1–2 days
?

Review sources

  • Google52
  • EasySTD5
Rated 2.3 out of 5 from 57 reviews

Address
4111 Ben Franklin Boulevard, Durham, NC 27704 4.6 miles away
Opening hours
  • Monday 7:30 AM – 4:30 PM
  • Tuesday 7:30 AM – 4:30 PM
  • Wednesday 7:30 AM – 4:30 PM
  • Thursday 7:30 AM – 4:30 PM
  • Friday 7:30 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner
Labcorp

Labcorp

Results in 1–2 days
?

Review sources

  • Google148
  • EasySTD5
Rated 3 out of 5 from 153 reviews

Address
2945 South Miami Boulevard, Durham, NC 27703 4.9 miles away
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Community health center 0.3 miles

Lincoln Community Health Center

?

Review sources

  • Google231
  • EasySTD5
Rated 3.7 out of 5 from 236 reviews

Lincoln Community Health Center in Durham provides its full range of services at no fee, testing for HIV, gonorrhea, syphilis, herpes, and chlamydia on a sliding scale with Medicaid, Medicare, and private insurance accepted; same-visit treatment is available for bacterial STIs, and appointments are required.

Read full overview

Every Service Carries a Zero Balance

Lincoln Community Health Center charges nothing for any service it provides, which means the cost of testing, treatment, and vaccines never becomes a reason to delay or skip a visit.

Spanish Is a Staffed Clinical Language

Spanish-language care at Lincoln is built into the clinical staff itself: providers conduct the full visit, document, and counsel in Spanish, so nothing passes through a secondary layer before reaching the patient.

Herpes Testing Included in the Standard Panel

Lincoln tests for herpes alongside HIV, gonorrhea, syphilis, and chlamydia, which means a single appointment can surface infections that a shorter panel would leave undetected.

Tests & treats Sliding-scale
Address
1301 Fayetteville Street, Durham, NC 27717
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 8:00 PM
  • Tuesday 8:00 AM – 8:00 PM
  • Wednesday 8:00 AM – 8:00 PM
  • Thursday 8:00 AM – 8:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday 8:00 AM – 12:00 PM
  • Sunday Closed
Website
Community health center 1.0 miles

Health Care for the Homeless

No ratings yet

Health Care for the Homeless in Durham carries full federally qualified health center standing, which means STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to what each patient actually earns, keeping care within reach regardless of income.

Sliding-scale
Address
412 Liberty Street, Durham, NC 27701
Website
Highest rated 2.3 miles

Samaritan Health Center

?

Review sources

  • Google13
  • EasySTD2
Rated 4.3 out of 5 from 15 reviews

Samaritan Health Center in Durham runs the full bacterial STI panel (gonorrhea, chlamydia, syphilis) and treats confirmed bacterial infections the same visit, with rapid and conventional HIV testing alongside. Every service is provided at no fee, on an appointment basis.

Read full overview

Hepatitis A, B, and C Tested Here

Chasing a hepatitis result through a separate lab order means a second appointment, a second wait, and a gap in the picture. Samaritan Health Center tests for hepatitis A, B, and C on the same visit as the rest of the STI panel. No second referral needed to close that loop.

French and Spanish, Plus Interpretation on Request

Plenty of clinics hand off language access to an external line and leave a patient to navigate clinical questions through an intermediary. At Samaritan Health Center in Durham, French and Spanish are available directly, with broader interpretation services for other languages. Keeping the conversation in the room.

Every Service Carries No Charge

Fee-scale clinics still ask for something at the end, a co-pay, a minimum contribution, proof of income. Samaritan Health Center charges nothing for any service it provides: testing, counseling, and treatment all come at no cost, to everyone who walks through the door.

Tests & treats
Address
3205 University Drive, Suite 107 Durham, NC 27707
Booking
Appointment required
Opening hours
  • Monday 12:00 PM – 5:00 PM
  • Tuesday 10:00 AM – 8:00 PM
  • Wednesday 9:00 AM – 5:00 PM
  • Thursday 9:00 AM – 2:00 PM
  • Friday 9:00 AM – 1:00 PM
  • Saturday Closed
  • Sunday Closed
Website
2.6 miles

Duke Health

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Review sources

  • Google64
  • EasySTD5
Rated 2.9 out of 5 from 69 reviews

Duke Health in Durham accepts Medicaid and private insurance, with a fee structure tied to coverage, and tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis A, B, and C, and TB. Appointments required, with bacterial STIs treated the same visit.

Read full overview

Hepatitis A, B, and C All Tested Here

Beyond the standard bacterial and HIV panel, Duke Health tests for hepatitis A, B, and C: infections with different transmission routes, treatment implications, and vaccine eligibility. Knowing which strain is present determines whether a patient moves toward antiviral management, vaccination, or active monitoring.

PrEP Is Prescribed Here, Not Referred Out

Many sexual health clinics provide testing without the clinical infrastructure to initiate HIV prevention medication: PrEP requires a prescribing provider, baseline labs, and ongoing follow-up. Duke Health carries all of that, writing PrEP prescriptions and managing PEP on-site in Durham.

Interpretation Services Keep Care Complete

Interpretation services for non-English languages are available at Duke Health in Durham, which means nuanced clinical conversations (about medication adherence, exposure risk, or test results) stay fully intact rather than compressed into what's easiest to convey.

Tests & treats PrEP
Address
2100 Erwin Road, Marshall I Pickens Building Durham, NC 27705
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
2.8 miles

UNC Health

No ratings yet

UNC Health in Durham pairs same-visit bacterial STI treatment with testing for gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, TB, and rapid or conventional HIV: all on a sliding-scale fee schedule with appointments required, and care available in Spanish with broader interpretation for other languages.

Read full overview

Spanish and Interpreted Care, Diagnostics Included

UNC Health offers Spanish-language services alongside interpretation for other languages, which means a patient's questions about a reactive result, a PrEP regimen, or a treatment plan get answered in full, not summarized by a third party mid-appointment.

Prevention Prescriptions Go Beyond the Basic Panel

Many STI clinics test and treat infections but hand prevention medication off to a primary care provider or infectious disease specialist. UNC Health in Durham prescribes both PrEP and PEP directly, keeping HIV prevention under the same clinical roof as the testing that informs it.

Hepatitis C Treatment Runs From Diagnosis to Clearance

At UNC Health, a reactive hepatitis C result moves into active treatment: direct-acting antivirals are prescribed and monitored by the clinical team on-site, rather than pausing at confirmation and waiting for a specialist referral to materialize.

Tests & treats Sliding-scale PrEP
Address
3708 Mayfair Street, Suite 100 Durham, NC 27707
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
4.2 miles

Planned Parenthood South Atlantic

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Review sources

  • Google50
  • EasySTD5
Rated 4.3 out of 5 from 55 reviews

Planned Parenthood South Atlantic in Durham requires an appointment and covers gonorrhea, chlamydia, syphilis, herpes, hepatitis B, and rapid HIV testing on a sliding-scale fee, with same-visit treatment for bacterial infections, HPV and hepatitis B vaccines, and PrEP and PEP on-site.

Read full overview

PrEP and PEP Prescribed at the Same Visit

Both PrEP and PEP are prescribed directly through Planned Parenthood South Atlantic in Durham, meaning ongoing HIV prevention medication or a post-exposure course can be initiated and managed without routing through a separate provider.

Confidential Minor Care Under Title X

Many clinics leave younger patients dependent on parental involvement to access the full range of reproductive and STI services. As a Title X provider, Planned Parenthood South Atlantic in Durham is legally required to keep minors' family planning care confidential. A protection most clinical settings simply don't carry.

Spanish Spoken Here, Interpretation for Others

Where many clinics lean on ad-hoc solutions when a patient's primary language isn't English, Planned Parenthood South Atlantic in Durham offers Spanish-language care directly and extends interpretation services to other languages, so the conversation about testing and results happens in full, not in shorthand.

Tests & treats Title X PrEP
Address
105 Newsom Street, Suite 101 Durham, NC 27704
Booking
Appointment required
Opening hours
  • Monday 9:00 AM – 5:00 PM
  • Tuesday 9:00 AM – 3:00 PM
  • Wednesday 10:00 AM – 5:00 PM
  • Thursday 11:00 AM – 6:00 PM
  • Friday Closed
  • Saturday 9:00 AM – 3:00 PM
  • Sunday Closed
Website
Community health center 5.0 miles

Bdihs

No ratings yet

Bdihs, Durham, welcomes walk-ins for STI screening without an appointment. Federal qualification underpins its sliding-scale fees, which adjust to each patient's income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, giving patients a practical, same-day path to answers.

Sliding-scale
Address
249 East Nc Highway 54, Suite 320, Durham, NC 27713
Website
Community health center 5.1 miles

BDIHS Durham- Address Typo

No ratings yet

BDIHS Durham-Address Typo, in Durham, welcomes walk-ins for STI screening without an appointment. Federal qualification anchors its sliding-scale fee structure, making syphilis, gonorrhea, and chlamydia testing available at costs tied to income. A single visit can cover the full standard panel.

Sliding-scale
Address
294 East Nc Highway 54, Durham, NC 27713
Website
Premium Partner
Labcorp

Labcorp

Results in 1–2 days
?

Review sources

  • Google140
  • EasySTD5
Rated 2.8 out of 5 from 145 reviews

Address
5324 Mcfarland Road, Durham, NC 27707 5.4 miles away
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner
Labcorp at Walgreens

Labcorp at Walgreens

Results in 1–2 days
?

Review sources

  • Google45
  • EasySTD5
Rated 3.3 out of 5 from 50 reviews

Address
3601 Davis Drive, Morrisville, NC 27560 11.1 miles away
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

Every other option

More ways to get tested in Durham, NC

Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.

Test from home

At-home STD testing in Durham, NC

The nearest testing center is less than a mile away, if you'd rather skip the trip, an at-home kit ships to Durham, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.

Want a free option first? The CDC-supported TakeMeHome program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.

  • In-home collection

    Quest Diagnostics

    Quest Diagnostics

    $79 & up

    Panel:
    8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
    Sample:
    Quest Mobile: a phlebotomist collects your sample at home
    Results:
    1–3 days, online: physician-reviewed
    • In-home sample collection
    • Nationwide Quest lab network
    • Physician-reviewed results
    • FSA/HSA eligible
  • Best value: single tests

    Everlywell

    Everlywell

    $49 & up

    Panel:
    Chlamydia & gonorrhea, up to a 6-test panel adding HIV, syphilis, trichomoniasis & hep C
    Sample:
    Finger-prick + swab
    Results:
    Days, online
    • Telehealth visit if positive
    • CLIA-certified labs
    • HSA/FSA eligible
    • Subscription savings
  • Best for simplicity & support

    LetsGetChecked

    LetsGetChecked

    $89 & up

    Panel:
    5–6 common STIs incl. chlamydia, gonorrhea, HIV, syphilis & trichomoniasis
    Sample:
    Finger-prick + urine/swab
    Results:
    2–5 days, online
    • 24/7 nurse support
    • Prescription for positives
    • CLIA-certified labs
    • Free shipping both ways

Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.

Also in the area

Other CLIA-certified labs near Durham, NC

Beyond the public testing sites above, these federally certified (CLIA) labs serve Durham County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.

  • Almac Diagnostics

    4238 Technology Drive, Durham, NC 27704

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • Bioagilytix Labs

    2300 Englert Drive, Durham, NC 27713

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • DUH - Platelet Antibody Testing LAB

    Room 0514 South Hospital Box 3422, Durham, NC 27710

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • DUH-Mohs Surgery Unit Laboratory

    5324 Mcfarland Drive, Durham, NC 27707

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • Duhs Blood GAS Laboratory

    10 Duke Medicine Circle, Room 6W80, Durham, NC 27710

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • Duhs Clinical Laboratories DUH Site

    M312 Davison Building Box 3712 2301 Erwin Road, Durham, NC 27710

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel

Showing 6 of the CLIA-certified labs in Durham County.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Durham. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.

Local clinicians

Clinicians near Durham, NC who may help arrange STD testing

Beyond dedicated clinics, 1,771 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Durham. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 690 offer telehealth.

  • Mohan Chilukuri, MD

    Family medicine · 2400 Broad Street, Durham

  • Rayomand Bengali, MD Telehealth

    Internal medicine · 3420 Wake Forest Highway, Durham

  • Anne Phelps, MD

    Internal medicine · 3475 Erwin Road, Durham

  • Cristina Salmon Echanique, MD Telehealth

    Internal medicine · 40 Duke Medicine Circle, Durham

  • Brittany Davidson, MD Telehealth

    OB-GYN · 20 Duke Medicine Circle, Durham

  • David D Alessio, MD Telehealth

    Internal medicine · 30 Duke Medicine Circle, Durham

These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.

Nearby pharmacies

Pharmacies near Durham, NC

Compare the pharmacies closest to Durham, NC. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.

  • Lincoln Community Health Center Pharmacy

    0.2 mi
    Rx pickupCondoms / EC
  • Student Health Services Pharmacy

    0.3 mi
    Rx pickupCondoms / EC
  • Kerr Drug

    0.5 mi
    Rx pickupCondoms / EC
  • Walgreens 0.5 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • Gurleys Pharmacy

    1.1 mi
    Rx pickupCondoms / EC
  • Main Street Pharmacy

    1.1 mi
    Rx pickupCondoms / EC

Showing the 6 closest pharmacies to Durham, NC.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

Prevention & treatment

PrEP, prevention & online treatment

Testing is one step. For residents of Durham, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STD stats & rates

STDs & HIV in Durham County: the local picture

How reported STI rates in Durham County, the county that includes Durham, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~34% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#14 of 100 North Carolina counties for chlamydia, a higher rate than 86% of the state

Reported STD rates per 100,000, Durham County vs North Carolina vs U.S.

Durham County North Carolina U.S. = Durham County vs the state average
Infection Durham County North Carolina United States
Chlamydia
905.3 3,050 cases ▲ 49%
607.9 492.2
Gonorrhea
440.5 1,484 cases ▲ 81%
243.2 179.5
Syphilis (P&S)
27.6 93 cases ▲ 39%
19.9 15.8
Syphilis (early)
17.5 59 cases ▲ 11%
15.8 16
Syphilis (late/unknown)
42.2 142 cases ▲ 76%
24 29.5

Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.

Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.

Reported STD rates in Durham County over time (per 100,000)

Chlamydia ▲ 12% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 475 950 2020202120222023

Between 2020 and 2023 in Durham County, chlamydia has risen from 746.8 to 905.3 per 100,000 (21%), gonorrhea has risen from 387.6 to 440.5 per 100,000 (14%), and P&S syphilis has fallen from 35.7 to 27.6 per 100,000 (23%).

The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).

Community health context

What shapes testing access in and around Durham, NC

Adults uninsured
12.5%
No routine checkup
19.9%
No transportation
10%
Binge drinking
15.2%
Frequent mental distress
15.9%
Depression
22.6%
Below poverty line
10.1%
Primary-care ratio
836 : 1
Durham County

Primary-care shortage score 15 / 26

Medically Underserved Area · IMU 55

Social Vulnerability Index · 69th percentile nationally

Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Durham County.

Local HIV snapshot

HIV in Durham County (2023)

People living with HIV
629 / 100k
New diagnoses (2023)
71cases countywide
On PrEP (coverage)
78.3%

Durham County HIV care continuum (2023)

Durham County recorded 24.5 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Durham County residents living with HIV, 78.5% are in care · 68.2% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.

Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.

Pregnant or planning to be? Congenital syphilis is the fastest-rising STI: what to test, and when

Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Durham County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Editorially Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team

Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →

17 Sources

Local resources & officials

Data & references

Local context

About Durham, NC

Along University Drive, where student apartments stack up beside older rental blocks, a monthly rent around $1,058 leaves little slack for expenses that feel optional in a tight month, and in Durham, where half of all residents rent rather than own, that budget pressure is real for a substantial share of households. For younger adults in their late teens and twenties concentrated in neighborhoods like Hayti and West End, a testing visit can slide not because people don't care but because a co-pay or an afternoon off work carries actual cost. With unemployment meaningfully above rock-bottom and most working-age residents already in the labor force, scheduling flexibility is thin.

A clinic with inconvenient hours isn't a minor inconvenience, it's often the reason a visit doesn't happen. Getting from West Lakewood Avenue or South Mangum Street to a provider without a car isn't straightforward, so distance translates directly into time and transit cost that gets weighed against everything else on a budget that's already spoken for. The options listed on this page cut through that calculus: sliding-scale fees, extended hours, or same-day availability change what's actually reachable for a city where close to a third of residents are in the highest-risk years for STIs, and where every dollar and hour counts before rent comes due again.

Getting there

How residents reach STD testing in Durham, NC

Walkability 9.63 / 20 · Below average

At 9.63/20 on the EPA walkability index, day-to-day errands in Durham generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.

Source: EPA National Walkability Index 2021.

Map of 12 STD & STI testing locations in Durham, North Carolina, EasySTD

Durham sits in Durham County. Local context that shapes where residents test:

Local landmarks

  • Pauli Murray Center for History and Social Justice
  • 11-foot-8 Bridge
  • Nasher Museum of Art
  • Sarah P. Duke Gardens
  • Duke Lemur Center
  • Duke Homestead State Historic Site

Neighborhoods & communities

  • Hayti
  • Morehead Hill
  • American Tobacco Historic District
  • West End
  • Burch Avenue
  • Five Points
  • Old North Durham
  • Keene

Major routes

  • University Drive
  • West Lakewood Avenue
  • East Lakewood Avenue
  • South Mangum Street
  • NC 55 (South Alston Avenue)

Reference

STD testing in Durham, NC: screening, costs & privacy

Everything to know before you test in Durham County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

Group Tests How often
Everyone aged 13–64 HIV At least once
Sexually active women under 25 Chlamydia, gonorrhea Every year
Women 25+ with new or multiple partners Chlamydia, gonorrhea Every year
Pregnant people HIV, syphilis, hepatitis B & C, chlamydia Early in pregnancy
Gay & bisexual men (MSM) Chlamydia, gonorrhea, syphilis, HIV Every 3–6 months
Anyone who shares injection equipment HIV, hepatitis B & C At least yearly
All adults at least once Hepatitis C At least once

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Durham-area provider.

Infection Earliest reliable test Sample
Chlamydia 1–2 weeks Urine or swab
Gonorrhea 1–2 weeks Urine or swab
Trichomoniasis 1–4 weeks Urine or swab
HIV (NAT / RNA) 10–33 days Blood
HIV (4th-gen Ag/Ab) 18–45 days Blood
HIV (antibody) 3–12 weeks Blood / oral
Syphilis 3–6 weeks Blood
Hepatitis B 3–6 weeks Blood
Hepatitis C 8–11 weeks Blood
Herpes (HSV) 4–16 weeks (antibody); swab a sore Blood / swab
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What each STD test costs Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Durham often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.

Test Reference price CPT / HCPCS
Chlamydia (NAAT) $47.80 87491
Gonorrhea (NAAT) $47.80 87591
Trichomoniasis (NAAT) $47.76 87661
HIV-1/2 antigen/antibody $26.87 87389
HIV-1/2 antibody $22.44 86703
Syphilis (RPR/VDRL) $5.61 86592
Syphilis (treponemal antibody) $17.49 86780
Herpes (HSV NAAT) $47.76 87529
Hepatitis B surface antigen $15.33 87340
Hepatitis C antibody $29.16 86803

Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.

Confidentiality & consent in North Carolina Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on North Carolina law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).

Can a minor consent on their own?

In North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

North Carolina permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.

Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.

Learn more about confidential STD testing in North Carolina

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Durham, NC

Answers to the questions people ask most before getting tested.

How many places can I test near Durham, NC?

There are 12 options within a 30-mile drive.

Does insurance cover STD testing near Durham, NC?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Is there free HIV testing near Durham, NC?

Yes, free HIV testing is available at public clinics in the area.

What's included in a full panel near Durham, NC?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Durham County?

Durham County reported ~905 chlamydia cases per 100,000 in 2023, above the North Carolina average.

Can I get PrEP near Durham, NC?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

Can someone under 18 get tested in North Carolina without a parent?

In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.

How long do results take near Durham, NC?

Most results are ready in about 1–2 days.

Is there an at-home STD test for Durham, NC?

At-home kits mail to 27703: self-collect, send to the lab, results in ~2–5 days.

Which HIV test is best?

Lab-based 4th-generation and NAT tests are most sensitive early on; rapid tests are also very reliable after the window.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.