Malheur County has seen new HIV diagnoses run about 68% higher than the US average. In Adrian, Oregon, whether you need testing after potential exposure or as routine care, public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. See your options below.
Available testing centers
6 testing options are listed for Adrian, OR. The nearest, Valley Family Health Care - Nyssa Medical Clinic, is about 10.1 miles away. Compare community and public clinics, private labs, and at-home kits below.
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.
A community safety-net federally qualified health center about 10 miles from Adrian. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Terry Reilly Health Services in Homedale runs gonorrhea, syphilis, hepatitis C, TB, and HIV testing alongside same-visit treatment for bacterial STIs, with fees set on a sliding scale and appointments required. Full care, including PrEP and hepatitis C treatment, is delivered in Spanish.
Terry Reilly staffs clinical care in Spanish, not routed through a scheduling add-on or a separate language service. Prescriptions, follow-up protocols, and counseling for HIV, hepatitis C, and STI treatment all run in Spanish as the operating language of the visit.
Many testing sites hand off prevention medication to a separate prescriber. Terry Reilly in Homedale carries both PrEP and PEP in-house, meaning the clinic that runs your HIV test is the same one that can initiate and manage your prevention prescription.
A hepatitis C antibody result at Terry Reilly doesn't end the clinical relationship, direct-acting antivirals are prescribed and managed here, meaning the full treatment arc, from confirmatory testing through cure, stays within one practice in Homedale.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
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
The nearest testing center is about 10 miles away; if you'd rather skip the trip, an at-home kit ships to Adrian, 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 (opens in a new tab) 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
$79 & up
Best value: single tests
$49 & up
Best for simplicity & support
$89 & up
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
Beyond the public testing sites above, these federally certified (CLIA) labs serve Malheur 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.
351 Southwest 9th Street, Ontario, OR 97914
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Adrian. 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
Beyond dedicated clinics, 185 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Adrian. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 40 offer telehealth.
Shannon Schantz, MD
Family medicine · 17 South 3rd Street, Nyssa
Cara Sullivan, MD
Family medicine · 201 Main Street, Marsing
Bryon Hemphill, DO
Family medicine · 789 Washington Street West, Vale
J'Cinda Bitters, MD
Family medicine · 1717 Arlington Avenue, Caldwell
Richard Augustus, MD
Family medicine · 1717 Arlington Avenue, Caldwell
Sulabha Chaganaboyana, MD
Family medicine · 315 East Elm Street, Caldwell
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
No pharmacy near Adrian, OR publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
Medicap Pharmacy 8391
7.1 miMedicap Pharmacy
10 miHomedale Drug
11 mi
11 mi Terry Reilly Health Services
11 miShowing the 5 closest pharmacies to Adrian, OR.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Adrian, 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.
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
How reported STI rates in Malheur County, the county that includes Adrian, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#3 of 36 Oregon counties for chlamydia, among the very highest in the state
| Infection | Malheur County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 518 166 cases ▲ 43% | 362.5 | 492.2 |
| Gonorrhea | 127.9 41 cases ▲ 9% | 117.2 | 179.5 |
| Syphilis (P&S) | 9.4 3 cases ▼ 51% | 19.2 | 15.8 |
| Syphilis (early) | — no data | 9.6 | 16 |
| Syphilis (late/unknown) | 40.6 13 cases ▲ 106% | 19.7 | 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.
Between 2020 and 2023 in Malheur County, chlamydia has fallen from 700 to 518 per 100,000 (26%), gonorrhea has fallen from 294.6 to 127.9 per 100,000 (57%), and P&S syphilis has risen from 3.2 to 9.4 per 100,000 (194%).
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
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 Malheur County.
Local HIV snapshot
Malheur County HIV care continuum (2022)
Malheur County recorded 23 new HIV diagnoses per 100,000 (2022), against 6.6 statewide and 13.7 nationally. Among Malheur County residents living with HIV, 85.7% are in care · 82.9% 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.
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 Malheur County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Brown Butte rises at the edge of town, and in the rentals scattered below it, where $560 a month stretches a household of nearly four people across a modest floor plan, younger adults tend to be juggling work schedules, shared bills, and the ordinary uncertainty of relationships still taking shape. That life stage is exactly when routine STI screening matters most, and exactly when it's easiest to defer. A few details about Adrian's makeup help explain why access design is worth thinking about here.
With well over half of residents owning their homes, a meaningful portion of the community has deep, settled roots, but the renters, who cluster in that lower price tier, are often the ones with less schedule flexibility and tighter monthly budgets. Full-time work absorbs much of the week for most adults in the labor force, and when you factor in households supporting multiple people under one roof, carving out time for a clinic visit takes deliberate planning rather than a casual detour. Knowing which sites offer the latest hours or the lowest out-of-pocket costs, before you make that drive, is what keeps the appointment from being rescheduled indefinitely.
Getting there
At 8.04/20 on the EPA walkability index, day-to-day errands in Adrian 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.
ZIP 97913 snapshot
ZIP-level Census figures for the wider 97913 area around Adrian: a single ZIP can span several communities, so they describe the area, not Adrian alone.
Adrian sits in Malheur County, ZIP 97913. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Adrian? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Malheur County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
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 |
Testing too early can return a false negative, confirm timing with an Adrian-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 |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Adrian 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.
Two things that actually depend on Oregon 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).
In Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon 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 OregonSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Valley Family Health Care - Nyssa Medical Clinic, about 10.1 mi away, with 3 options within 30 miles.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Malheur County reported ~518 chlamydia cases per 100,000 in 2023, above the Oregon average.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
A blood draw screens for syphilis, with a confirmatory test if it's reactive.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
No, standard bloodwork doesn't include STIs unless you ask, so request STD testing specifically.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.