Gonorrhea rates in Grafton County run about 84% lower than the US average. Whether you have symptoms or are seeking peace of mind in New Hampshire, consider visiting a clinic for immediate support or an at-home kit for flexible testing. The list below shows your options in Alexandria.
Available testing centers
7 testing options are listed for Alexandria, NH. The nearest, Mid-State Health Center, is about 5.0 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.
Mid-State Health Center in Bristol runs by appointment, so slots are scheduled rather than improvised, and a single visit can cover gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis A, B, and C testing, same-visit bacterial treatment, and HPV or hepatitis vaccines, all on a sliding-scale fee.
A reactive hepatitis C antibody at Mid-State Health Center doesn't end the clinical conversation, it opens one. The center prescribes and manages direct-acting antiviral therapy on-site, meaning the treatment course stays inside Bristol rather than getting handed off to a specialist queue.
Mid-State Health Center staffs substance-use treatment within the same clinical structure as its STI program, so providers can coordinate prescribing and monitoring across both conditions. That means a patient whose substance use intersects with STI risk doesn't cycle between separate intake systems, both care tracks are managed inside one facility.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Mid-State Health Center's panel runs herpes serology and tests for hepatitis A, B, and C. Each requiring its own sample collection and interpretation protocol. Hepatitis A and B results connect directly to the center's on-site vaccination program when immunity isn't confirmed.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Mascoma Community Health Center in Orange tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C on a sliding-scale fee that applies to everyone, with insurance and Medicaid also accepted; bacterial STIs are treated same visit, and appointments are required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
A safety-net rural health clinic about 11 miles from Alexandria. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Alexandria, 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 Grafton 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.
264 Cottage Street, Littleton, NH 03561
CMS-certified lab
90 Swiftwater Road, Woodsville, NH 03785
CMS-certified lab
One Medical Center Drive, Lebanon, NH 03756
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Alexandria. 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, 339 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Alexandria. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 140 offer telehealth.
Cecilia Disney, MD
Family medicine · 100 Robie Road, Alexandria
Ryan Hall, MD
Internal medicine · 130 Jenness Hill Road, Bristol
Viktoria Hasselhof, MD
Family medicine · 160 Jenness Hill Road, Bristol
Gurvinder Bali, MD
Internal medicine · 103 Boulder Point Drive, Plymouth
David Fagan, MD
Internal medicine · 101 Boulder Point Drive, Plymouth
Elizabeth Disney, MD
OB-GYN · 16 Hospital Road, Plymouth
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 Alexandria, NH 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.
Genoa Healthcare
5.2 mi
5.5 mi 
11 mi Speare Memorial Hosp Phcy Dept
12 miShowing the 4 closest pharmacies to Alexandria, NH.
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 Alexandria, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
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
$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 Grafton County, the county that includes Alexandria, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data.
#4 of 10 New Hampshire counties for chlamydia, a higher rate than 60% of the state
| Infection | Grafton County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 169.6 158 cases ▼ 14% | 196.6 | 492.2 |
| Gonorrhea | 29 27 cases ▼ 31% | 41.9 | 179.5 |
| Syphilis (P&S) | 4.3 4 cases ▲ 10% | 3.9 | 15.8 |
| Syphilis (early) | 1.1 1 cases ▼ 42% | 1.9 | 16 |
| Syphilis (late/unknown) | 2.1 2 cases ▼ 47% | 4 | 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 Grafton County, chlamydia has fallen from 189.9 to 169.6 per 100,000 (11%), gonorrhea has risen from 19.8 to 29 per 100,000 (46%), and P&S syphilis has risen from 2.2 to 4.3 per 100,000 (95%).
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 Grafton County.
Local HIV snapshot
Grafton County HIV care continuum (2023)
Grafton County recorded 0 new HIV diagnoses per 100,000 (2023), against 2.8 statewide and 13.7 nationally. Among Grafton County residents living with HIV, 78.5% are in care · 75.9% 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 Grafton County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Four-year degrees are in the minority, near 19.8%. Alexandria, in Grafton County, New Hampshire, is a mid-size, rural community. Unemployment runs about 4.6%, and homeownership is the norm. Getting tested is manageable, a local clinic, plus at-home kits and telehealth when that's easier.
Getting there
At 8.07/20 on the EPA walkability index, day-to-day errands in Alexandria 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.
Alexandria sits in Grafton County, ZIP 3222. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Alexandria? 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 Grafton County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 Alexandria-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 Alexandria 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 New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Hampshire 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 New HampshireSource: 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.
The closest is Mid-State Health Center (5 mi); 4 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 170 cases per 100,000 residents (2023), below the New Hampshire average.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.