Alexandria reported syphilis is about 15% lower than the US average. Checking for syphilis or other STIs in Alexandria city, Virginia for a one-time concern or regular check-ups has different trade-offs. Visiting a clinic lets a provider answer questions and start treatment, while an at-home kit lets you collect a sample on your own schedule and mail it in. Check our list below.
Available testing centers
12 testing options are listed for Alexandria, VA. The nearest, Alexandria Health Department, is about 0.4 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.
Alexandria Health Department brings public-health infrastructure to STI care: rapid HIV, syphilis, gonorrhea, chlamydia, and herpes testing on an appointment basis, with same-visit treatment for bacterial infections, HPV and hepatitis A vaccines, and every service at no fee.
For anyone paying cash and without a regular provider, the full scope of Alexandria Health Department's STI services (testing, treatment, vaccines) runs at no charge, not as a reduced rate but as a flat zero across the board, with no means test separating one patient's visit from another's.
Without on-site Spanish fluency, a patient navigating sexual health in a second language faces a fractured visit: key details misread, follow-up instructions lost, treatment delayed. Alexandria Health Department closes that gap with Spanish-language care delivered directly in the clinic room, so nothing critical moves through a compromised channel.
Leaving herpes off a standard panel means a second appointment, a separate lab, and often an untreated infection sitting in the gap between visits. Alexandria Health Department adds herpes to its testing lineup alongside HIV, syphilis, gonorrhea, and chlamydia, so one appointment covers the full picture.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Neighborhood Health in Alexandria runs on appointments and covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, plus rapid HIV) with same-visit treatment for bacterial infections, sliding-scale fees, and every service provided at no fee.
Plenty of sliding-scale clinics still leave a balance once insurance is applied or income is verified. At Neighborhood Health, the fee structure doesn't work that way. Every service, from the initial panel to PrEP prescribing to HIV treatment, is provided at no cost to the patient.
Neighborhood Health carries interpretation services as a permanent, clinic-wide resource. Not a scheduling add-on. For anyone navigating PrEP counseling, medication adherence education, or a treatment conversation in a language other than English, that support is already in the room.
Ryan White Program funding at Neighborhood Health means HIV care doesn't hand off after a positive result: the same clinic carries a patient from rapid testing through ongoing HIV/AIDS medical treatment and medication adherence counseling, with PrEP and PEP prescribing alongside it.
Languages
Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Neighborhood Health at Martha Custis Drive, in Alexandria, adjusts fees to each patient's income. No one is turned away because of cost. As a federally qualified health center, it offers sliding-scale STI screening for syphilis, gonorrhea, and chlamydia, with no appointment required.
Tests offered
Fees & payment
NOVA Patient Care in Alexandria tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis B and C: all on a sliding scale, with same-visit treatment for bacterial infections and an appointment required to be seen.
Every service at NOVA Patient Care is provided at no fee, which means the full scope of testing, treatment, and prevention (PrEP, hepatitis care, HIV management) stays financially within reach on the same visit without a cost calculation standing between a patient and the next step.
NOVA Patient Care delivers care directly in Spanish, so medication adherence counseling, HIV prevention education, and treatment decisions happen in the language a person uses to weigh medical choices. Not summarized after the fact.
Without an on-site PrEP provider, the period between a prevention conversation and an actual prescription can stretch into weeks of unprotected exposure. NOVA Patient Care prescribes and manages PrEP directly, closing that gap at the same appointment where HIV testing and counseling happen.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Inova-GoHealth Urgent Care in Alexandria tests for gonorrhea, chlamydia, syphilis, herpes, HIV, hepatitis A, B, and C, and TB, treating bacterial infections the same visit, with fees billed to insurance or Medicaid, or paid directly on a sliding scale. Walk-ins welcome; interpretation services available.
Navigating STI care in a second language requires more than a working vocabulary: it requires accurate symptom history, understood treatment instructions, and informed consent. Inova-GoHealth carries interpretation services directly into the clinical encounter in Alexandria, so nothing critical gets compressed or lost across the desk.
Leaving a clinic with gonorrhea and chlamydia results but no herpes or hepatitis answer means scheduling a second appointment somewhere else, another wait, another copay, another week without clarity. Inova-GoHealth's panel in Alexandria covers herpes, hepatitis A, B, and C alongside the core bacterial infections, so the picture is complete after one visit.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
A safety-net federally qualified health center about 3 miles from Alexandria. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Neighborhood Health at Arlington CSB, in Arlington, carries federally qualified health center status: meaning its sliding-scale fees adjust to each patient's income, keeping syphilis, gonorrhea, and chlamydia screening financially within reach regardless of insurance status.
Tests offered
Fees & payment
Arlington County Department of Human Services tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, hepatitis C, and TB, treating bacterial STIs at the same appointment. All on a sliding scale, with every service carrying no fee, by appointment.
The no-fee structure at Arlington County Department of Human Services isn't a discount tier or an income-tested waiver, it's the operating model. Every test, every vaccine, every treatment visit, and every counseling session runs at no charge to the patient, funded and staffed to eliminate billing entirely.
Arlington County Department of Human Services builds language access directly into clinical workflows: Spanish is available on staff, and interpretation services for other languages are coordinated as part of the appointment itself, so the clinical conversation (history, diagnosis, treatment plan) happens in full, not in fragments.
Most sexual health clinics counsel on doxycycline post-exposure prophylaxis without the ability to prescribe it on the spot. Arlington County Department of Human Services closes that gap: DoxyPEP is an active part of the prevention toolkit, prescribed and managed at the clinic for eligible patients.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 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 less than a mile 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 range: couples & full panels
$79 & 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 Alexandria city, 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.
4320 Seminary Road, Alexandria, VA 22304
CMS-certified lab Accredited · College of American Pathologists
1800 North Beauregard Street, Alexandria, VA 22311
CMS-certified lab Accredited · College of American Pathologists
400 Fannon Street, Alexandria, VA 22301
CMS-certified lab Accredited · College of American Pathologists
1800 North Beauregard Street Suite 350, Alexandria, VA 22311
CMS-certified lab
4660 Kenmore Avenue - Suite 100, Alexandria, VA 22304
CMS-certified lab
Showing the nearest 5 CLIA-certified labs.
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, 4,903 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 2,088 offer telehealth.
Bradley Ware, MD
Family medicine · 5249 Duke Street, Alexandria
Basim Khan, MD
Internal medicine · 1225 Martha Custis Drive, Alexandria
Daniel Stroupe, MD Telehealth
Infectious disease · 5249 Duke Street, Alexandria
Leslie Brandwin, MD
Internal medicine · 5249 Duke Street, Alexandria
Kantha Stoll, MD Telehealth
Internal medicine · 5249 Duke Street, Alexandria
Sabahat Nawab, MD Telehealth
Internal medicine · 3541 West Braddock Road, Alexandria
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, VA 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.
Neighborhood Health Casey Clinic Pharmacy
1.0 mi
1.4 mi Harris Teeter
1.4 mi
1.5 mi Showing the 4 closest pharmacies to Alexandria, VA.
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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Alexandria city, the city that includes Alexandria, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#29 of 133 Virginia counties for chlamydia, a higher rate than 78% of the state
| Infection | Alexandria city | Virginia | United States |
|---|---|---|---|
| Chlamydia | 536 832 cases ▲ 13% | 472.8 | 492.2 |
| Gonorrhea | 233.8 363 cases ▲ 48% | 158.3 | 179.5 |
| Syphilis (P&S) | 13.5 21 cases ▲ 26% | 10.7 | 15.8 |
| Syphilis (early) | 18 28 cases ▲ 89% | 9.5 | 16 |
| Syphilis (late/unknown) | 16.7 26 cases ▲ 6% | 15.8 | 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 Alexandria city, chlamydia has risen from 425.8 to 536 per 100,000 (26%), gonorrhea has risen from 131.7 to 233.8 per 100,000 (78%), and P&S syphilis has risen from 11.3 to 13.5 per 100,000 (19%).
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 Alexandria city.
Local HIV snapshot
Alexandria city HIV care continuum (2023)
Alexandria city recorded 15.7 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Alexandria city residents living with HIV, 61.1% are in care · 56.3% 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 Alexandria city tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
King Street's electric trolley line runs past the George Washington Masonic National Memorial and deposits commuters a short walk from some of the options listed on this page, which says something useful about how Alexandria is actually laid out for getting things done between obligations. That said, the city's profile is worth reading carefully. Most residents here rent rather than own, at monthly costs that leave limited room for anything that feels optional, and with nearly four in five adults in the workforce, calendar space is genuinely scarce.
Young adults in their late teens and twenties, who make up a substantial share of Alexandria's population, often carry the heaviest load of unpredictable hours and tightest budgets, which is precisely why same-day or extended-hours appointments matter more than a well-located clinic that's only open weekday mornings. Neighborhoods like Chinquapin Village and Oakcrest sit within reach of Duke Street and Telegraph Road, both of which connect to the broader network of listed options without requiring a long detour from a typical commute. Half of Alexandria households clear six figures, but rent at these levels means discretionary spending is already spoken for for much of the other half.
Getting there
Alexandria scores 14.1/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
Alexandria sits in Alexandria city. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
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 Alexandria city: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia 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 Virginia 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 Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia 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 VirginiaSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Alexandria city reported ~536 chlamydia cases per 100,000 in 2023, above the Virginia average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
No, most STIs have no visible signs, so the only way to know is to test.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.