Syphilis cases in Skagit County fall around 66% below the national rate. If you're in Anacortes, Washington, and considering testing before a new relationship or for ongoing care, weigh the pros and cons of clinics that may bill insurance and offer sliding-scale fees, versus private labs that let you pay a flat self-pay price. See the list below.
Available testing centers
9 testing options are listed for Anacortes, WA. The nearest, Island Hospital, is about 1.1 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.
Island Hospital in Anacortes brings full STI care through its hospital infrastructure: gonorrhea, chlamydia, syphilis, and HIV testing on a fee-based sliding scale, with same-visit treatment for bacterial infections, by appointment, and services available in Spanish.
Island Hospital conducts STI visits in Spanish, which means clinical conversations (symptom history, treatment instructions, follow-up plans) happen directly between patient and provider without a relay. That directness keeps nothing lost between what's said and what's understood.
Island Hospital's testing menu runs to herpes simplex and both hepatitis B and C alongside the core four, with each ordered and interpreted by clinical staff on-site. That means a single appointment can produce a complete picture rather than requiring separate referrals to close the gaps in a standard panel.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Sea Mar Community Health Center in Anacortes earns its federal qualification by tying fees directly to what patients earn, no one is turned away for cost. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with the final amount adjusted to household income.
Tests offered
Fees & payment
WhidbeyHealth in Oak Harbor takes walk-in visits covering gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, hepatitis C, and TB: same-visit treatment for bacterial infections, sliding-scale fees, and vaccines including HPV and hepatitis A available on the same appointment.
Sexual health clinics that test routinely stop short of writing prevention prescriptions, sending patients elsewhere to access PrEP or PEP. WhidbeyHealth handles both, ongoing PrEP management and PEP dispensing happen within the same care relationship, so prevention doesn't require a separate provider.
WhidbeyHealth's panel runs herpes simplex alongside hepatitis B and hepatitis C antibody testing in addition to the standard bacterial and HIV workup: meaning a single visit produces results across infections, each requiring its own specimen collection and clinical interpretation rather than a separate referral appointment.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jun 2025 · Source: CDC NPIN
Sea Mar CHC - Oak Harbor E. Whidbey Ave. in Oak Harbor, earned its federally qualified designation by tying fees directly to patient income: meaning syphilis, gonorrhea, and chlamydia screening costs scale with what you actually earn, no appointment needed to get started.
Tests offered
Fees & payment
Whidbey Island Womens Clinic in Oak Harbor tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding scale, with no-fee options available, and walk-ins are welcome, so a missed appointment never becomes a missed diagnosis.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jun 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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Anacortes, 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 Skagit 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.
1211 24th Street, Anacortes, WA 98221
CMS-certified lab Accredited · Joint Commission
3110 Commercial Ave Suite 105, Anacortes, WA 98221
CMS-certified lab
912 32nd St Suite A, Anacortes, WA 98221
CMS-certified lab
1801 Commercial Avenue, Anacortes, WA 98221
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Anacortes. 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, 376 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Anacortes. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 143 offer telehealth.
Neal Keeshin, MD Telehealth
Family medicine · 912 32nd Street, Anacortes
Caitlin Maccoun, MD
Family medicine · 2511 M Avenue, Anacortes
Ashlee Walls, MD Telehealth
Family medicine · 2511 M Avenue, Anacortes
Robert Rieger, MD
Family medicine · 2511 M Ave A, Anacortes
Alan Thom, DO
Family medicine · 2720 Commercial Avenue, Anacortes
Stephen Horras, MD
Family medicine · 1213 24th Street, Anacortes
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 Anacortes, WA 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.
Swinomish Wellness Program
3.4 miSoas
9.2 miSaar's
13 miParkhill Pharmacy
13 mi
13 mi Showing the 5 closest pharmacies to Anacortes, WA.
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 Anacortes, 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.
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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 Skagit County, the county that includes Anacortes, compare with Washington 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.
#22 of 39 Washington counties for chlamydia, a higher rate than 44% of the state
| Infection | Skagit County | Washington | United States |
|---|---|---|---|
| Chlamydia | 271.7 357 cases ▼ 23% | 354.4 | 492.2 |
| Gonorrhea | 43.4 57 cases ▼ 67% | 129.6 | 179.5 |
| Syphilis (P&S) | 5.3 7 cases ▼ 75% | 21.3 | 15.8 |
| Syphilis (early) | 3.8 5 cases ▼ 70% | 12.5 | 16 |
| Syphilis (late/unknown) | 16 21 cases ▼ 30% | 22.9 | 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 Skagit County, chlamydia has fallen from 314.2 to 271.7 per 100,000 (14%), gonorrhea has fallen from 100.4 to 43.4 per 100,000 (57%), and P&S syphilis has fallen from 7.7 to 5.3 per 100,000 (31%).
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 Skagit County.
Local HIV snapshot
Skagit County HIV care continuum (2020)
Skagit County recorded 4.5 new HIV diagnoses per 100,000 (2020), against 6.3 statewide and 13.7 nationally. Among Skagit County residents living with HIV, 80.9% are in care · 74.8% 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 Skagit County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along Commercial Avenue, the stretch of WA 20 Spur that runs through the heart of Anacortes, early apartments come with real tradeoffs: rent that leaves little room for unexpected costs, and health insurance that may not have followed someone from their last job or their parents' plan. For younger adults navigating new relationships and shifting living situations, that combination makes low-cost, low-hassle screening genuinely hard to prioritize, even when the intention is there. Anacortes skews toward homeowners and established households: most adults here are married, and a notable share of the workforce earns well. But that settled majority can obscure the picture for renters and the roughly four in ten adults who aren't actively in the labor force, a group that includes students, caregivers, and people between jobs.
When a car trip down Oakes Avenue or out toward Cap Sante is the only realistic way to reach a clinic, there's no walking to a nearby pharmacy or transit stop, a test that felt manageable on Monday can stay undone by Friday. Testing options are listed on this page, with enough range in hours and fees that most people can find one that works around a work schedule or a tight month. Knowing which clinics accept walk-ins or offer sliding-scale fees before you need them, rather than during a stressful moment near Causland Park on a weeknight, is the kind of preparation Anacortes residents tend to appreciate.
Getting there
At 9.27/20 on the EPA walkability index, day-to-day errands in Anacortes 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 98221 snapshot
ZIP-level Census figures for the wider 98221 area around Anacortes: a single ZIP can span several communities, so they describe the area, not Anacortes alone.
Anacortes sits in Skagit County, ZIP 98221. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Anacortes? 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 Skagit County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington 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 Anacortes-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 Anacortes 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 Washington 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 Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington 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 WashingtonSource: 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.
Possibly, Mount Vernon, WA is close; compare it by distance against Island Hospital.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 272 cases per 100,000 residents (2023), below the Washington average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
It means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
Yes, pelvic or lower-belly pain can be a sign of untreated chlamydia or gonorrhea spreading, so see a provider and test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.