Pamlico County reports about 16 syphilis cases per 100,000 residents annually. If you are in Arapahoe, North Carolina with a one-time concern or need a regular check-up, consider that: clinics offer provider support and immediate treatment, while at-home kits provide more flexible scheduling. This page lists both options.
Available testing centers
7 testing options are listed for Arapahoe, NC. The nearest, Contentnea Health Pamlico, is about 8.9 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.
Contentnea Health Pamlico in Bayboro meets patients where other options fall short: whether they're uninsured, between providers, or paying out of pocket. Federal qualification backs its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening genuinely affordable regardless of income or insurance status.
Tests offered
Fees & payment
Pamlico County Health Department in Bayboro delivers same-visit treatment for bacterial STIs alongside testing for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, hepatitis C, and TB: by appointment, on a sliding scale, with HIV testing and STI testing available at no fee.
The fee schedule at Pamlico County Health Department bottoms out at zero across the full range of services: STI testing, HIV testing, mpox vaccine, HPV vaccine, hepatitis A and B vaccines, STI treatment, and counseling. Sliding-scale fees apply to services outside that free tier, and Medicaid, Medicare, and private insurance are all accepted.
Pamlico County Health Department provides services in Spanish, which means HIV test counseling, STI prevention education, and medication adherence conversations happen in Spanish from the start. Not relayed or delayed.
The panel at Pamlico County Health Department runs to seven infections: gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, and HIV. Herpes serology and hepatitis C antibody testing are ordered alongside the core four in the same appointment rather than requiring separate referrals or visits.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Craven County Community Health Center- Havelock earns its federally qualified designation partly through a sliding-scale fee structure tied to household income, making STI screening financially reachable across income levels. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing. No appointment needed to get started.
Tests offered
Fees & payment
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 9 miles away; if you'd rather skip the trip, an at-home kit ships to Arapahoe, 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 range: couples & full panels
$79 & 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 Pamlico 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.
606 Main Street, Bayboro, NC 28515
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Arapahoe. 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, 132 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Arapahoe. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 28 offer telehealth.
Suman Lamsal, MD
Internal medicine · 606 Main Street, Bayboro
Paige Clark, MD
OB-GYN · 200 Stonebridge Square, Havelock
Michael Fujimagari, MD
Internal medicine · 1010 Lathan Lane, New Bern
Michael Towarnicky, MD
Internal medicine · 508 US Hwy 70 West, Havelock
Micheal Creta, DO
Family medicine · 532 Webb Boulevard, Havelock
Simon O Regan, MD
Family medicine · 532 Webb Boulevard, Havelock
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 Arapahoe, NC 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.
6.4 mi Denton Pharmacy
7.5 miRealo Discount Drugs
8.3 miFamily First Pharmacy
8.8 miBayboro Pharmacy
8.8 miShowing the 5 closest pharmacies to Arapahoe, NC.
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 Arapahoe, 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 Pamlico County, the county that includes Arapahoe, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#56 of 100 North Carolina counties for chlamydia, a higher rate than 44% of the state
| Infection | Pamlico County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 402.5 50 cases ▼ 34% | 607.9 | 492.2 |
| Gonorrhea | 144.9 18 cases ▼ 40% | 243.2 | 179.5 |
| Syphilis (P&S) | 16.1 2 cases ▼ 19% | 19.9 | 15.8 |
| Syphilis (early) | 8 1 cases ▼ 49% | 15.8 | 16 |
| Syphilis (late/unknown) | 8 1 cases ▼ 67% | 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.
Between 2020 and 2023 in Pamlico County, chlamydia has risen from 325.8 to 402.5 per 100,000 (24%), gonorrhea has risen from 130.3 to 144.9 per 100,000 (11%), and P&S syphilis has risen from 8.1 to 16.1 per 100,000 (99%).
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 Pamlico County.
Local HIV snapshot
Pamlico County HIV care continuum (2022)
Pamlico County recorded 0 new HIV diagnoses per 100,000 (2022), against 15.1 statewide and 13.7 nationally. Among Pamlico County residents living with HIV, 62.5% are in care · 62.5% 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 Pamlico County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Arapahoe's rhythms run on water and seasonal work: fishing seasons that stretch and contract, the repair shops and trades that fill the months between, the practical mentality that comes with living close to Kennel Beach and the sound. People here move with purpose, and many are young adults building their lives in that particular way: establishing themselves, learning trades, figuring out what comes next. That forward momentum matters, and so does the health foundation beneath it. Confidential STI screening isn't something you plan around gossip or awkwardness in a place this size, it's simply part of staying well while you're making your way. Testing services available in and around Arapahoe are listed on this page, with details on hours, what each site offers, and how to reach them.
The clinics and providers here understand that discretion isn't a luxury or a policy, it's baseline. Your results and the fact that you came for screening stay between you and the person conducting it. Getting screened early and routinely catches infections before they become problems, whether you're between partners, in a new relationship, or just being thorough. The young adult years are when screening habits often take root, and finding a provider you trust nearby makes the difference between intention and actually following through.
Getting there
At 4.88/20 on the EPA walkability index, day-to-day errands in Arapahoe 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 28529 snapshot
ZIP-level Census figures for the wider 28529 area around Arapahoe: a single ZIP can span several communities, so they describe the area, not Arapahoe alone.
Arapahoe sits in Pamlico County, ZIP 28529. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Arapahoe? 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 Pamlico 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.
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 Arapahoe-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 Arapahoe 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 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).
In North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
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 CarolinaSource: 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.
Some clinics and labs take walk-ins for same-day testing; call ahead to confirm hours.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, Pamlico County Health Department (9 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 403 cases per 100,000 residents (2023), below the North Carolina average.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 28529; you collect a sample, mail it back, and get results in about 2–5 days.
Definitely worth testing; abnormal discharge often points to a treatable STI.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.