Hanover County saw syphilis rates approximately 84% below the national average. If you are considering testing in Ashland, Virginia, whether after a possible 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
9 testing options are listed for Ashland, VA. The nearest, Virginia Department of Health, is about 1.0 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.
Virginia Department of Health in Ashland tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis B on a sliding scale, with same-visit treatment for bacterial infections: all services carry no fee, and appointments are required.
Doxycycline post-exposure prophylaxis remains outside the scope of many STI clinics, which neither stock nor prescribe it. Virginia Department of Health in Ashland carries DoxyPEP as a standing prevention service, clinicians prescribe and counsel on the regimen directly, closing a gap that often sends patients elsewhere.
Services at Virginia Department of Health in Ashland are delivered in Spanish and through interpretation for other languages, which means clinical conversations (about symptoms, treatment courses, and prevention options) happen without a relay step that can distort meaning or slow decisions.
The no-fee commitment at Virginia Department of Health in Ashland is operational, not conditional: the clinic is staffed and funded to absorb costs across the full visit (testing, treatment, DoxyPEP counseling, and vaccines) so sliding scale bottoms out at nothing owed.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Hamhds Woodman Center in Glen Allen extends federally qualified health center coverage to anyone navigating gaps in care: uninsured, underinsured, or paying out of pocket. Sliding-scale fees adjust to income, and STI screening covers syphilis, gonorrhea, and chlamydia without requiring an appointment.
Tests offered
Fees & payment
Global Health and Education in Glen Allen runs a full STI panel (gonorrhea, chlamydia, syphilis, conventional HIV, herpes, and hepatitis A, B, and C) alongside family planning and treatment, all by appointment and entirely free of charge.
Skipping a test because of cost means an untreated infection can quietly progress or spread, that gap is exactly what Global Health and Education closes. Every service on the menu, from the initial test through treatment, runs on a no-fee basis, with donations accepted but never required.
Herpes testing and hepatitis A, B, and C screening are routinely skipped at clinics that cap their panels at gonorrhea, chlamydia, syphilis, and HIV. Global Health and Education in Glen Allen tests for all of them, so gaps that would go undetected elsewhere get caught in the same appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
VCU Health in Richmond brings academic medical infrastructure to STI care: the full bacterial panel, sliding-scale fees, same-visit treatment for gonorrhea and chlamydia, and an appointment-based model that keeps care organized and PrEP and PEP consistently available.
VCU Health prescribes both PrEP and PEP on-site in Richmond, which means prevention planning stays with the same clinical team handling your testing and treatment. Continuity that keeps adherence counseling grounded in your actual care record rather than a separate conversation.
Leaving a clinic without herpes or hepatitis B and C results can mean a second appointment elsewhere, a gap where an undetected infection continues unmanaged. VCU Health's panel in Richmond covers both, so those results and any follow-on treatment come from the same visit and the same team.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN
Westerre Conference Center in Henrico holds its doors open to patients paying cash, between providers, or working without insurance coverage: federally qualified status anchors sliding-scale fees to income, making syphilis, gonorrhea, and chlamydia screening financially reachable for whoever walks in.
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Ashland, 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 for simplicity & support
$89 & up
Best value: single tests
$49 & 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 Hanover 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.
8260 Atlee Road, Mechanicsville, VA 23116
CMS-certified lab Accredited · College of American Pathologists
7384 Beulah Church Road, Mechanicsville, VA 23111
CMS-certified lab
7498 Right Flank Road, Mechanicsville, VA 23116
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Ashland. 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, 1,039 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Ashland. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 315 offer telehealth.
Paulina Essah, MD Telehealth
Internal medicine · 306 Ashcake Road, Ashland
Thomas Hubbard, MD
Family medicine · 100 Medical Drive, Ashland
Waseem Ghannam, MD
Family medicine · 906 Thompson Street, Ashland
Peter Minneci, MD
Family medicine · 9851 Brook Road, Glen Allen
Louis Benevento, MD Telehealth
Internal medicine · 8375 Patrick Henry Boulevard, Mechanicsville
Hasamone Nimjareansuk, DO
Family medicine · 9376 Atlee Station Road, Mechanicsville
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 Ashland, 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.
Food Lion Pharmacy
0.1 miMartin's Pharmacy
0.1 mi
0.1 mi 
0.3 mi 
0.5 mi Showing the 5 closest pharmacies to Ashland, 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 Ashland, 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 Hanover County, the county that includes Ashland, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~40% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#93 of 133 Virginia counties for chlamydia, a higher rate than 30% of the state
| Infection | Hanover County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 227.8 260 cases ▼ 52% | 472.8 | 492.2 |
| Gonorrhea | 68.3 78 cases ▼ 57% | 158.3 | 179.5 |
| Syphilis (P&S) | 2.6 3 cases ▼ 76% | 10.7 | 15.8 |
| Syphilis (early) | 2.6 3 cases ▼ 73% | 9.5 | 16 |
| Syphilis (late/unknown) | 6.1 7 cases ▼ 61% | 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 Hanover County, chlamydia has fallen from 268.2 to 227.8 per 100,000 (15%), gonorrhea has fallen from 69.1 to 68.3 per 100,000 (1%), and P&S syphilis has fallen from 6.4 to 2.6 per 100,000 (59%).
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 Hanover County.
Local HIV snapshot
Hanover County HIV care continuum (2021)
Hanover County recorded 6.3 new HIV diagnoses per 100,000 (2021), against 11.8 statewide and 13.7 nationally. Among Hanover County residents living with HIV, 82.9% are in care · 76.7% 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 Hanover County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
South Taylor Street Park sits a short walk from the center of Ashland, and for many residents the question of getting tested is less about awareness than about when, exactly, a workday allows for it. With a labor-force participation rate that leaves a meaningful share of adults outside traditional nine-to-five schedules, and a town where roughly half of households rent rather than own, the rhythms here are varied and often stretched. That mix matters because Ashland skews young in a real way. Young adults still forming relationships and navigating new situations make up a substantial portion of the population, and those are precisely the years when routine STI screening does the most protective work.
Household sizes run close to three people on average, which means a single positive result can ripple outward quickly, and the relatively modest share of households pulling in six figures suggests that out-of-pocket testing costs are a genuine consideration for many people, not a minor inconvenience. Several carry evening or weekend availability, which matters in a place where the workforce picture is uneven and a midday appointment is not always realistic. For anyone near the England Street corridor or coming from Mount Hermon Heights, checking hours before driving out is the practical first step the listed options make easy.
Getting there
At 6.61/20 on the EPA walkability index, day-to-day errands in Ashland 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 23005 snapshot
ZIP-level Census figures for the wider 23005 area around Ashland: a single ZIP can span several communities, so they describe the area, not Ashland alone.
Ashland sits in Hanover County, ZIP 23005. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Ashland? 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 Hanover County: 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 Ashland-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 Ashland 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.
The closest is Virginia Department of Health (1 mi); 9 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, Virginia Department of Health (1 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 228 cases per 100,000 residents (2023), below the Virginia average.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.
Syphilis is found with a simple blood test; a reactive screen is confirmed with a second blood test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.