Columbia County, Pennsylvania reported chlamydia at 44% below the US average. You might seek testing in Berwick, Pennsylvania before starting a new relationship or as part of ongoing care. Clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Choose from the options below.
Available testing centers
9 testing options are listed for Berwick, PA. The nearest, Keystone Agricultural Worker Program - Columbia, is about 0.6 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.
Keystone Agricultural Worker Program - Columbia, serving Berwick, earned its federally qualified designation by anchoring STI care to a sliding-scale fee structure tied directly to household income: meaning syphilis, gonorrhea, and chlamydia screening costs adjust to what patients actually earn, and no appointment is needed to get started.
Tests offered
Fees & payment
Columbia County Volunteers in Medicine, in Mifflinville, tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis A, B, and C, and herpes. All at no fee, with bacterial STIs treated same-visit. An appointment is required.
For anyone paying out of pocket and without a regular provider to bill, the full scope here (testing, STI treatment, hepatitis C treatment) runs at no cost. There is no fee schedule, no adjusted rate to negotiate; the care itself is free.
For someone without a specialist or a primary care relationship to shepherd a hepatitis C diagnosis into actual treatment, this clinic holds both ends of that process. Testing and antiviral treatment happen at the same site, at no charge.
Gonorrhea, chlamydia, syphilis, and HIV are where many testing sites stop. Columbia County Volunteers in Medicine also screens for herpes and for hepatitis A, B, and C. Infections that frequently go undetected precisely because they fall outside the standard ask.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Rural Health Corporation of Northeastern Pennsylvania in Nuremberg tests for gonorrhea, chlamydia, syphilis, and HIV, and treats bacterial infections the same visit. Fees run on a sliding scale, with Medicaid and Medicare accepted; an appointment is required.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Black Creek Health Center in Sugarloaf welcomes walk-ins for STI screening without an appointment. Federally qualified status anchors its sliding-scale fee structure, tying costs to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, making same-day care a practical option for anyone who needs it.
Tests offered
Fees & payment
Caring Communities in Bloomsburg delivers STI care (gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, and HIV testing) alongside same-visit bacterial treatment, vaccines, and PrEP, with walk-in availability and every service provided at no fee.
Caring Communities operates without a billing tier that kicks in at a certain income: the no-fee structure covers testing, treatment, counseling, and preventive services for everyone who walks in. No sliding calculation, no copay at checkout. The fees listed on paper simply don't reach the patient.
Testing positive for HIV at many clinics marks the end of what they can offer. At Caring Communities in Bloomsburg, Ryan White Program funding extends the care arc from initial diagnosis through ongoing treatment and medication adherence support. Keeping the relationship with a provider intact rather than fragmenting it across separate systems.
Plenty of testing sites can tell someone they're a good candidate for PrEP or PEP and stop there. Caring Communities carries both through to prescription and ongoing monitoring, meaning the prevention conversation doesn't stall waiting for a separate prescriber to enter the picture.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · 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 Berwick, 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 Columbia 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.
549 Fair Street, Bloomsburg, PA 17815
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 Berwick. 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, 559 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Berwick. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 228 offer telehealth.
Albert Alley, DO
Family medicine · 301 West 3rd Street, Berwick
Gary Kanouse, MD Telehealth
Internal medicine · 695 East 16th Street, Berwick
Pavel Pribula, MD
Internal medicine · 751 East 16th Street, Berwick
Taylor English, DO Telehealth
Family medicine · 2200 West Front Street, Berwick
Michael Marino, DO Telehealth
Internal medicine · 6850 Lows Road, Bloomsburg
Jurgen Straub, MD
Family medicine · 26 North Main Street, Shickshinny
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 Berwick, PA 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.
0.4 mi 
0.6 mi The Medicine Shoppe
0.7 miWeis Pharmacy
0.9 miBerwick Community Pharmacy
1.3 miShowing the 5 closest pharmacies to Berwick, PA.
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 Berwick, 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
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
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 Columbia County, the county that includes Berwick, compare with Pennsylvania 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.
#19 of 67 Pennsylvania counties for chlamydia, a higher rate than 72% of the state
| Infection | Columbia County | Pennsylvania | United States |
|---|---|---|---|
| Chlamydia | 276.6 181 cases ▼ 34% | 421.2 | 492.2 |
| Gonorrhea | 30.6 20 cases ▼ 79% | 144.7 | 179.5 |
| Syphilis (P&S) | 1.5 1 cases ▼ 84% | 9.1 | 15.8 |
| Syphilis (early) | 3.1 2 cases ▼ 70% | 10.3 | 16 |
| Syphilis (late/unknown) | 6.1 4 cases ▼ 46% | 11.4 | 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 Columbia County, chlamydia has fallen from 299.7 to 276.6 per 100,000 (8%), gonorrhea has fallen from 44.8 to 30.6 per 100,000 (32%), and P&S syphilis has fallen from 3.1 to 1.5 per 100,000 (52%).
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 Columbia County.
Local HIV snapshot
Columbia County HIV care continuum (2023)
Among Columbia County residents living with HIV, 69.6% are in care · 57.6% 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 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 Columbia County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Berwick sits where the Susquehanna River narrows, and winters arrive early enough to reshape how residents plan their year. For young adults making their way through school, starting work, or settling into the area, routine STI screening fits quietly into the rhythms of preventive care. The same way a flu shot or blood pressure check does. The modest cost of living here means health expenses weigh differently on a household budget than they might elsewhere, making accessible testing a genuine part of staying well. Testing in and around Berwick listed on this page reflects clinics and providers familiar with serving people who value straightforward, judgment-free care.
Confidentiality matters in a town where many know one another by sight, and screening results remain sealed between patient and provider: no gossip, no workplace complications, no unexpected conversations at Sponsler Park or Downtown Berwick Park. A quick visit to confirm health status costs far less than treating an infection months later. Young adults here often move between Berwick and neighboring communities for work or school, which means exposure risk doesn't stop at town limits. Screening every few months, or after any change in partners, is the kind of basic health decision that protects both you and whoever comes next, and the clinics listed on this page make that choice simple to act on.
Getting there
At 7.83/20 on the EPA walkability index, day-to-day errands in Berwick 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 18603 snapshot
ZIP-level Census figures for the wider 18603 area around Berwick: a single ZIP can span several communities, so they describe the area, not Berwick alone.
Berwick sits in Columbia County, ZIP 18603. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Berwick? 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 Columbia County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Pennsylvania 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 a Berwick-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 Berwick 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 Pennsylvania 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 Pennsylvania, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Pennsylvania 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 PennsylvaniaSource: 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 Keystone Agricultural Worker Program - Columbia (0.6 mi); 9 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
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 277 cases per 100,000 residents (2023), below the Pennsylvania average.
In Pennsylvania, 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.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
It's curable with antibiotics; catching it early avoids serious complications.
Screening checks when you have no symptoms; diagnostic testing confirms a cause when you do. The lab tests are often the same.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.