New HIV diagnoses in Merrimack County run about 73% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Bow, New Hampshire, you may find clinics bill insurance or offer sliding-scale fees, while some private labs charge a flat self-pay price. The listings below include both options.
Available testing centers
9 testing options are listed for Bow, NH. The nearest, Quest Diagnostics, is about 4.0 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.
Equality Health Center in Concord runs on a sliding-scale fee structure open to everyone, with Medicaid and most insurance accepted alongside donations. Appointments are required for its panel covering HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB, with same-visit treatment for bacterial infections.
Plenty of testing clinics hand off prevention prescribing to primary care, leaving patients to schedule elsewhere. Equality Health Center writes and manages both PrEP and PEP in-house, including PrEP coverage for uninsured patients, so prevention and testing happen within the same clinical relationship.
The panel at Equality Health Center runs blood draws and cultures across hepatitis A, B, and C as well as herpes alongside the bacterial STIs. Meaning clinicians are ordering and interpreting discrete tests for each pathogen, not relying on symptom presentation to decide what gets looked at.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Concord Hospital Family Health Center in Concord accepts Medicaid, Medicare, and most insurance, with a sliding-scale fee structure for everyone else, covering gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis C, and TB: by appointment, with care available in Portuguese and Spanish.
The testing panel at Concord Hospital Family Health Center extends beyond the standard four to include herpes and hepatitis C, both confirmed on-site. Hepatitis C, when diagnosed here, moves directly into treatment management at the same facility rather than requiring a separate care relationship.
Portuguese and Spanish are staffed languages at Concord Hospital Family Health Center, meaning providers conduct the clinical encounter directly in those languages. Prescriptions are written, treatment plans are explained, and follow-up instructions are delivered without a secondary layer between clinician and patient.
Languages
English, Portuguese, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Merrimack Valley Assistance Program in Concord requires an appointment for STI care, making each scheduled visit purposeful: syphilis, gonorrhea, chlamydia, and HIV testing are all available under the federally qualified sliding-scale model, meaning fees adjust to what a patient's income can actually support.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Convenient MD Urgent Care in Concord tests for gonorrhea, syphilis, and chlamydia, and treats bacterial infections the same visit. The mpox vaccine is available on a walk-in basis, and fees slide to zero, with Medicare and most insurance accepted.
Languages
English
Tests offered
Care services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
A public safety-net Ryan White HIV care · Title X family-planning grantee about 6 miles from Bow. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Languages
English, Spanish
Tests offered
Serves
Prevention services
Fees & payment
Listing verified Sep 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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Bow, 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 Merrimack 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.
273 County Road, New London, NH 03257
CMS-certified lab Accredited · College of American Pathologists
248 Pleasant Street, Suite 2800, Concord, NH 03301
CMS-certified lab
253 Pleasant Street, Concord, NH 03301
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 Bow. 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, 611 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Bow. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 234 offer telehealth.
Linda Smith, MD
Family medicine · 514 South Street, Bow
Dennis Rork, MD Telehealth
Family medicine · 81 Hall Street, Concord
Jennifer Mackenzie, MD Telehealth
Family medicine · 48 Glass Street, Pembroke
Michele Caravella, MD
Family medicine · 121 Pembroke Street, Pembroke
Christopher Mcnulty, DO
Family medicine · 1 Pillsbury Street, Concord
Jay Lorah, DO Telehealth
Family medicine · 50 Pinewood Road, Allenstown
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 Bow, NH 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.
4.4 mi 
4.4 mi Modern Pharmacy
4.4 miGranite State Pharmacy
4.4 miGenoa Healthcare
4.6 miShowing the 5 closest pharmacies to Bow, NH.
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 Bow, 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
$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
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 Merrimack County, the county that includes Bow, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data.
#3 of 10 New Hampshire counties for chlamydia, among the very highest in the state
| Infection | Merrimack County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 180.1 283 cases ▼ 8% | 196.6 | 492.2 |
| Gonorrhea | 33.1 52 cases ▼ 21% | 41.9 | 179.5 |
| Syphilis (P&S) | 5.7 9 cases ▲ 46% | 3.9 | 15.8 |
| Syphilis (early) | 2.5 4 cases ▲ 32% | 1.9 | 16 |
| Syphilis (late/unknown) | 3.8 6 cases ▼ 5% | 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 Merrimack County, chlamydia has fallen from 193.1 to 180.1 per 100,000 (7%), gonorrhea has risen from 22.8 to 33.1 per 100,000 (45%), and P&S syphilis has risen from 1.3 to 5.7 per 100,000 (338%).
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 Merrimack County.
Local HIV snapshot
Merrimack County HIV care continuum (2021)
Merrimack County recorded 3.7 new HIV diagnoses per 100,000 (2021), against 2.8 statewide and 13.7 nationally. Among Merrimack County residents living with HIV, 76.5% are in care · 60.6% 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 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 Merrimack County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Route 3A cuts through Bow quietly (no traffic lights, no strip-mall clinics) and the nearest testing option is a deliberate drive, not a spontaneous detour. That's the practical reality for anyone living out past Bow Mills or along the ridge toward Wood Hill: getting screened means building it into the day with intention. What makes that worth noting is the shape of life here. With nearly nine in ten households owning their homes and most families running three or more people, Bow skews toward rooted, two-income setups, and two thirds of households clear six figures. That stability is real, but a fully employed town with an almost vanishingly low unemployment rate is also a town where people are genuinely busy.
A working parent with a packed Tuesday isn't going to add a clinic visit unless the logistics are already solved. The options listed here exist across a range of hours and formats precisely because appointment availability matters as much as cost. Younger adults, people in their late teens through their late twenties, face the sharpest need for regular screening regardless of relationship status, and Merrimack County's STI patterns reflect that nationally. In a place where driving NH-3A is simply how you move through the world, knowing exactly which clinic fits your schedule before you need it is the thing that actually closes the gap.
Getting there
At 6.69/20 on the EPA walkability index, day-to-day errands in Bow 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.
Bow sits in Merrimack County, ZIP 3304. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Bow? 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 Merrimack County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 Bow-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 Bow 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 New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Hampshire 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 New HampshireSource: 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, Manchester, NH is close; compare it by distance against Quest Diagnostics.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 180 cases per 100,000 residents (2023), below the New Hampshire average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 3304; you collect a sample, mail it back, and get results in about 2–5 days.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.