Chlamydia in Yakima County, Washington is 51% more common than nationally. If you've recently had a risk or just test regularly, consider how you'll pay. Clinics in Buena, Washington may bill insurance or offer a sliding-scale fee, while many private labs let you pay a flat self-pay price. See your options below.
Available testing centers
7 testing options are listed for Buena, WA. The nearest, Indian Health Service, is about 3.9 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.
Indian Health Service in Toppenish runs STI testing and treatment through a full-service federal health facility, covering gonorrhea, chlamydia, syphilis, HIV, hepatitis, herpes, and TB alongside family planning: walk-ins welcome, sliding scale available, and all services provided at no fee.
The no-fee structure at Indian Health Service isn't limited to a single program or test type: it runs through every service the clinic provides, including treatment, vaccines, and counseling, staffed and billed so that nothing is unbundled into a separate charge when you leave.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Indian Health Service tests for herpes and hepatitis A, B, and C in the same visit, which means infections that often go undetected elsewhere get identified early enough to act on, including same-visit treatment for bacterial STIs.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Yakima Valley Farm Workers Clinic in Toppenish is a community health center where STI testing (gonorrhea, chlamydia, syphilis, herpes, HIV, and hepatitis A, B, and C) runs on a sliding-scale fee open to everyone, with appointments required and same-visit treatment available for bacterial infections.
Plenty of clinics route non-English conversations through an external line, adding friction at exactly the wrong moment. Yakima Valley Farm Workers Clinic carries both Spanish-speaking staff and broader interpretation services directly into the exam room, so the clinical conversation happens in full. Not filtered.
Without a regular primary care provider, getting herpes and hepatitis A, B, and C tested in the same visit as gonorrhea, chlamydia, syphilis, and HIV can be genuinely difficult to arrange. Yakima Valley Farm Workers Clinic carries all of them, so a single appointment builds a complete picture rather than a partial one.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
YVFWC Toppenish Data Center in Toppenish welcomes walk-ins for STI screening without requiring an appointment. Backed by federal qualification, the clinic charges fees on a sliding scale tied to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, making each stop straightforward and purposeful.
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Buena, 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 Yakima 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.
38 Adelyn Way, Union Gap, WA 98903
CMS-certified lab
2811 Tieton Drive, Yakima, WA 98902
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Buena. 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, 166 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Buena. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 12 offer telehealth.
George Lupas, DO
Family medicine · 510 West 1st Avenue, Toppenish
Reuben Ramoz, MD
Internal medicine · 401 Buster Road, Toppenish
Charles Bulfinch, DO
Family medicine · 502 West 4th Avenue, Toppenish
Camelia Wogu, MD
Internal medicine · 502 West 4th Avenue, Toppenish
Vu Le, MD
Internal medicine · 516 West 4th Avenue, Toppenish
Jordann Loehr, DO
OB-GYN · 2527 Campbell Road, Wapato
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 Buena, 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.
Rd
5.3 miShopko Stores Operating
12 mi
12 mi Innominds
13 mi
13 mi 
13 mi Showing the 6 closest pharmacies to Buena, 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 Buena, 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.
$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 $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 Yakima County, the county that includes Buena, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 39 Washington counties for chlamydia, among the very highest in the state
| Infection | Yakima County | Washington | United States |
|---|---|---|---|
| Chlamydia | 743.1 1,907 cases ▲ 110% | 354.4 | 492.2 |
| Gonorrhea | 141.1 362 cases ▲ 9% | 129.6 | 179.5 |
| Syphilis (P&S) | 51.4 132 cases ▲ 141% | 21.3 | 15.8 |
| Syphilis (early) | 32.3 83 cases ▲ 158% | 12.5 | 16 |
| Syphilis (late/unknown) | 54.6 140 cases ▲ 138% | 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 Yakima County, chlamydia has risen from 638.8 to 743.1 per 100,000 (16%), gonorrhea has fallen from 231.8 to 141.1 per 100,000 (39%), and P&S syphilis has risen from 8.2 to 51.4 per 100,000 (527%).
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 Yakima County.
Local HIV snapshot
Yakima County HIV care continuum (2023)
Yakima County recorded 8.3 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Yakima County residents living with HIV, 87.8% are in care · 79.4% 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 Yakima County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Stewart Park anchors weekend life in Buena, where families and neighbors cross paths regularly. A closeness that shapes how people think about health decisions. That same tight social fabric means confidentiality in testing becomes something residents genuinely weigh. Clinics and urgent care centers listed on this page understand the value of discretion; testing visits leave no trace in casual conversation, and results remain sealed between you and your provider alone.
Many households here span generations under one roof, and single adults make up a steady part of the community too. Young adults especially benefit from knowing they can walk into a testing site without fanfare, get screened, and move forward with clear information. The facilities available in and around Buena handle routine screening with the same straightforward care they bring to any health visit, no ceremony, no assumptions. Because people tend to stay in Buena long-term, building lives and raising families here, the stakes of health decisions feel personal.
Regular testing fits naturally into that commitment: a low-key way to stay informed and protect the people you're close to. Providers in the area know their community and make screening accessible without drawing attention.
Getting there
At 8/20 on the EPA walkability index, day-to-day errands in Buena 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 98953 snapshot
ZIP-level Census figures for the wider 98953 area around Buena: a single ZIP can span several communities, so they describe the area, not Buena alone.
Buena sits in Yakima County, ZIP 98953. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Buena? 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 Yakima 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 a Buena-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 Buena 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Yes, Medicaid typically covers it, and public clinics are free either way.
Indian Health Service, about 3.9 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Yakima County reported ~743 chlamydia cases per 100,000 in 2023, above the Washington average.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 98953: self-collect, send to the lab, results in ~2–5 days.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.