Monroe County runs about 92% lower than the US average in reported syphilis. Whether you're starting a new relationship or managing ongoing care in Carleton, Michigan, consider both low-cost community and public clinics, which may have longer waits, and private labs, which generally offer faster results and more scheduling flexibility. Your options for testing are listed on this page.
Available testing centers
7 testing options are listed for Carleton, MI. The nearest, Family Medical Center, is about 0.5 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.
Family Medical Center in Carleton carries federal FQHC standing, which ties its fees to a sliding income-based scale, so patients paying cash, between providers, or without coverage can realistically afford syphilis, gonorrhea, and chlamydia screening without an appointment.
Tests offered
Fees & payment
Family Medical Center - Monroe Main, serving Monroe through federally qualified health center funding, ties STI screening costs to each patient's income. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing without an appointment.
Tests offered
Fees & payment
Monroe County Health Department in Monroe runs every service (testing, treatment, vaccines, and counseling) at no fee, with a sliding scale and both Medicaid and private insurance accepted. Appointments are required for the full panel: HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, and hepatitis C.
The no-fee structure here runs through active Medicaid and insurance billing on the clinic's end, meaning the department collects from payers when coverage exists and absorbs the remainder. The result is that every service on the menu, from TB treatment to STI care to vaccines, carries the same price to the patient: nothing.
Monroe County Health Department holds Title X federal family planning designation, which means confidential services for minors aren't a policy choice that can shift. They're legally required. That status directly ensures a minor can receive testing, counseling, and contraception without a parent's involvement or knowledge appearing on any billing record.
Beyond the core bacterial and HIV tests, the clinic runs herpes and hepatitis C testing as part of its regular panel. Both requiring their own specimen handling and clinical interpretation on-site. Hepatitis C reactive results move directly into on-site management rather than requiring a separate care pathway elsewhere.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
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 Carleton, 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 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 Monroe 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.
1310 North Macomb Street, Monroe, MI 48162
CMS-certified lab
1052 North Monroe Street, Monroe, MI 48162
CMS-certified lab Accredited · COLA
7301 Secor Road, Lambertville, MI 48144
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Carleton. 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, 5,905 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Carleton. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,865 offer telehealth.
Alexandra Lucia
Physician associate · 14704 Port Creek Road, Flat Rock
Lauren Cieslak, NP Telehealth
Nurse practitioner · 26342 Gibraltar Road, Flat Rock
Vera Cigan
Nurse practitioner · 22800 Martinsville Road, Belleville
Samantha Demarce, NP
Nurse practitioner · 21057 Waltz Road, New Boston
Monica Neubauer, NP
Nurse practitioner · 11777 Dixie Highway, South Rockwood
Colleen Browne, DO Telehealth
Family medicine · 25620 Gibraltar Road, Flat Rock
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 Carleton, MI 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.
Carleton Pharmacy
0.6 miNewport Sav-Mor
5.0 miRexall Frenchtown Pharmacy
5.0 miRiverbend Pharmacy
5.4 mi
5.7 mi Flatrock City Pharmacy
6.1 miShowing the 6 closest pharmacies to Carleton, MI.
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 Carleton, 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
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
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 Monroe County, the county that includes Carleton, compare with Michigan and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~15% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#33 of 83 Michigan counties for chlamydia, a higher rate than 60% of the state
| Infection | Monroe County | Michigan | United States |
|---|---|---|---|
| Chlamydia | 219.9 341 cases ▼ 49% | 429.5 | 492.2 |
| Gonorrhea | 44.5 69 cases ▼ 71% | 152.2 | 179.5 |
| Syphilis (P&S) | 1.3 2 cases ▼ 85% | 8.4 | 15.8 |
| Syphilis (early) | 4.5 7 cases ▼ 48% | 8.7 | 16 |
| Syphilis (late/unknown) | 1.9 3 cases ▼ 85% | 13 | 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 Monroe County, chlamydia has fallen from 262.3 to 219.9 per 100,000 (16%), gonorrhea has fallen from 113.7 to 44.5 per 100,000 (61%), and P&S syphilis has risen from 0.6 to 1.3 per 100,000 (117%).
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 Monroe County.
Local HIV snapshot
Monroe County HIV care continuum (2021)
Monroe County recorded 6.8 new HIV diagnoses per 100,000 (2021), against 8.1 statewide and 13.7 nationally. Among Monroe County residents living with HIV, 75.6% are in care · 64.4% 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 Monroe County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Winter settles hard over Carleton, and the kind of stability that draws families here (the brick homes, the parks where children grow up) also means people stay. That rootedness brings its own rhythm to health decisions. Young adults in their twenties and thirties, whether they're building lives in Ash Township or raising the next generation in multigenerational homes, often find routine STI screening fits naturally into their regular doctor visits and health maintenance. What happens in a clinic stays there; the testing available in and around Carleton listed on this page carries no spillover into the neighborhood or workplace.
Households here tend to be established, with the kind of health insurance and steady employment that makes preventive care a given. That same reliability means clinics in the area understand discretion not as an exception but as standard practice. A screening visit is straightforward: results arrive privately, and the conversation between you and your provider remains exactly that. Carleton's character rests on people who plan ahead and take care of what matters.
Testing before a new relationship, after a change in circumstances, or simply as part of annual wellness fits that same practical outlook. The providers listed here know their community and treat routine screening as exactly what it is: ordinary, necessary, and confidential.
Getting there
At 4.88/20 on the EPA walkability index, day-to-day errands in Carleton 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 48117 snapshot
ZIP-level Census figures for the wider 48117 area around Carleton: a single ZIP can span several communities, so they describe the area, not Carleton alone.
Carleton sits in Monroe County, ZIP 48117. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Carleton? 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 Monroe County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Michigan 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 Carleton-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 Carleton 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 Michigan 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 Michigan, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Michigan 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 MichiganSource: 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Monroe County reported ~220 chlamydia cases per 100,000 in 2023, below the Michigan average.
At-home kits mail to 48117: self-collect, send to the lab, results in ~2–5 days.
In Michigan, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.