New HIV diagnoses in Missoula County run about 58% lower than the US average. Whether starting a new relationship or managing ongoing health care in Carlton, Montana, you can weigh clinics with varying fees, or private labs with straightforward self-pay prices. We have listed your options below.
Available testing centers
4 testing options are listed for Carlton, MT. The nearest, Ag Worker Health & Services, is about 6.8 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.
Ag Worker Health & Services in Lolo earned its federally qualified designation by meeting federal standards for underserved communities, which means sliding-scale fees for syphilis, gonorrhea, and chlamydia screening that adjust to your income, no appointment needed to get started.
Tests offered
Fees & payment
A public safety-net rural health clinic about 11 miles from Carlton. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
All Nations Health Center in Missoula tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis C on a sliding-scale fee that applies to everyone. Medicare and Medicaid accepted, insurance welcome. Appointments are required; same-visit treatment is available for bacterial infections.
Leaving herpes or hepatitis C untested means carrying a gap, possibly for years, while pursuing separate appointments elsewhere at separate cost. All Nations Health Center closes that gap with on-site testing for both, alongside the standard bacterial and HIV panel, and hepatitis C is managed on-site rather than deferred.
When substance use is part of the picture, a positive STI result that ends with a prescription and nothing more leaves the underlying risk intact. All Nations Health Center keeps substance-use treatment within the same walls, so care for both can begin during the same course of appointments without a second referral chain to navigate.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 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 about 7 miles away; if you'd rather skip the trip, an at-home kit ships to Carlton, 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 Missoula 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.
2620 Connery Way, Missoula, MT 59808
CMS-certified lab
2835 Fort Missoula Road, Missoula, MT 59804
CMS-certified lab
634 Eddy Ave Room 163, Missoula, MT 59812
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Carlton. 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, 116 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Carlton. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 41 offer telehealth.
Laura Shelton, MD Telehealth
Family medicine · 5549 Old US Hwy 93, Florence
Emily Egdamin, MD Telehealth
Internal medicine · 4025 Emerald Drive, Stevensville
Michelle Metcalf, MD
Internal medicine · 3975 US Hwy 93 North, Stevensville
Gary Harvey, MD
OB-GYN · 2835 Fort Missoula Road, Missoula
Scott Wyman, MD
OB-GYN · 2835 Fort Missoula Road, Missoula
Aubrey Remmers, MD Telehealth
Family medicine · 2835 Fort Missoula Road, Missoula
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 Carlton, MT 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.
Florence Pharmacy
2.9 miLolo Drug
5.9 mi
11 mi Yokes Pharmacy
11 miShowing the 4 closest pharmacies to Carlton, MT.
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 Carlton, 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 $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
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 Missoula County, the county that includes Carlton, compare with Montana and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~14% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#15 of 56 Montana counties for chlamydia, a higher rate than 73% of the state
| Infection | Missoula County | Montana | United States |
|---|---|---|---|
| Chlamydia | 301.2 367 cases ▼ 7% | 322.6 | 492.2 |
| Gonorrhea | 52.5 64 cases ▼ 22% | 67.7 | 179.5 |
| Syphilis (P&S) | 4.9 6 cases ▼ 82% | 27.5 | 15.8 |
| Syphilis (early) | 8.2 10 cases ▼ 34% | 12.4 | 16 |
| Syphilis (late/unknown) | 5.7 7 cases ▼ 79% | 27.2 | 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 Missoula County, chlamydia has fallen from 378.2 to 301.2 per 100,000 (20%), gonorrhea has fallen from 106.9 to 52.5 per 100,000 (51%), and P&S syphilis has risen from 3.4 to 4.9 per 100,000 (44%).
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 Missoula County.
Local HIV snapshot
Missoula County HIV care continuum (2021)
Missoula County recorded 5.7 new HIV diagnoses per 100,000 (2021), against 3 statewide and 13.7 nationally. Among Missoula County residents living with HIV, 87.9% are in care · 83.9% 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 Missoula County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 93 threads through Carlton along the same corridor the Nez Perce traveled for centuries, and the community that has grown up around it carries a distinctly settled character: nearly everyone here owns their home, and most households are married-couple families. That kind of rootedness tends to flatten the churn that drives STI transmission in denser places, yet it can also create a quiet social calculus where people assume the risk is someone else's concern. The labor-force picture reinforces that. With just over half of adults participating in the workforce, many Carlton residents are outside the daily commute patterns that make a clinic visit easy to fold into a regular schedule.
The share of households reaching six-figure income is modest, which matters when out-of-pocket costs determine whether a test happens at all. Young adults in their late teens and twenties, the years when new partnerships are most common and STI rates climb nationally, are a smaller slice of Carlton's population than in larger Montana cities, but they face the same county-level Missoula STI landscape everyone else does. Knowing which sites along the route offer sliding-scale fees makes that drive considerably more worthwhile for households watching a budget.
Getting there
At 5.25/20 on the EPA walkability index, day-to-day errands in Carlton 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 59833 snapshot
ZIP-level Census figures for the wider 59833 area around Carlton: a single ZIP can span several communities, so they describe the area, not Carlton alone.
Carlton sits in Missoula County, ZIP 59833. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Carlton? 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 Missoula County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Montana 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 Carlton-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 Carlton 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 Montana 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 Montana, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Montana 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 MontanaSource: 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 Ag Worker Health & Services (6.8 mi); 4 options are within 30 miles.
Medicaid generally covers STD testing.
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 301 cases per 100,000 residents (2023), below the Montana average.
In Montana, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
It's cured with antibiotics; treating partners together prevents reinfection.
There's no cure, but antivirals manage symptoms well and reduce transmission.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.