In Skamania County, reported chlamydia runs about 86% lower than the US average. Looking for sexual health testing in Carson, Washington, for a one-time concern or regular check-ups? Community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. See your options below.
Available testing centers
9 testing options are listed for Carson, WA. The nearest, Skamania County Public Health, is about 4.6 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.
Skamania County Public Health in Stevenson anchors STI care within the county's own public health infrastructure: appointments cover gonorrhea, chlamydia, syphilis, HIV, herpes, and both hepatitis B and C on a sliding-scale fee, with same-visit treatment for bacterial infections and Spanish-language services on staff.
The panel at Skamania County Public Health runs to seven infections: gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, and hepatitis C. Herpes serology and hepatitis C antibody testing, absent from many county panels, are drawn and processed here, meaning one appointment generates a materially fuller picture of sexual health status.
Spanish-language care at Skamania County Public Health is a staffed clinical capacity: counseling, prevention education, and STI treatment are conducted directly in Spanish rather than routed through ad hoc arrangements. That operational structure means nuance in HIV test counseling and hepatitis prevention discussions isn't compressed by a language gap.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
One Community Health - Stevenson serves patients across income levels (whether uninsured, paying cash, or between providers) through federally qualified health center status that anchors sliding-scale fees to what people actually earn. STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment required.
Tests offered
Fees & payment
Hood River County Health Department runs on a sliding-scale fee with Medicaid, Medicare, and private insurance accepted, covering a panel that spans rapid and conventional HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB. By appointment, with care available in Spanish.
Hood River County Health Department delivers care in Spanish, which means clinical conversations (symptoms, treatment options, follow-up instructions) happen in the language of the visit itself, without a lag or a workaround between what's said and what's understood.
Beyond gonorrhea, chlamydia, syphilis, and HIV, the department tests for herpes and all three hepatitis strains (A, B, and C) in a single appointment. That seven-infection sweep means conditions that often go undetected elsewhere are either caught or cleared at the same visit.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
One Community Health in Hood River runs on a sliding scale with Medicaid, Medicare, and private insurance accepted, making fees adjustable for nearly any budget. Appointments are required for testing (gonorrhea, chlamydia, syphilis, HIV, and herpes) with same-visit treatment for bacterial infections and care delivered in Spanish.
One Community Health staffs herpes testing alongside the core four rather than treating it as a separate referral. Clinicians order the serologic HSV test during the same appointment as gonorrhea, chlamydia, syphilis, and HIV. No second visit, no separate scheduling queue to navigate.
Spanish-language care at One Community Health runs through staff who conduct the clinical conversation themselves (taking history, explaining results, and walking through treatment) not routed through a secondary service. That means medication instructions and follow-up plans are delivered and confirmed in Spanish by the person who ordered them.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
One Community Health - White Salmon, serving White Salmon through its federally qualified standing, anchors STI care on a sliding-scale fee structure tied to income. Meaning cost adjusts to what patients actually earn. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment needed.
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Carson, 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 for simplicity & support
$89 & 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.
Local clinicians
Beyond dedicated clinics, 55 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Carson. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 9 offer telehealth.
Amanda Vandlac, MD Telehealth
Urology · 1784 May Street, Hood River
Ashley Shubert, MD
Internal medicine · 810 12th Street, Hood River
Heather Lytle, MD
OB-GYN · 1125 May Street, Hood River
Jacqueline Levene, DO
Internal medicine · 1108 June Street, Hood River
Matthew Sperry, MD
Family medicine · 1750 12th Street, Hood River
Richard Starrett, MD Telehealth
Family medicine · 1021 June Street, Hood River
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 Carson, 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.
Wind River Pharmacy
4.1 miHi-School Pharmacy
16 miLongs Drug Store
27 miWilliams Pharmacy
28 mi
28 mi 
30 mi Showing the 6 closest pharmacies to Carson, 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 Carson, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$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
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 Skamania County, the county that includes Carson, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#38 of 39 Washington counties for chlamydia, among the lowest in the state
| Infection | Skamania County | Washington | United States |
|---|---|---|---|
| Chlamydia | 71.2 9 cases ▼ 80% | 354.4 | 492.2 |
| Gonorrhea | — no data | 129.6 | 179.5 |
| Syphilis (P&S) | 7.9 1 cases ▼ 63% | 21.3 | 15.8 |
| Syphilis (early) | — no data | 12.5 | 16 |
| Syphilis (late/unknown) | 15.8 2 cases ▼ 31% | 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 Skamania County, chlamydia has fallen from 99.7 to 71.2 per 100,000 (29%), gonorrhea has risen from 8.3 to 48.2 per 100,000 (481%), and P&S syphilis has fallen from 8.2 to 7.9 per 100,000 (4%).
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 Skamania County.
Local HIV snapshot
Skamania County HIV care continuum (2023)
Skamania County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Skamania County residents living with HIV, 70% are in care · 60% 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 Skamania County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
WA 14 threads through the Columbia River Gorge with the nearest testing options a genuine drive from Carson's doorstep, and that distance is the first thing anyone mapping out a clinic visit has to account for. Roughly three in eight households here rent, and at around a thousand dollars a month that's a meaningful share of a budget, which makes cost-transparent options on this page worth scanning before you go. The community skews toward established households: a majority of adults are married, average household size runs at three, and nearly two-thirds of residents are in the workforce. That everyday fullness of life is exactly why the options listed here matter for younger adults in their late teens and twenties, who are statistically most likely to benefit from routine screening and least likely to have a visit already built into their calendar.
A place where most people own their home and a third of households clear six figures still has real scheduling and travel constraints. For a couple, a family of three, or a single renter stretching a paycheck, the clinics listed here show hours, fees, and distance. The details that determine whether a good-faith intention becomes an actual appointment on the Columbia River Highway.
Getting there
At 8.86/20 on the EPA walkability index, day-to-day errands in Carson 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 98610 snapshot
ZIP-level Census figures for the wider 98610 area around Carson: a single ZIP can span several communities, so they describe the area, not Carson alone.
Carson sits in Skamania County, ZIP 98610. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Carson? 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 Skamania 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 Carson-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 Carson 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.
The closest is Skamania County Public Health (4.6 mi); 7 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 71 cases per 100,000 residents (2023), below the Washington average.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
It's cured with antibiotics; treating partners together prevents reinfection.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.