In Wake County, there are about 16 syphilis cases per 100,000 residents. If you're considering testing in Cary, North Carolina, whether for routine care or after a possible exposure, you'll find that community and public clinics may be low-cost or free, while private labs usually provide faster results and more flexible appointments. Browse options below.
Available testing centers
12 testing options are listed for Cary, NC. The nearest, Avance Care, is about 1.0 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.
Avance Care in Cary tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB. Treating bacterial STIs at the same visit. Appointments are required; fees apply on a sliding-scale basis.
Avance Care writes PrEP prescriptions directly and manages the required follow-up lab work, HIV testing and kidney-function monitoring, within the same practice. PEP is also prescribed on-site, with the clinical oversight needed to complete the full course.
Skipping herpes or hepatitis testing means a separate appointment, a separate bill, and a gap in the picture before any treatment plan is set. Avance Care's panel includes herpes, hepatitis A, B, and C alongside the standard four, so the full diagnostic read happens in one visit rather than two.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
CARY at Dorcas PLAZA, in Cary, carries federal qualification as a community health center: meaning its sliding-scale fees are pegged to income, so anyone who walks in can access STI screening for syphilis, gonorrhea, and chlamydia at a cost tied to what they actually earn.
Tests offered
Fees & payment
Apex, in Apex, carries federal qualification as a community health center, which translates directly into sliding-scale fees tied to income for STI screening. Walk-ins are welcome, and the standard panel covers syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Your Choice Pregnancy Clinic in Raleigh screens for syphilis, gonorrhea, chlamydia, and HIV, with fees set on a sliding scale tied to income. No one is turned away because they cannot pay. An appointment is required to be seen.
Languages
English
Tests offered
Serves
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
NC Department of Health and Human Services in Raleigh welcomes walk-in patients without an appointment, letting a single visit cover syphilis, gonorrhea, and chlamydia screening. Backed by federally qualified health center standing, fees follow a sliding scale tied to income, making STI care reachable across the community.
Tests offered
Fees & payment
NeighborHealth Center Susanne Berger Clinic in Raleigh meets patients wherever they are financially: uninsured, cash-paying, or caught between coverage gaps. Federal qualification backs its sliding-scale STI screening, which covers syphilis, gonorrhea, and chlamydia, with fees tied to income so cost alone never becomes a barrier.
Tests offered
Fees & payment
Piedmont Internal Medicine in Raleigh folds STI care into a full internal medicine practice, where gonorrhea, chlamydia, and syphilis testing sits alongside TB screening and chronic disease management. Fees are charged on a standard basis with insurance accepted; an appointment is required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Wake Internal Medicine Consultants in Raleigh accepts Medicare and most insurance for STI care, covering gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, hepatitis C, and TB. Bacterial infections are treated the same visit; appointments are required.
Tenofovir-based PrEP is prescribed and monitored here, including the required HIV and kidney-function labs at regular intervals, rather than handed off elsewhere. PEP is also available, meaning both prevention pathways live within a single internal medicine practice that can carry the relationship forward.
Many STI clinics test for gonorrhea, chlamydia, syphilis, and HIV, and stop there. Wake Internal Medicine Consultants adds herpes, hepatitis B, and hepatitis C to that panel, so an infection that would go undetected at a narrower clinic is caught and addressed in the same visit.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · 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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Cary, 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 value: single tests
$49 & 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 Wake 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.
5927 South Miami Boulevard, Suite 100, Morrisville, NC 27560
CMS-certified lab Accredited · College of American Pathologists
133 Southcenter Court Suite 400, Morrisville, NC 27560
CMS-certified lab Accredited · College of American Pathologists
5601 Arringdon Park Drive, Morrisville, NC 27560
CMS-certified lab Accredited · College of American Pathologists
216 Ashville Avenue, Cary, NC 27518
CMS-certified lab Accredited · College of American Pathologists
5601 Arringdon Park Drive, Suite 210, Morrisville, NC 27560
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cary. 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, 1,769 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cary. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 700 offer telehealth.
Susan West, MD
OB-GYN · 200 Perimeter Park Drive, Morrisville
Karen Guida, MD
OB-GYN · 200 Perimeter Park Drive, Morrisville
Thomas Thompson, MD Telehealth
Family medicine · 7750 Mccrimmon Parkway, Cary
Nancy Yang, MD
Internal medicine · 100 Duke Health Cary Place, Cary
David Leverenz, MD Telehealth
Internal medicine · 100 Duke Health Cary Place, Cary
Susan Blackford, MD Telehealth
Internal medicine · 100 Duke Health Cary Place, Cary
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 Cary, NC 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.
0.5 mi 
0.5 mi Harris Teeter
0.6 mi
0.6 mi DJ's Pharmacy
0.7 miShowing the 5 closest pharmacies to Cary, NC.
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 Cary, 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 Wake County, the county that includes Cary, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#42 of 100 North Carolina counties for chlamydia, a higher rate than 58% of the state
| Infection | Wake County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 527.9 6,284 cases ▼ 13% | 607.9 | 492.2 |
| Gonorrhea | 208.1 2,477 cases ▼ 14% | 243.2 | 179.5 |
| Syphilis (P&S) | 15.5 184 cases ▼ 22% | 19.9 | 15.8 |
| Syphilis (early) | 11.6 138 cases ▼ 27% | 15.8 | 16 |
| Syphilis (late/unknown) | 26 310 cases ▲ 8% | 24 | 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 Wake County, chlamydia has risen from 503.6 to 527.9 per 100,000 (5%), gonorrhea has risen from 196.5 to 208.1 per 100,000 (6%), and P&S syphilis has risen from 15.3 to 15.5 per 100,000 (1%).
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 Wake County.
Local HIV snapshot
Wake County HIV care continuum (2023)
Wake County recorded 14.2 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Wake County residents living with HIV, 77.3% are in care · 68.8% 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 Wake County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Morrisville Road side of Cary feels settled and suburban on the surface: large households, most residents owning their homes, and a majority of adults married. That stability can make routine health maintenance feel easy to defer, something the calendar absorbs rather than demands. Yet roughly a third of residents here rent, many of them younger adults still moving through their late twenties and early thirties, the years when STI transmission peaks and when a busy work week genuinely competes with a Tuesday afternoon appointment.
That competition is real in a community where labor-force participation is high and over half of households have reached six-figure incomes. People are employed, often dual-income, and time is the scarcer resource. The options listed on this page include providers reachable along Northwest Maynard Road and the Southwest Cary Parkway corridors, meaning most residents are looking at a short drive rather than a transit puzzle, but short drives still require planning when both adults in a household of three are working.
Wake County's STI counts are visible in the table above. For people in their late teens and twenties living near Bond Park or commuting out to Apex, acting on a number in a table means choosing a specific clinic, confirming hours, and showing up. The most direct path from intention to appointment starts with the clinic list on this page and a phone call made before High House Road fills up with evening traffic.
Getting there
At 9.16/20 on the EPA walkability index, day-to-day errands in Cary 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 27519 snapshot
ZIP-level Census figures for the wider 27519 area around Cary: a single ZIP can span several communities, so they describe the area, not Cary alone.
Cary sits in Wake County, ZIP 27519. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Cary? 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 Wake County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 Cary-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 Cary 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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, Raleigh, NC is close; compare it by distance against Avance Care.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 528 cases per 100,000 residents (2023), below the North Carolina average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 27519; you collect a sample, mail it back, and get results in about 2–5 days.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.