Chlamydia is reported in Cattaraugus County about 53% less than the US average. If you've had a recent risk or regularly test in Cattaraugus County, New York, you have options. Clinics let you speak with a provider, while at-home kits offer convenience. We list both options below.
Available testing centers
7 testing options are listed for Cattaraugus, NY. The nearest, TCC - Tri County Family Medicine, is about 10.0 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.
TCC - Tri County Family Medicine in Gowanda extends its federally qualified mission to anyone navigating care without insurance, between providers, or paying out of pocket. Sliding-scale fees adjust to income, and STI screening (syphilis, gonorrhea, and chlamydia) is available without an appointment.
Tests offered
Fees & payment
Olean Medical Group in Ellicottville pairs gonorrhea, chlamydia, herpes, and HIV testing with same-visit treatment for bacterial infections, all on a sliding-scale fee accepted by Medicaid, Medicare, and most insurance: appointments required, PrEP and PEP available for prevention.
Olean Medical Group prescribes both PrEP and PEP on-site, no separate infectious-disease appointment needed. For anyone paying cash or without a regular provider who manages HIV prevention, having both medications available at a general medical practice removes a significant logistical barrier.
The panel at Olean Medical Group covers gonorrhea, chlamydia, HIV, and herpes. Herpes being the addition that most comparable panels omit. That fifth test means the picture of sexual health coming out of a single visit is measurably more complete.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Seneca Nation Health System in Salamanca requires an appointment and covers gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, TB, and HIV testing, same-visit treatment for bacterial STIs, with every service provided at no fee to any patient.
The no-fee structure at Seneca Nation Health System is unconditional: testing, treatment, vaccines, and counseling all carry a $0 charge regardless of insurance status or income. That single-tier pricing means the full scope of care is financially identical for every patient who walks through the door.
Seneca Nation Health System's substance-use treatment program operates within the same health system as its STI services, not through a separate referral network. Because both programs share clinical infrastructure, a patient managing both conditions engages one coordinated care team rather than two independent ones.
Seneca Nation Health System runs herpes testing, hepatitis B serology, and hepatitis C antibody testing alongside the core bacterial and HIV screens. All staffed and processed on-site. Hepatitis C infection identified through that panel can be managed within the health system, eliminating the gap between detection and clinical follow-up.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · 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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Cattaraugus, 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 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 Cattaraugus 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.
465 North Union Street, Olean, NY 14760
CMS-certified lab
1 Leo Moss Drive, Olean, NY 14760
CMS-certified lab
515 Main Street, Olean, NY 14760
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cattaraugus. 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, 189 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cattaraugus. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 36 offer telehealth.
Amy Damiani, MD
Internal medicine · 1 School Street, Gowanda
William Cihak, MD
Internal medicine · 6133 Route 219 South, Ellicottville
Timothy Siepel, MD
Family medicine · 8912 Hebdon Road, West Valley
Samantha Bingham, DO
Family medicine · 14 Bristol Lane, Ellicohville
Jordan Perry, MD
Family medicine · 987 R C Hoag Drive, Salamanca
Zafar Mirza, MD
Internal medicine · 4039 Route 219, Salamanca
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 Cattaraugus, NY 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.
South Dayton Pharmacy
9.7 miValley Pharmacy and Medical Supplies
9.8 miGowanda Pharmacy
9.9 mi
9.9 mi Ellicottville Pharmacy
11 miShowing the 5 closest pharmacies to Cattaraugus, NY.
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 Cattaraugus, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Cattaraugus County, the county that includes Cattaraugus, compare with New York and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#36 of 62 New York counties for chlamydia, a higher rate than 42% of the state
| Infection | Cattaraugus County | New York | United States |
|---|---|---|---|
| Chlamydia | 232.8 176 cases ▼ 58% | 558.4 | 492.2 |
| Gonorrhea | 43.7 33 cases ▼ 81% | 235.6 | 179.5 |
| Syphilis (P&S) | 1.3 1 cases ▼ 91% | 14.8 | 15.8 |
| Syphilis (early) | 2.6 2 cases ▼ 89% | 23.1 | 16 |
| Syphilis (late/unknown) | 1.3 1 cases ▼ 95% | 25.2 | 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 Cattaraugus County, chlamydia has risen from 218.1 to 232.8 per 100,000 (7%), gonorrhea has fallen from 62.3 to 43.7 per 100,000 (30%), and P&S syphilis has held roughly steady from 1.3 to 1.3 per 100,000.
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 Cattaraugus County.
Local HIV snapshot
Cattaraugus County HIV care continuum (2022)
Cattaraugus County recorded 0 new HIV diagnoses per 100,000 (2022), against 14.1 statewide and 13.7 nationally. Among Cattaraugus County residents living with HIV, 73.4% are in care · 72.2% 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 Cattaraugus County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
NY 353 threads through Cattaraugus as both Main Street and the town's main artery, passing homes that sell for a fraction of what comparable properties cost downstate, and that affordability shapes daily life here in ways that aren't immediately obvious. Nearly three-quarters of residents own those modest homes, which signals real rootedness, but it also means the roughly one-in-four who rent are doing so at some of the lowest rents in New York State. When a household budget is already stretched thin, a clinic visit can feel like one more line item to defer, even when the actual cost is low. That deferral is worth resisting, particularly for young adults in their late teens and twenties.
The years when new relationships and life transitions make routine screening genuinely useful rather than precautionary. With labor-force participation sitting well below statewide norms, schedules here don't always follow the nine-to-five pattern that many clinics are built around, which is part of why the range of options listed on this page matters: not every appointment requires time off work or a long detour from NY 353. Knowing the listed options in advance makes that planning straightforward rather than a last-minute scramble.
Getting there
At 3.76/20 on the EPA walkability index, day-to-day errands in Cattaraugus 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 14719 snapshot
ZIP-level Census figures for the wider 14719 area around Cattaraugus: a single ZIP can span several communities, so they describe the area, not Cattaraugus alone.
Cattaraugus sits in Cattaraugus County, ZIP 14719. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Cattaraugus? 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 Cattaraugus County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New York 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 Cattaraugus-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 Cattaraugus 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 New York 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 New York, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New York 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 New YorkSource: 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.
There are 7 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Cattaraugus County reported ~233 chlamydia cases per 100,000 in 2023, below the New York average.
In New York, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.