Gonorrhea rates in Roanoke County are about 65% lower than the US average. If you've had a recent risk or test regularly, Cave Spring, Virginia has multiple testing options. Some clinics accept walk-ins for same-day testing, while labs and at-home kits offer more flexibility.
Available testing centers
11 testing options are listed for Cave Spring, VA. The nearest, Quest Diagnostics, is about 0.7 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.
Carilion Clinic in Roanoke requires appointments, so scheduling ahead is the entry point, and that visit covers gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, hepatitis C, and TB on a sliding-scale fee with insurance and Medicaid accepted; bacterial infections are treated the same day.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
New Horizons Healthcare in Roanoke meets patients who are paying cash, between insurance gaps, or simply need affordable care without delay. Federal qualification anchors its sliding-scale fees, bringing syphilis, gonorrhea, and chlamydia screening within reach for anyone. No appointment required.
Tests offered
Fees & payment
Virginia Department of Health in Salem tests for gonorrhea, chlamydia, syphilis, and HIV, treating bacterial infections the same visit when results call for it. Appointments are required, and fees run on a sliding scale with Medicaid, Medicare, and private insurance all accepted.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Planned Parenthood South Atlantic in Roanoke tests for HIV, gonorrhea, chlamydia, syphilis, hepatitis B, and herpes, treating bacterial infections the same visit; sliding-scale fees apply to everyone, Medicaid and insurance accepted, and no appointment is needed. Spanish and interpretation services are on hand.
When navigating symptoms, timing, or a treatment plan, precision in language is clinical, not incidental. Planned Parenthood South Atlantic in Roanoke carries Spanish-speaking staff capacity and interpretation services so that someone who reasons and worries in a language other than English gets the same specificity of care (exposure history, medication instructions, follow-up) that anyone else does.
Plenty of sexual health providers require parental involvement or redirect younger patients elsewhere. As a Title X clinic, Planned Parenthood South Atlantic in Roanoke is legally required to offer confidential family planning services to minors: meaning testing, contraception, and STI treatment without a guardian in the loop.
PrEP requires baseline HIV and kidney-function testing, an initial prescription, and regular follow-up labs. All of which Planned Parenthood South Atlantic in Roanoke handles directly. PEP is similarly initiated and managed in-clinic, so both medications stay tied to a provider who tracks the labs and adjusts care rather than handing the prescription off without a monitoring plan.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Monroe Health Center in New Castle covers gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, TB, and HIV, treating bacterial infections the same visit and billing on a sliding scale accepted by Medicaid, Medicare, and most insurance. An appointment is required.
Monroe Health Center tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV: meaning liver-affecting infections are identified at the same visit, so follow-up care and vaccination decisions can start without a separate appointment elsewhere.
Spanish is a complete clinical language at Monroe Health Center, not a supplemental accommodation, so counseling, exposure history, and treatment decisions are conducted directly in Spanish, without a layered communication step between clinician and patient.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Tri-Area Community Health Centers in Ferrum tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C, with fees set on a sliding scale and accepted through Medicaid, Medicare, or private insurance. Bacterial STIs are treated the same visit; an appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
Montgomery Clinic in Christiansburg welcomes walk-in patients without an appointment, making same-day STI care straightforward. Federally qualified status anchors its sliding-scale fees, so a single visit covering syphilis, gonorrhea, and chlamydia screening costs what your income allows.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Cave Spring, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Roanoke 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.
4348 Electric Road, Room 2229, Roanoke, VA 24018
CMS-certified lab Accredited · College of American Pathologists
2706 Ogden Road, Cave Spring, VA 24018
CMS-certified lab Accredited · Joint Commission
2726 Electric Road, Suite -#203, Roanoke, VA 24018
CMS-certified lab
1818 Electric Road, Roanoke, VA 24018
CMS-certified lab
4040 Postal Drive, Roanoke, VA 24018
CMS-certified lab
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cave Spring. 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, 355 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cave Spring. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 72 offer telehealth.
David Cummings, MD
Family medicine · 4048 Ridge, Roanoke
Mona Sadek, MD
OB-GYN · 4231 Colonial Avenue, Roanoke
Erin Howes, DO Telehealth
Family medicine · 3707 Brambleton Avenue Southwest, Roanoke
Kevin Kelleher, MD
Family medicine · 4901 Brambleton Avenue, Roanoake
Matthew Kelly, DO
Family medicine · 4901 Brambleton Avenue, Roanoake
Rania Saleh, MD Telehealth
Infectious disease · 3501 Colonial Avenue, Roanoke
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 Cave Spring, VA 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.
JP Pharma
0.5 miCHS
1.7 miValley Apothecary
2.9 miThe Medsquare
2.9 mi
3.0 mi 
3.1 mi Showing the 6 closest pharmacies to Cave Spring, VA.
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 Cave Spring, 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.
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
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
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 Roanoke County, the county that includes Cave Spring, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#76 of 133 Virginia counties for chlamydia, a higher rate than 43% of the state
| Infection | Roanoke County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 279.3 271 cases ▼ 41% | 472.8 | 492.2 |
| Gonorrhea | 62.9 61 cases ▼ 60% | 158.3 | 179.5 |
| Syphilis (P&S) | 5.2 5 cases ▼ 51% | 10.7 | 15.8 |
| Syphilis (early) | 1 1 cases ▼ 89% | 9.5 | 16 |
| Syphilis (late/unknown) | 4.1 4 cases ▼ 74% | 15.8 | 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 Roanoke County, chlamydia has fallen from 338.4 to 279.3 per 100,000 (17%), gonorrhea has fallen from 107.3 to 62.9 per 100,000 (41%), and P&S syphilis has held roughly steady from 5.2 to 5.2 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 Roanoke County.
Local HIV snapshot
Roanoke County HIV care continuum (2020)
Roanoke County recorded 6 new HIV diagnoses per 100,000 (2020), against 11.8 statewide and 13.7 nationally. Among Roanoke County residents living with HIV, 88.7% are in care · 77.4% 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 Roanoke County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Belle Meade sits close enough to Electric Road that errands and appointments share the same route, yet Cave Spring's spread-out layout means most residents are still making a deliberate car trip for anything health-related, including STI screening. That's worth naming plainly, because younger adults here, people in their late teens and twenties navigating new relationships and shifting living situations, are the ones most likely to delay a test when getting one requires planning a whole outing around it. The community's household profile tells a nuanced story. With nearly two-thirds of residents owning their homes and average households running close to three people, Cave Spring skews toward settled, family-anchored life.
Married adults make up a slim majority. But that picture sits alongside a meaningful renter population paying around a thousand dollars a month, and a labor-force participation rate that leaves a real share of working-age adults outside steady employment. For people stretching a budget or working irregular hours, a testing visit that costs too much or lands outside an awkward schedule window can simply wait indefinitely. The clinics listed on this page span enough of the Brambleton Avenue and VA 419 corridors to give most Cave Spring households a reachable option, and several offer sliding-scale or low-cost visits, which matters when monthly rent already claims a fixed chunk of income before anything else does.
Getting there
At 7.17/20 on the EPA walkability index, day-to-day errands in Cave Spring 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 24018 snapshot
ZIP-level Census figures for the wider 24018 area around Cave Spring: a single ZIP can span several communities, so they describe the area, not Cave Spring alone.
Cave Spring sits in Roanoke County, ZIP 24018. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Cave Spring? 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 Roanoke County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia 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 Cave Spring-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 Cave Spring 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 Virginia 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 Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia 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 VirginiaSource: 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, Roanoke, VA is close; compare it by distance against Quest Diagnostics.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 279 cases per 100,000 residents (2023), below the Virginia average.
Yes, at-home kits ship to 24018; you collect a sample, mail it back, and get results in about 2–5 days.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.