Gonorrhea is reported in Snohomish County at a rate that is about 58% lower than the US average. Whether you're starting a new relationship or managing ongoing care in Chain Lake, Washington, weigh the benefits of clinic visits for expert guidance and immediate treatment against the convenience of at-home STI testing kits. We list both options below.
Available testing centers
9 testing options are listed for Chain Lake, WA. The nearest, Sea Mar CHC - Monroe Fryelands Blvd. SE, is about 2.6 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.
Sea Mar CHC - Monroe Fryelands Blvd. SE, in Monroe, anchors its STI care in a sliding-scale fee model tied to income. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening without an appointment needed.
Tests offered
Fees & payment
Sea Mar Community Health Centers in Monroe tests for gonorrhea, chlamydia, syphilis, HIV, and hepatitis A, B, and C on a sliding-scale fee schedule accepted by Medicaid, Medicare, and most insurance. Appointments are required, and bacterial STIs can be treated the same visit. Care is delivered in Spanish.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Sea Mar Monroe runs hepatitis A, B, and C testing, and pairs A and B vaccination with treatment for any positive hepatitis finding. That combination means the panel addresses both acute and chronic viral liver disease, not just bacterial and retroviral infection.
Sea Mar Monroe staffs substance-use treatment as a clinical service, not a separate referral track. A patient managing an active addiction can be enrolled in treatment by the same center handling STI diagnosis and follow-up, the two programs coordinate within the same health record and provider team.
Sea Mar Monroe carries Spanish-language capacity as a staffed clinical function: providers and support staff conduct exams, explain test results, and document treatment plans directly in Spanish. The care itself happens in the language, which means clinical nuance isn't filtered through a secondary channel.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Sea Mar CHC - Everett 100th St. SE, in Everett, was built for people who need a real care option: paying cash, between providers, or working without insurance. Federal FQHC standing anchors its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening genuinely within reach regardless of income.
Tests offered
Fees & payment
Optum Care Washington in Everett tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and both hepatitis B and C on a sliding-scale fee structure, with Medicare and insurance accepted. Appointments are required, and bacterial STIs can be treated the same visit.
Plenty of clinics cap their testing at the four-infection core (HIV, syphilis, gonorrhea, chlamydia) and send you elsewhere for everything else. Optum Care Washington runs herpes testing and full hepatitis B and C diagnostics on-site, so a single appointment covers the infections a shorter panel would leave undetected.
An untreated hepatitis C diagnosis, handed off to a specialist who isn't immediately available, can mean weeks or months of gap between knowing and treating. Optum Care Washington carries hepatitis C treatment directly, so a positive result doesn't stall out while a separate care relationship gets established.
Optum Care Washington prescribes both PrEP and PEP, and PrEP is specifically available for uninsured patients. Meaning the absence of a plan doesn't put a daily prevention regimen out of reach.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Clare's Place in Everett welcomes walk-ins for STI screening: no appointment needed to get tested for syphilis, gonorrhea, and chlamydia. Federal FQHC standing ties fees to a sliding scale based on income, so cost adjusts to what each patient can actually pay.
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 3 miles away; if you'd rather skip the trip, an at-home kit ships to Chain Lake, 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 Snohomish 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.
401 2nd Street, Snohomish, WA 98290
CMS-certified lab
7520 Totem Beach Road, Tulalip, WA 98271
CMS-certified lab
2901 174th Street Northeast, Marysville, WA 98271
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Chain Lake. 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, 2,057 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Chain Lake. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 912 offer telehealth.
Philip Hassrick, MD
Family medicine · 14841 179th Avenue Southeast, Monroe
Jessica Yang, DO Telehealth
Family medicine · 14841 179th Avenue Southeast, Monroe
Evan Teplow, MD
Family medicine · 17707 West Main Street, Monroe
Yirgalem Tiruneh, MD
Internal medicine · 401 2nd Street, Snohomish
Loren Ihle, MD
Family medicine · 401 2nd Street, Snohomish
Brittany Buescher, MD Telehealth
Family medicine · 17432 State Route 9 Southeast, Snohomish
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 Chain Lake, 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.
Fred Meyer Pharmacy
2.8 mi
3.0 mi 
3.2 mi Monroe Pharmacy
3.3 mi
4.7 mi Showing the 5 closest pharmacies to Chain Lake, 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 Chain Lake, 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 $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
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
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 Snohomish County, the county that includes Chain Lake, compare with Washington 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.
#24 of 39 Washington counties for chlamydia, a higher rate than 38% of the state
| Infection | Snohomish County | Washington | United States |
|---|---|---|---|
| Chlamydia | 252.7 2,135 cases ▼ 29% | 354.4 | 492.2 |
| Gonorrhea | 74.7 631 cases ▼ 42% | 129.6 | 179.5 |
| Syphilis (P&S) | 8 68 cases ▼ 62% | 21.3 | 15.8 |
| Syphilis (early) | 8.2 69 cases ▼ 34% | 12.5 | 16 |
| Syphilis (late/unknown) | 10.7 90 cases ▼ 53% | 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 Snohomish County, chlamydia has fallen from 321.6 to 252.7 per 100,000 (21%), gonorrhea has fallen from 98 to 74.7 per 100,000 (24%), and P&S syphilis has risen from 7.5 to 8 per 100,000 (7%).
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 Snohomish County.
Local HIV snapshot
Snohomish County HIV care continuum (2023)
Snohomish County recorded 3.8 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Snohomish County residents living with HIV, 85.2% are in care · 77.9% 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 Snohomish County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
WA-522 threads through a community where nearly six in ten households clear six figures and the homeownership rate is striking even by Pacific Northwest standards, which makes the rent picture all the more telling for the minority who do lease here, where a typical month runs well above $1,600. That cost reality lands hardest on younger adults still forming relationships and households, precisely the years when routine STI screening tends to be deprioritized not out of indifference but out of competing demands on time and money. The household profile here (large average households, a high share of married adults, strong labor-force attachment) reflects a settled, working community.
Monroe sits close enough that the drive is manageable, and the clinics listed here serve that broader corridor. Knowing your status is a routine part of sustaining the kind of household stability that defines much of Chain Lake, and scheduling around the commute patterns most residents already navigate makes that easier to act on.
Getting there
At 7.73/20 on the EPA walkability index, day-to-day errands in Chain Lake 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 98290 snapshot
ZIP-level Census figures for the wider 98290 area around Chain Lake: a single ZIP can span several communities, so they describe the area, not Chain Lake alone.
Chain Lake sits in Snohomish County, ZIP 98290. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Chain Lake? 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 Snohomish 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 Chain Lake-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 Chain Lake 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 Sea Mar CHC - Monroe Fryelands Blvd. SE (2.6 mi); 9 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 253 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.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
Most STIs have no symptoms, so testing is the only way to know your status, get early treatment, and avoid passing one on.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.