Gonorrhea cases in Spokane County run about 12% lower than the US average. If you're in Cheney, Washington, and testing before starting a new relationship or for ongoing care, community clinics can save you money, whereas private labs may give faster results and more scheduling flexibility.
Available testing centers
9 testing options are listed for Cheney, WA. The nearest, Cheney Health Center, is about 0.8 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.
Cheney Health Center in Cheney welcomes patients without an appointment, making it straightforward to walk in for STI screening. Federally qualified status ties fees to a sliding income scale, and a single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
Tests offered
Fees & payment
CHAS Health in Cheney runs on a sliding scale open to all, with Medicaid, Medicare, and private insurance accepted. Testing covers HIV, syphilis, gonorrhea, chlamydia, and hepatitis C; bacterial infections are treated the same visit. Appointments are required, and care is delivered in Russian.
Without a provider who works in Russian, a patient navigating STI care faces compounded risk: missed nuance, delayed disclosure, a follow-up that never happens. At CHAS Health, care is delivered directly in Russian. Meaning nothing critical gets deferred to a later visit that may not come.
CHAS Health prescribes both PrEP and PEP, which means ongoing HIV prevention is handled at the same clinic where testing and treatment already live. No separate specialist, no fragmented care calendar.
The conventional STI panel (gonorrhea, chlamydia, syphilis, HIV) doesn't surface hepatitis C, a chronic infection that can go undetected for years without a targeted test. CHAS Health adds hepatitis C to its panel, catching what a basic screen leaves out.
Languages
English, Russian
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
A public safety-net federally qualified health center about 13 miles from Cheney. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
MultiCare in Spokane runs appointments for gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, HIV, and TB: with same-visit treatment for bacterial infections and sliding-scale fees accepted across all income levels, alongside insurance and Medicaid.
MultiCare treats hepatitis C on-site, which means a confirmed diagnosis moves directly into a treatment plan without redirecting to a separate provider: keeping the prescribing relationship, monitoring, and follow-up inside a single practice.
MultiCare prescribes PrEP, PEP, and DoxyPEP: a combination that covers HIV pre-exposure prevention, post-exposure management, and bacterial STI prevention after potential exposure. For anyone without a standing prescriber for these medications, having all three available through a single appointment matters.
Spanish-language services at MultiCare operate as a direct clinical capability: meaning medication instructions, adherence counseling, and STI prevention education are delivered in Spanish without routing through interpretation, which keeps dosing guidance and follow-up timelines precise and unambiguous.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Spokane Regional Health District tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB. All at no fee, on a sliding scale that covers every service offered. Same-visit treatment is available for bacterial STIs, and appointments are required.
Spokane Regional Health District charges nothing: not for the rapid HIV test, not for hepatitis C screening, not for TB testing or STI treatment. That zero applies uniformly: the full fee schedule reads the same for every patient who walks through the door.
Interpretation services are available for non-English languages, which means the clinical conversation (exposure history, treatment options, PrEP counseling) reaches patients in their own language rather than getting filtered through guesswork or gaps.
Without an on-site prescriber, a patient needing PrEP walks out with instructions to find one. Adding days or weeks before the first dose. Spokane Regional Health District holds that prescription capability in-house, so HIV prevention starts at this visit, not a later one.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Cheney, 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 Spokane 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.
19 North 7th Street, Cheney, WA 99004
CMS-certified lab
13424 East Mission Ave Suite A, Spokane Valley, WA 99216
CMS-certified lab Accredited · COLA
309 East Farewell Rd Suite 100, Spokane, WA 99218
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cheney. 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, 395 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cheney. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 141 offer telehealth.
Nelson Mckay, MD
Family medicine · 1720 2nd Street, Cheney
David Little, MD
Family medicine · 850 Maple Street, Medical Lake
Harpreet Uppal, MD
Family medicine · 5615 West Sunset Highway, Spokane
Christina Ryan, MD Telehealth
Internal medicine · 3016 East 57th Avenue, Spokane
Richard Bale, MD
Family medicine · 823 West 7th Avenue, Spokane
Robert Margraf, MD Telehealth
Family medicine · 4102 South Regal Street, Spokane
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 Cheney, 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.
Medical Lake Owl Pharmacy
7.5 mi
11 mi Yokes Pharmacy
11 mi
12 mi Chas Southgate Pharmacy
13 miCommunity Health Association of Spokane
13 miShowing the 6 closest pharmacies to Cheney, 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 Cheney, 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 Spokane County, the county that includes Cheney, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~59% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 39 Washington counties for chlamydia, a higher rate than 74% of the state
| Infection | Spokane County | Washington | United States |
|---|---|---|---|
| Chlamydia | 377.9 2,084 cases ▲ 7% | 354.4 | 492.2 |
| Gonorrhea | 158.1 872 cases ▲ 22% | 129.6 | 179.5 |
| Syphilis (P&S) | 36.1 199 cases ▲ 69% | 21.3 | 15.8 |
| Syphilis (early) | 14 77 cases ▲ 12% | 12.5 | 16 |
| Syphilis (late/unknown) | 18.5 102 cases ▼ 19% | 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 Spokane County, chlamydia has fallen from 480 to 377.9 per 100,000 (21%), gonorrhea has fallen from 180.4 to 158.1 per 100,000 (12%), and P&S syphilis has risen from 15.2 to 36.1 per 100,000 (138%).
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 Spokane County.
Local HIV snapshot
Spokane County HIV care continuum (2023)
Spokane County recorded 7 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Spokane County residents living with HIV, 88.5% are in care · 78.7% 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 Spokane County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Around Sam Webb Park and the neighborhoods closest to campus, most residents rent rather than own, and at under $900 a month the math is tight enough that an unexpected medical bill can genuinely reshape a month's budget. With fewer than two in three adults actively in the workforce and unemployment running notably higher than state averages, the people living here are often piecing together class schedules, part-time shifts, and gig hours in ways that leave little predictable slack for appointments. That reality lands hardest on Cheney's young adults, particularly those in their late teens and twenties, who make up by far the largest share of the local population.
This is the life stage when relationship formation moves quickly and routine screening rarely feels urgent, yet it's exactly the window when STIs circulate most actively. A low out-of-pocket cost matters here not as an abstraction but because the share of households clearing six figures is small, and most budgets have already absorbed rent before anything else. For someone near 1st Street or the Sam Webb Park corridor, being able to match an opening to an existing errand, rather than building a separate trip, is often what makes screening genuinely happen.
Getting there
At 9.4/20 on the EPA walkability index, day-to-day errands in Cheney 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 99004 snapshot
ZIP-level Census figures for the wider 99004 area around Cheney: a single ZIP can span several communities, so they describe the area, not Cheney alone.
Cheney sits in Spokane County, ZIP 99004. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Cheney? 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 Spokane 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 Cheney-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 Cheney 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.
Possibly, Spokane, WA is close; compare it by distance against Cheney Health Center.
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 378 cases per 100,000 residents (2023), above the Washington average.
Lab results typically come back in 1–2 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
They can, swollen groin nodes can accompany herpes, syphilis, or early HIV, so mention them when you test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.