Columbia County saw about 41% fewer chlamydia diagnoses than the US average. Residents of Clatskanie, Oregon, have different STI testing options whether you need testing after a possible exposure or as part of routine care. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. We list your options below.
Available testing centers
7 testing options are listed for Clatskanie, OR. The nearest, Community Health Center of Clatskanie, is about 0.2 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.
Community Health Center of Clatskanie, in Clatskanie, carries full federal qualification as an FQHC, meaning its sliding-scale fees are income-adjusted for anyone who walks in. No appointment needed. Screening covers syphilis, gonorrhea, and chlamydia, with costs calibrated to what patients can actually pay.
Tests offered
Fees & payment
A public STD-testing site about 11 miles from Clatskanie.
Languages
American Sign Language, English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
Cathlamet Clinic in Cathlamet welcomes walk-ins for STI screening, no appointment needed. Backed by federal qualification, its fees slide with income, making syphilis, gonorrhea, and chlamydia testing available to patients across the pay spectrum in a single visit.
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 Clatskanie, 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 value: single tests
$49 & 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.
Local clinicians
Beyond dedicated clinics, 128 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Clatskanie. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 23 offer telehealth.
Anthony Reyes, MD
Family medicine · 335 Una Avenue, Cathlamet
Abhijeet Joshi, MD Telehealth
Family medicine · 1718 Kessler Boulevard, Longview
Leah Margolis, MD
OB-GYN · 1660 Delware Street, Longview
Layne Bracy, MD Telehealth
Family medicine · 1615 Delaware Street, Longview
Alex Nielson, MD Telehealth
Family medicine · 1706 Washington Way, Longview
Sophie Hoptowit, MD Telehealth
Family medicine · 921 14th Avenue, Longview
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 Clatskanie, OR 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.
Rick's Hi-School Pharmacy
0.2 miCathlamet Pharmacy
11 mi
11 mi Fred Meyer Pharmacy
12 mi
12 mi 
12 mi Showing the 6 closest pharmacies to Clatskanie, OR.
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 Clatskanie, 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
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
$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 Columbia County, the county that includes Clatskanie, compare with Oregon 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.
#13 of 36 Oregon counties for chlamydia, a higher rate than 64% of the state
| Infection | Columbia County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 291.4 157 cases ▼ 20% | 362.5 | 492.2 |
| Gonorrhea | 53.8 29 cases ▼ 54% | 117.2 | 179.5 |
| Syphilis (P&S) | 24.1 13 cases ▲ 26% | 19.2 | 15.8 |
| Syphilis (early) | 3.7 2 cases ▼ 61% | 9.6 | 16 |
| Syphilis (late/unknown) | 5.6 3 cases ▼ 72% | 19.7 | 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 Columbia County, chlamydia has fallen from 308 to 291.4 per 100,000 (5%), gonorrhea has fallen from 57 to 53.8 per 100,000 (6%), and P&S syphilis has risen from 1.9 to 24.1 per 100,000 (1168%).
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 Columbia County.
Local HIV snapshot
Columbia County HIV care continuum (2020)
Columbia County recorded 0 new HIV diagnoses per 100,000 (2020), against 6.6 statewide and 13.7 nationally. Among Columbia County residents living with HIV, 87.3% are in care · 78.2% 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 Columbia County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Clatskanie's east side, where renters make up a meaningful slice of the neighborhood, tends to house working adults stretched across irregular schedules, and with fewer than half the working-age population formally in the labor force, the rhythms here don't follow a tidy nine-to-five pattern. Unemployment runs high enough that cost pressure is real: when rent consumes a significant share of a tight monthly budget, a clinic visit can feel like a financial calculation as much as a health decision. That budget reality matters most for younger adults still navigating new relationships and building routines, the years when STI transmission peaks and when the habit of regular screening either takes root or gets indefinitely deferred. Clatskanie's average household runs larger than most small Oregon towns, and nearly half of adults are married, meaning sexual health affects whole households, not just individuals.
Your vehicle and your schedule have to align. The breadth of options listed on this page changes that equation considerably. Whether someone near Checkmate Park has a free weekday morning or can only manage a Saturday, the range listed here, across distances and fee structures, means there's a realistic path to an appointment, not just an intention to make one.
Getting there
At 6.21/20 on the EPA walkability index, day-to-day errands in Clatskanie 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 97016 snapshot
ZIP-level Census figures for the wider 97016 area around Clatskanie: a single ZIP can span several communities, so they describe the area, not Clatskanie alone.
Clatskanie sits in Columbia County, ZIP 97016. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Clatskanie? 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 Columbia County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon 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 Clatskanie-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 Clatskanie 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 Oregon 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 Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon 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 OregonSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Yes, Medicaid typically covers it.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Columbia County reported ~291 chlamydia cases per 100,000 in 2023, below the Oregon average.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
No, most STIs have no visible signs, so the only way to know is to test.
Yes, when FDA-approved and used correctly, follow up any positive with a confirmatory lab test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.