Spokane County reports about 36 syphilis cases per 100,000 residents, well above the US average. Whether you're getting tested before starting a new relationship or as part of ongoing care in Country Homes, Washington, weigh whether you’d like to visit an affordable community lab or a private one with more convenient scheduling and faster results. See the local list below for options.
Available testing centers
9 testing options are listed for Country Homes, WA. The nearest, Labcorp, is about 1.1 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.
Spokane Urgent Care-North, in Spokane, earned federal qualification as a community health center, which locks in a sliding-scale fee structure tied directly to household income. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia, with what you pay determined by what you earn.
Tests offered
Fees & payment
CHAS Health in Spokane tests for HIV, gonorrhea, chlamydia, syphilis, and hepatitis C. With same-visit treatment for bacterial infections when results call for it. Fees run on a sliding scale accepted by Medicaid, Medicare, and most insurance. Appointments are required.
Plenty of STI clinics cap their hepatitis testing at B and leave C unaddressed. CHAS Health runs hepatitis C antibody testing alongside the standard panel, so a single appointment covers a virus that often goes undetected until it's done years of damage.
CHAS Health writes PrEP prescriptions directly: the clinic manages the required HIV and kidney-function lab work, schedules follow-up monitoring, and handles PEP when the situation calls for antiretrovirals rather than a daily prevention regimen. The prescriber and the testing are in the same place.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Yakima Valley Farm Workers Clinic in Spokane runs STI care by appointment, covering gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis A, B, and C, and TB: with same-visit treatment for bacterial infections, sliding-scale fees, and HPV and hepatitis vaccines on-site.
When a language barrier meets an STI diagnosis, the gap between understanding and acting is where infections go unaddressed. At Yakima Valley Farm Workers Clinic, Spanish-speaking staff and on-site interpretation mean a patient leaves with a clear plan, not a half-understood one, and follow-through actually happens.
For anyone without a regular primary care provider, Yakima Valley Farm Workers Clinic's panel does the work that would otherwise require multiple appointments across multiple practices: herpes and hepatitis A, B, and C alongside the standard bacterial and viral tests, all scheduled in a single visit.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Life Services Clinics in Spokane charges nothing for STI testing (no fee, no donation required) and the panel covers HIV, gonorrhea, chlamydia, syphilis, herpes, and hepatitis C, with treatment available for bacterial infections. An appointment is required.
Plenty of clinics post a sliding scale and call the math fair, but a scale still bottoms out somewhere above zero. At Life Services Clinics in Spokane, every service provided runs at no charge, full stop: testing, counseling, STI treatment, all of it.
Leaving herpes or hepatitis C off the initial panel means a second visit somewhere else, a second wait, and a gap where a diagnosis should have been. Life Services Clinics in Spokane closes that gap: herpes and hepatitis C testing sit alongside gonorrhea, chlamydia, syphilis, and HIV in a single appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
North Central Clinic in Spokane welcomes walk-in patients for STI screening without an appointment. Federally qualified status anchors a sliding-scale fee structure tied to income, making a single visit for syphilis, gonorrhea, and chlamydia testing straightforward and financially within reach for nearly any budget.
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Country Homes, 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.
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.
309 East Farewell Rd Suite 100, Spokane, WA 99218
CMS-certified lab Accredited · College of American Pathologists
8202 North Division Street, Spokane, WA 99208
CMS-certified lab Accredited · College of American Pathologists
5633 North Lidgerwood, Spokane, WA 99208
CMS-certified lab Accredited · Joint Commission
5633 North Lidgerwood Street, Spokane, WA 99208
CMS-certified lab
5715 North Lidgerwood Street, Spokane, WA 99208
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 Country Homes. 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, 483 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Country Homes. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 181 offer telehealth.
Patricia Orourke, MD
General practice · 10117 North Division, Spokane
Shannon Arora, MD Telehealth
Family medicine · 9626 North Colfax Road, Spokane
Michael Moore, PA
Family medicine · 9420 North Newport Highway, Spokane
Mitchell Tippetts, MD
Family medicine · 551 East Hawthorne Road, Spokane
Todd Gottschalk, DO Telehealth
Internal medicine · 605 East Holland Avenue, Spokane
Pratyush Bobba, MD
Family medicine · 9827 North Nevada 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 Country Homes, 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
1.3 mi
2.4 mi Yakima Valley Farm Workers Clinic
4.3 miPharmacy Operations
4.9 miShowing the 4 closest pharmacies to Country Homes, 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 Country Homes, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$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 Spokane County, the county that includes Country Homes, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~38% 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
East Holland Avenue rolls past Franklin Park on its way to North Division Street, where a straight shot south puts most of Country Homes within fifteen to twenty minutes of the nearest clinic on this page. A manageable drive even on a weekday when schedules are tight. That matters more than it might first appear. With unemployment running notably high and just over half the working-age population actively in the labor force, a lot of residents are navigating stretched budgets and irregular days. Rent here stays well below regional norms, which helps, but nearly half of households are renters: people whose lives tend to shift more often, whose social networks are wider, and who are statistically more likely to be in the younger adult years when STI risk peaks.
That transience and those relationship patterns are exactly why low-overhead, in-and-out testing options carry real weight: no annual leave burned, no specialist referral needed, just a short run down US 395 and back. The mix of owner-occupied homes around Five Mile Prairie and more transient rental households closer to The Y means Country Homes isn't one demographic profile, it's layered. Listed options at different price points and hours reflect that range. Whoever you are in this community, one of those clinics likely fits the shape of your week already.
Getting there
Country Homes scores 12.55/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 99208 snapshot
ZIP-level Census figures for the wider 99208 area around Country Homes: a single ZIP can span several communities, so they describe the area, not Country Homes alone.
Country Homes sits in Spokane County, ZIP 99208. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Country Homes? 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 Country Homes-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 Country Homes 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 Labcorp (1.1 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 378 cases per 100,000 residents (2023), above 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.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
Roughly 3–6 weeks after exposure for a dependable syphilis blood test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.