In Yakima County, new HIV diagnoses run about 39% lower than the US average. If you're in Cowiche, Washington for a one-time concern or regular check-ups, consider that community and public clinics often provide low-cost or free services, while private labs tend to offer faster results and more flexible scheduling. Below is a list of your options.
Available testing centers
7 testing options are listed for Cowiche, WA. The nearest, Highland Clinic, is about 2.9 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.
Highland Clinic in Tieton earned its federal qualification by committing to income-based fees for anyone who walks in: insured, uninsured, or paying cash. No appointment is needed to access sliding-scale syphilis, gonorrhea, and chlamydia screening, making it a practical option for people between providers or without coverage.
Tests offered
Fees & payment
Allan Bros. Employee Health Clinic in Naches carries federal community health center designation, which means STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to each patient's income, making testing financially within reach regardless of what someone can pay.
Tests offered
Fees & payment
Naches Medical Center, in Naches, anchors its STI services in a sliding-scale fee structure tied to income. No one is turned away for inability to pay. Carrying federal FQHC designation, it offers walk-in screening for syphilis, gonorrhea, and chlamydia.
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 Cowiche, 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 value: single tests
$49 & 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 Yakima 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.
717 Fruitvale Boulevard, Yakima, WA 98908
CMS-certified lab
401 Buster Road, Toppenish, WA 98948
CMS-certified lab Accredited · COLA
38 Adelyn Way, Union Gap, WA 98903
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cowiche. 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, 153 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cowiche. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 14 offer telehealth.
William Moultray, DO
Family medicine · 102 East 2nd Street, Naches
Alexis Beinlich, DO
Internal medicine · 311 South 72nd Avenue, Yakima
Mengyi Zha, MD
Family medicine · 5109 Summitview Avenue, Yakima
Victor Sharpe, MD
Internal medicine · 1006 South 64th Avenue, Yakima
Dithi Shetty, MD Telehealth
Infectious disease · 4811 Snowmountain Road, Yakima
Nigel Jagoo
Internal medicine · 3801 Kern Way, Yakima
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 Cowiche, 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.
Rosauers Supermarkets
7.5 miShopko Stores Operating
7.9 mi
8.0 mi Innominds
8.0 miFred Meyer Pharmacy
8.2 miShowing the 5 closest pharmacies to Cowiche, 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 Cowiche, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Yakima County, the county that includes Cowiche, 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.
#2 of 39 Washington counties for chlamydia, among the very highest in the state
| Infection | Yakima County | Washington | United States |
|---|---|---|---|
| Chlamydia | 743.1 1,907 cases ▲ 110% | 354.4 | 492.2 |
| Gonorrhea | 141.1 362 cases ▲ 9% | 129.6 | 179.5 |
| Syphilis (P&S) | 51.4 132 cases ▲ 141% | 21.3 | 15.8 |
| Syphilis (early) | 32.3 83 cases ▲ 158% | 12.5 | 16 |
| Syphilis (late/unknown) | 54.6 140 cases ▲ 138% | 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 Yakima County, chlamydia has risen from 638.8 to 743.1 per 100,000 (16%), gonorrhea has fallen from 231.8 to 141.1 per 100,000 (39%), and P&S syphilis has risen from 8.2 to 51.4 per 100,000 (527%).
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 Yakima County.
Local HIV snapshot
Yakima County HIV care continuum (2023)
Yakima County recorded 8.3 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Yakima County residents living with HIV, 87.8% are in care · 79.4% 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 Yakima County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along Tieton Avenue, where families and young professionals share spacious apartments, life is bustling. With nearly every household renting, the community is home to people in their late teens and twenties who are still forming their lives and relationships. Many of these residents balance work and family, as nearly half of all adults are married and living with multiple people in their homes.
The local economy is strong, with a high percentage of residents actively working. Jobs provide a sense of stability, but also mean that people have busy schedules. With no high-earning households around, making ends meet can be a challenge. Still, the area's vibrant spots, like Koempel Park and Boxx Gallery, bring people together and offer a respite from daily life.
Residents of Tieton, from young families to individuals, live near amenities like Naches Heights and Tieton Town Square, but getting around can be a test of time and resources. For those with packed schedules and limited free time, finding a convenient moment to prioritize health can be tough; easy access to screening can make all the difference in staying on top of well-being, especially on a typical day when life in Cowiche is in full swing.
Getting there
At 3.68/20 on the EPA walkability index, day-to-day errands in Cowiche 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 98923 snapshot
ZIP-level Census figures for the wider 98923 area around Cowiche: a single ZIP can span several communities, so they describe the area, not Cowiche alone.
Cowiche sits in Yakima County, ZIP 98923. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Cowiche? 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 Yakima 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 Cowiche-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 Cowiche 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.
There are 6 options within a 30-mile drive.
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.
Yakima County reported ~743 chlamydia cases per 100,000 in 2023, above the Washington average.
In Washington, 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.
No, most STIs have no visible signs, so the only way to know is to test.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
It checks for the p24 antigen plus antibodies, detecting HIV a week or two sooner than older tests.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.