Chlamydia rates in Coos County run about 70% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Dalton, New Hampshire, you have options. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience.
Available testing centers
6 testing options are listed for Dalton, NH. The nearest, ACHS - Whitefield, is about 3.6 miles away. Compare 3 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.
ACHS - Whitefield, serving Whitefield as a federally qualified health center, extends sliding-scale fees across income levels for STI screening (syphilis, gonorrhea, and chlamydia) with no appointment needed to get tested.
Tests offered
Fees & payment
Ammonoosuc Community Health Services in Whitefield covers gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, TB, and rapid or conventional HIV testing, bacterial infections treated the same visit, with fees on a sliding scale accepted alongside Medicaid and insurance. Appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
ACHS - Littleton serves Littleton residents who are paying out of pocket, between insurance coverage, or simply watching costs, and its federally qualified status means fees for syphilis, gonorrhea, and chlamydia screening slide according to income, no appointment needed.
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Dalton, 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 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 Coos 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.
2 Broadway Street, Gorham, NH 03581
CMS-certified lab
173 Middle Street, Lancaster, NH 03584
CMS-certified lab
59 Page Hill Road, Berlin, NH 03570
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Dalton. 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, 73 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Dalton. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.
James Buckmaster, MD
Family medicine · 8 Clover Lane, Whitefield
David Ferris, DO
Family medicine · 25 Mt Eustis Road, Littleton
Christine Orlowicz, MD
Internal medicine · 580 Saint Johnsbury Road, Littleton
Rebekah Reeves, MD
Internal medicine · 580 Saint Johnsbury Road, Littleton
Sergio Reyes Salcedo, MD
Infectious disease · 580 Saint Johnsbury Road, Littleton
David Brody, MD
Internal medicine · 600 Saint Johnsbury Road, Littleton
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 Dalton, NH 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.
7.5 mi 
7.9 mi 
8.1 mi North Country Healthcare Pharmacy
9.3 miShowing the 4 closest pharmacies to Dalton, NH.
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 Dalton, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Coos County, the county that includes Dalton, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data.
#6 of 10 New Hampshire counties for chlamydia, a higher rate than 40% of the state
| Infection | Coos County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 149.8 47 cases ▼ 24% | 196.6 | 492.2 |
| Gonorrhea | 15.9 5 cases ▼ 62% | 41.9 | 179.5 |
| Syphilis (P&S) | — no data | 3.9 | 15.8 |
| Syphilis (early) | — no data | 1.9 | 16 |
| Syphilis (late/unknown) | 3.2 1 cases ▼ 20% | 4 | 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 Coos County, chlamydia has fallen from 175.9 to 149.8 per 100,000 (15%), gonorrhea has risen from 12.8 to 15.9 per 100,000 (24%), and P&S syphilis has fallen from 6.4 to 3.2 per 100,000 (50%).
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 Coos County.
Local HIV snapshot
Coos County HIV care continuum (2023)
Coos County recorded 0 new HIV diagnoses per 100,000 (2023), against 2.8 statewide and 13.7 nationally. Among Coos County residents living with HIV, 62.5% are in care · 46.9% 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 Coos County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along NH 135 where Connecticut River Road follows the valley beneath Dalton Mountain, most households here are owner-occupied and more than half of married couples making decisions together about finances, schedules, and yes, health care. That family-unit character shapes how people approach something like STI screening: it often becomes a shared conversation rather than a solo errand, and when one person in a household delays, the other can too. Unemployment in Dalton runs meaningfully higher than most New Hampshire towns, and only a modest share of households clear six figures.
That economic reality makes cost a genuine consideration when evaluating a clinic visit, whether the copay is manageable, whether a half-day off work is affordable. Coos County's figures aren't alarmist, but they're real, and they reflect a region where routine screening is less common than in more densely serviced parts of the state. For someone settled into a home along Forest Lake State Park's quiet edge, staying current means the county's numbers stay context rather than consequence.
Getting there
At 6.48/20 on the EPA walkability index, day-to-day errands in Dalton 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.
Dalton sits in Coos County, ZIP 3598. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Dalton? 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 Coos County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 Dalton-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 Dalton 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 New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Hampshire 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 New HampshireSource: 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 3 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
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.
Coos County reported ~150 chlamydia cases per 100,000 in 2023, below the New Hampshire average.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.