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STD Testing in Downieville, CA: Free, Same-Day & Confidential

Gonorrhea rates in Sierra County are about 83% lower than the US average. If you're in Downieville, California, and want to get tested before a new relationship or as part of ongoing care, consider that clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. See the options below.

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STD testing near Downieville, CA

5 testing options are listed for Downieville, CA. The nearest, Western Sierra Medical Clinic, is about 0.9 miles away. Compare community and public clinics, private labs, and at-home kits below.

How to read these listings

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 0.9 miles

Western Sierra Medical Clinic

Where these reviews come from

Review sources

  • Google6
  • EasySTD1
Rated 4.5 out of 5 from 7 reviews

Western Sierra Medical Clinic, a full-service medical clinic in Downieville, pairs gonorrhea, chlamydia, syphilis, HIV, and TB testing with STI treatment, family planning, and HPV and hepatitis vaccines on a sliding-scale fee. By appointment, with care available in Spanish.

Read full overview Show less

Spanish-Language STI Care Without the Extra Step

When STI care depends on a relay through a third language, the result can be a missed nuance, a misunderstood dosage, or a follow-up that quietly falls through. At Western Sierra Medical Clinic in Downieville, Spanish-language care is built directly into the visit. No middleman, no delayed clarity, no untreated gap because something got lost between languages.

Substance-Use Treatment and STI Care, Same Clinic

Western Sierra Medical Clinic in Downieville holds substance-use treatment alongside STI care as a standing capability, which matters for someone whose health needs don't separate neatly into departments. Rather than coordinating care across two providers on a sliding-scale budget with no primary physician anchoring the process, everything runs through one clinic.

Tests & treats Sliding-scale
Address
209 Nevada Street, Downieville, CA 95936
Booking
Appointment required
Opening hours
  • Monday 8:15 AM – 7:00 PM
  • Tuesday 8:15 AM – 7:00 PM
  • Wednesday 8:15 AM – 7:00 PM
  • Thursday 8:15 AM – 7:00 PM
  • Friday Closed
  • Saturday Closed
  • Sunday Closed
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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More ways to get tested in Downieville, CA

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.

At-home STD testing in Downieville, CA

The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to Downieville, 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.

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.

Clinicians near Downieville, CA who may help arrange STD testing

Beyond dedicated clinics, 74 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Downieville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 33 offer telehealth.

  • Jessica Hamilton, MD

    Family medicine · 209 Nevada Street, Downieville

  • Richard Maddalena, MD

    OB-GYN · 16911 Willow Glen Road, Brownsville

  • Robert Adams, DO

    Family medicine · 500 1st Avenue, Portola

  • Michelle Pourtabib, MD

    Family medicine · 480 1st Avenue, Portola

  • Erin Macdonald, MD

    OB-GYN · 280 Sierra College Drive, Grass Valley

  • Phillip Kintner, MD

    OB-GYN · 280 Sierra College Drive, Grass Valley

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.

Pharmacies near Downieville, CA

No pharmacy near Downieville, CA 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.

  • Dokimos Nevada City Pharmacy

    24 mi
    Rx pickupCondoms / EC
  • Portola Village Pharmacy

    25 mi
    Rx pickupCondoms / EC
  • Western Sierra Pharmacy

    26 mi
    Rx pickupCondoms / EC
  • CVS Pharmacy 26 mi
    Rx pickupOTC HIV self-testAt-home STI kitsMinuteClinic STI careHPV & Hep B vaccinesCondoms / EC
  • Walgreens 26 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC

Showing the 5 closest pharmacies to Downieville, CA.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Downieville, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Sierra County: the local picture

How reported STI rates in Sierra County, the county that includes Downieville, compare with California 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.

#57 of 58 California counties for chlamydia, among the lowest in the state

Reported STD rates per 100,000, Sierra County vs California vs U.S.

Sierra County California U.S. ▲▼ = Sierra County vs the state average
Infection Sierra County California United States
Chlamydia
62.5 2 cases ▼ 87%
491.1 492.2
Gonorrhea
31.2 1 cases ▼ 84%
190.2 179.5
Syphilis (P&S) — no data 16.3 15.8
Syphilis (early) — no data 19.1 16
Syphilis (late/unknown) — no data 46.7 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.

Reported STD rates in Sierra County over time (per 100,000)

Chlamydia ▲ 0% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 50 100 2020202120222023

Between 2020 and 2023 in Sierra County, chlamydia has fallen from 92.7 to 62.5 per 100,000 (33%), and gonorrhea has risen from 30.9 to 31.2 per 100,000 (1%).

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

What shapes testing access in and around Downieville, CA

Adults uninsured
7.1%
No routine checkup
21.1%
No transportation
7.9%
Binge drinking
12.5%
Frequent mental distress
16.2%
Depression
22.8%
  • Primary-care shortage score 16 / 26
  • Medically Underserved Area · IMU 57.6
  • Social Vulnerability Index · 35th percentile nationally

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 Sierra County.

Local HIV snapshot

HIV in Sierra County (2023)

New diagnoses (2023)
0cases countywide
PrEP users / 100k
106

Sierra County HIV care continuum (2023)

Sierra County recorded 0 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Sierra County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

15 Sources

Local resources & officials

Data & references

About Downieville, CA

Testing for STDs in Downieville means accepting that the nearest clinic may not be in town itself. The Sierra foothills have always required residents to plan ahead for medical care, and sexual health screening is no exception. What's listed on this page reflects what exists in and around Downieville; some appointments will mean a drive, and that's a reality worth naming plainly. The trade-off, though, is real privacy.

The kind that comes naturally when you're not running into the person at the front desk at the grocery store the next morning. Young adults moving through the area, whether they've settled or are passing through, often discover that confidential testing happens without fanfare here. Results don't travel through small-town networks; they stay clinical and sealed. That separation between your test and your daily life is built into the distance itself, not forced by policy.

Getting screened before a new relationship, after an uncertain encounter, or simply as part of staying healthy is straightforward once you make the call. Downieville's remoteness, which shapes so much of life in the Sierra, also means that seeking care feels genuinely private. The clinics and providers serving the area understand the geography and the discretion that matters to people who live here.

Getting there

How residents reach STD testing in Downieville, CA

Walkability 5.11 / 20 · Least walkable

At 5.11/20 on the EPA walkability index, day-to-day errands in Downieville 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.

Map of 5 STD & STI testing locations in Downieville, California, EasySTD

ZIP 95936 snapshot

Residents
191
Median age
61.9
Median income
$111,643

ZIP-level Census figures for the wider 95936 area around Downieville: a single ZIP can span several communities, so they describe the area, not Downieville alone.

Downieville sits in Sierra County, ZIP 95936. Local context that shapes where residents test:

Local landmarks

  • Sierra County Sheriff's Gallows
  • High Commission
  • Downieville Museum
  • Downie Chapter 1249
  • Red Dog
  • Masonic Building

Major routes

  • East River Street
  • CA 49 (Commercial Street)

STD testing in Downieville, CA: screening, costs & privacy

Everything to know before you test in Sierra County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Downieville-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Downieville 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.

TestReference priceCPT / 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.

Confidentiality & consent in California

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on California 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).

Can a minor consent on their own?

In California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

California 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 California

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Downieville, CA

Answers to the questions people ask most before getting tested.

Where can I get tested for STDs in Downieville, CA?

The closest is Western Sierra Medical Clinic (0.9 mi); 4 options are within 30 miles.

Does insurance cover STD testing near Downieville, CA?

Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.

Can I get tested in Downieville, CA without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Downieville, CA?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Sierra County?

About 63 cases per 100,000 residents (2023), below the California average.

Can someone under 18 get tested in California without a parent?

In California, people under 18 can consent to confidential STD testing and treatment on their own.

Is my health information protected when I test?

Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.

What does a positive STD result mean?

It means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.

Do syphilis sores heal by themselves?

The sore can disappear on its own even though the infection remains; only testing confirms it's gone.

Should I test again after being treated?

A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.