Scott County sees gonorrhea rates around 79% lower than the national average. If you're in Duffield, Virginia before starting a new relationship, or as part of ongoing care, consider your options: community clinics may be low-cost or free, while private labs might offer faster results and more flexible scheduling. Your choices for local STI testing are listed below.
Available testing centers
7 testing options are listed for Duffield, VA. The nearest, Regional Health Resources, 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.
A community safety-net rural health clinic about 1 mile from Duffield. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Stone Mountain Health Services in Appalachia tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee structure that accepts Medicaid, Medicare, and private insurance. With same-visit treatment available for bacterial infections. An appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Virginia Department of Health in Gate City tests for HIV, syphilis, chlamydia, gonorrhea, hepatitis A, B, and C, and TB on a sliding-scale fee open to everyone. Appointments are required; bacterial STIs are treated same visit, and interpretation services are available for non-English languages.
For anyone whose primary language isn't English (whether navigating a new diagnosis, discussing PrEP eligibility, or understanding a hepatitis C treatment plan) this clinic has interpretation services in place at the time of the visit, not arranged afterward. That standing capability means no detail gets lost when the conversation matters most.
The clinic prescribes and manages all three prevention medications: daily oral PrEP for ongoing HIV risk reduction with the required HIV testing and renal monitoring built into the follow-up schedule, PEP for post-exposure HIV prevention, and DoxyPEP, the doxycycline regimen taken after condomless sex to reduce bacterial STI acquisition, each with the clinical oversight each protocol requires.
For anyone without a specialist or a regular provider, the Virginia Department of Health in Gate City carries hepatitis C care through to treatment. Not just antibody detection. Antiviral therapy is managed on-site, which means the person who comes in for a test doesn't have to locate a separate prescriber to act on what the test finds.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN + HRSA
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 Duffield, 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 Scott 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.
121 Advanced Technology Drive, Duffield, VA 24244
CMS-certified lab
1754 U South Hwy - 23 North, Weber City, VA 24290
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Duffield. 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, 181 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Duffield. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 30 offer telehealth.
Ashley Bevins
Internal medicine · 121 Advanced Technology Drive, Duffield
Lois Windes, MD
Family medicine · 121 Advanced Technology Drive, Duffield
Starla Kiser Telehealth
Internal medicine · 310 Cloverleaf Square, Big Stone Gap
Donald Dingus, MD
Family medicine · 205 East 19th Street North, Big Stone Gap
Joshua Dalton, DO
Family medicine · 14 East 27th Street North, Big Stone Gap
Joseph Richardson, DO
Family medicine · 390 Kane Street, Gate City
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 Duffield, VA 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.
Stephen Michael Johnson
0.6 miVillage Economy Drug
0.6 miK-VA-T Food Stores
10 miCornerstone Pharmacy
13 miAppalachia Pharmacy
13 miShowing the 5 closest pharmacies to Duffield, VA.
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 Duffield, 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 $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
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
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 Scott County, the county that includes Duffield, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~15% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#108 of 133 Virginia counties for chlamydia, a higher rate than 19% of the state
| Infection | Scott County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 182 39 cases ▼ 62% | 472.8 | 492.2 |
| Gonorrhea | 37.3 8 cases ▼ 76% | 158.3 | 179.5 |
| Syphilis (P&S) | 4.7 1 cases ▼ 56% | 10.7 | 15.8 |
| Syphilis (early) | 4.7 1 cases ▼ 51% | 9.5 | 16 |
| Syphilis (late/unknown) | — no data | 15.8 | 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 Scott County, chlamydia has fallen from 203.9 to 182 per 100,000 (11%), gonorrhea has fallen from 97.3 to 37.3 per 100,000 (62%), and P&S syphilis has held roughly steady from 4.7 to 4.7 per 100,000.
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 Scott County.
Local HIV snapshot
Scott County HIV care continuum (2022)
Scott County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Scott County residents living with HIV, 80% are in care · 80% 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 Scott County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US Highway 23 stretches through Scott County as the main artery most Duffield residents rely on for anything beyond the immediate hollow, and a clinic visit means committing real road time in either direction. That kind of distance doesn't disappear just because someone intends to go; it weighs on schedules in a community where labor-force participation is notably lower than the national norm, meaning the people who are working often hold the irregular or physically demanding hours that leave little room for a weekday appointment. The ownership picture here tilts heavily toward people who have put down roots, multi-person households, a high share of married couples, the everyday rhythms of a settled community. But roots don't eliminate need: younger adults still forming relationships, the group that accounts for the bulk of new STI diagnoses nationally, live inside those same households, and the options listed on this page include enough variety in hours and cost structure to reach them where their schedule actually sits.
With typical rents sitting well below regional averages, cost is a smaller obstacle than transport for many residents, which makes knowing which listed option is closest, and whether it requires one trip or two, the more practical question to answer before going. A household of three-plus people, shared vehicles, and long drives past landmarks like Fannon Train Museum and Cliff Mountain: that's the texture of daily life in Duffield, and routine screening fits into it the same way any necessary errand does. Planned, not improvised.
Getting there
At 3.7/20 on the EPA walkability index, day-to-day errands in Duffield 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 24244 snapshot
ZIP-level Census figures for the wider 24244 area around Duffield: a single ZIP can span several communities, so they describe the area, not Duffield alone.
Duffield sits in Scott County, ZIP 24244. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Duffield? 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 Scott County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia 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 Duffield-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 Duffield 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 Virginia 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 Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia 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 VirginiaSource: 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 Regional Health Resources (1.1 mi); 7 options are within 30 miles.
Medicaid generally covers STD testing.
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 182 cases per 100,000 residents (2023), below the Virginia average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Screening checks when you have no symptoms; diagnostic testing confirms a cause when you do. The lab tests are often the same.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.