In Pasquotank County, chlamydia runs about 15% higher than the US average. Whether you're considering starting a new relationship in Elizabeth City, North Carolina, or are taking care of your on-going health, weigh the trade-offs between clinics that bill insurance or offer sliding-scale fees and private labs that let you pay a flat, self-pay price. Maybe even both. You can see your options below.
Available testing centers
9 testing options are listed for Elizabeth City, NC. The nearest, Albemarle Regional Health Services, is about 0.6 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.
Albemarle Regional Health Services in Elizabeth City tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and all three hepatitides on a sliding-scale fee, and every STI and HIV test is free. Bacterial infections are treated the same visit; appointments are required.
Sliding-scale fees are the floor most clinics set, below that, costs still exist. At Albemarle Regional Health Services, that floor drops entirely: every service, from the initial test to STI treatment to HIV care management, carries no charge at all.
When a clinic can't conduct care in a patient's primary language, the gap between diagnosis and treatment widens. Follow-through suffers, questions go unasked. Albemarle Regional Health Services provides services directly in American Sign Language, Chinese, French, and Haitian Creole, keeping that gap from opening.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, sits alongside both PrEP (daily HIV prevention) and PEP at Albemarle Regional Health Services. Having all three regimens prescribable from a single clinic means prevention strategy can be calibrated to actual exposure patterns rather than whatever a single-drug program happens to offer.
Languages
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
A safety-net rural health clinic about 1 mile from Elizabeth City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Gateway Community Health Centers, Inc. Elizabeth City Site carries federal qualification that obligates it to charge fees on a sliding scale tied to income, meaning no one is turned away for inability to pay. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Gateway Community Health Centers in Tyner meets patients where they are (uninsured, paying out of pocket, or navigating gaps between providers) through federally qualified status that anchors sliding-scale fees to income. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with costs adjusted for what each patient can actually pay.
Tests offered
Fees & payment
Martin-Tyrrell-Washington District Health in Columbia tests for gonorrhea, chlamydia, syphilis, HIV, and hepatitis A, B, and C, treating bacterial infections the same visit, on a sliding-scale fee that extends to zero, with appointments required.
Martin-Tyrrell-Washington District Health carries a sliding-scale structure that bottoms out at no charge, for the full panel, vaccinations, and treatment alike. That single policy means nothing on the visit menu is selectively waived; the zero-cost tier covers the entire scope of services offered.
Spanish-language capacity at Martin-Tyrrell-Washington District Health is embedded in how services are delivered, not assembled on request. Counseling, prevention education, and STI care run directly in Spanish, so clinical conversations carry the same depth as any other appointment.
The panel at Martin-Tyrrell-Washington District Health adds hepatitis A, B, and C testing to the gonorrhea, chlamydia, syphilis, and HIV screen, which means a single appointment can surface infections that a narrower panel would simply leave undetected.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Elizabeth City, 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 Pasquotank 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.
3050 Halstead Blvd Extended, Elizabeth City, NC 27909
CMS-certified lab Accredited · College of American Pathologists
1845 West City Drive, Elizabeth City, NC 27909
CMS-certified lab
905 Thunder Road, Suite 250, Elizabeth City, NC 27909
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Elizabeth City. 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, 109 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Elizabeth City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 23 offer telehealth.
Chanakya Tirumala, MD
Internal medicine · 1144 North Rd Street, Elizabeth City
Greg Warren, DO Telehealth
Internal medicine · 1144 North Rd Street, Elizabeth City
Paul Stevenson, MD
OB-GYN · 3050 Halstead Blvd Ext, Elizabeth City
John Elliott, DO
Family medicine · 905 Thunder Road, Elizabeth City
Madahari Henry, MD Telehealth
Family medicine · 905 Thunder Road, Elizabeth City
Upasna Aron, MD
Infectious disease · 1144 North Rd Street, Elizabeth 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 Elizabeth City, NC 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.
0.6 mi Tarheel Pharmacy
0.6 mi
0.7 mi Harbor Pharmacy
0.9 miShowing the 4 closest pharmacies to Elizabeth City, NC.
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 Elizabeth City, 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.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
$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 Pasquotank County, the county that includes Elizabeth City, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#35 of 100 North Carolina counties for chlamydia, a higher rate than 65% of the state
| Infection | Pasquotank County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 567 235 cases ▼ 7% | 607.9 | 492.2 |
| Gonorrhea | 250.9 104 cases ▲ 3% | 243.2 | 179.5 |
| Syphilis (P&S) | 12.1 5 cases ▼ 39% | 19.9 | 15.8 |
| Syphilis (early) | 9.7 4 cases ▼ 39% | 15.8 | 16 |
| Syphilis (late/unknown) | 12.1 5 cases ▼ 50% | 24 | 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 Pasquotank County, chlamydia has fallen from 732.1 to 567 per 100,000 (23%), gonorrhea has fallen from 283.5 to 250.9 per 100,000 (11%), and P&S syphilis has risen from 4.9 to 12.1 per 100,000 (147%).
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 Pasquotank County.
Local HIV snapshot
Pasquotank County HIV care continuum (2021)
Pasquotank County recorded 17.3 new HIV diagnoses per 100,000 (2021), against 15.1 statewide and 13.7 nationally. Among Pasquotank County residents living with HIV, 81.6% are in care · 72.8% 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 Pasquotank County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
South Hughes Boulevard cuts through the center of Elizabeth City with the kind of strip-mall familiarity that makes errands feel manageable, yet the cost picture here keeps many residents watching their budgets carefully. Rent averaging under nine hundred dollars a month sounds reasonable until you factor in that fewer than four in ten residents own their homes, meaning most households are one unexpected bill away from reprioritizing necessities. With a significant share of working-age adults either outside the labor force or currently unemployed, and only a small fraction of households reaching six-figure income, discretionary spending on health visits can feel like a genuine trade-off rather than a simple calendar decision.
That financial texture matters when you consider how large a share of Elizabeth City's population falls in the years when STI rates climb fastest, the late teens and twenties when relationships are forming and routine screening is least likely to happen on its own. Households averaging more than three people, many of them unmarried, reflect a community where multiple adults share both living costs and health decisions together.
Getting there
At 7.53/20 on the EPA walkability index, day-to-day errands in Elizabeth City 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 27909 snapshot
ZIP-level Census figures for the wider 27909 area around Elizabeth City: a single ZIP can span several communities, so they describe the area, not Elizabeth City alone.
Elizabeth City sits in Pasquotank County, ZIP 27909. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Elizabeth City? 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 Pasquotank County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 an Elizabeth City-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 Elizabeth City 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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 5 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Albemarle Regional Health Services, about 0.6 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Pasquotank County reported ~567 chlamydia cases per 100,000 in 2023, below the North Carolina average.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.