In Nassau County, Florida, reported syphilis runs about 63% lower than the US average. Whether it's your first test or a routine screening in Fernandina Beach, Florida, clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Find your options below.
Available testing centers
9 testing options are listed for Fernandina Beach, FL. The nearest, Florida Department of Health in Nassau County, is about 0.5 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.
Florida Department of Health in Nassau County, based in Fernandina Beach, charges nothing for STI testing and treatment: HIV, syphilis, gonorrhea, chlamydia, and hepatitis A, B, and C are all covered at no fee, with bacterial infections treated the same visit. An appointment is required.
Plenty of public health clinics carry sliding-scale fees that still leave a balance for patients above a certain income threshold. At Florida Department of Health in Nassau County in Fernandina Beach, the fee structure ends at zero: testing, treatment, and prevention services all carry no charge, regardless of where a patient lands financially.
When interpretation isn't available at the point of care, a patient can leave with instructions they only partly understood, and a treatment plan that quietly fails. Florida Department of Health in Nassau County provides interpretation services for non-English languages directly within appointments in Fernandina Beach, so nothing gets lost between the exam room and the door.
Florida Department of Health in Nassau County prescribes both PrEP and PEP directly, which means ongoing HIV prevention is managed within the same relationship as testing and treatment. No separate provider search required.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Coastal Community Health Services, a community health center in Fernandina Beach, folds STI testing into continuous primary care: meaning gonorrhea, chlamydia, syphilis, rapid HIV, and hepatitis B and C are addressed on a sliding-scale fee alongside ongoing treatment and prevention, by appointment.
Coastal Community Health Services carries dedicated funding to cover PrEP costs for uninsured patients, Truvada or Descovy prescribed and monitored here, not sourced externally. PEP is also available, keeping both pre- and post-exposure medication management within the same clinical relationship.
Gonorrhea, chlamydia, syphilis, and HIV make up the floor for most STI clinics. Hepatitis often doesn't. Coastal Community Health Services runs hepatitis A, B, and C testing alongside the standard bacterial and viral panel, with HIV/AIDS medical treatment and medication adherence counseling available for ongoing management.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
CCHS St. Mary's, serving Saint Marys, earns its federally qualified designation partly by tying fees to what patients actually earn. No one is turned away for inability to pay. Walk-ins are welcome for sliding-scale STI screening covering syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Georgia Department of Public Health in Kingsland operates on a sliding scale with Medicaid and Medicare accepted, and a free HIV test: testing covers gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, and TB, with same-visit bacterial STI treatment by appointment.
The sliding-scale fee structure at Georgia Department of Public Health in Kingsland applies across the entire range of services: STI testing and treatment, TB testing and treatment, vaccines, family planning, and counseling. No individual service sits outside that structure with a separate price.
Spanish-language care at Georgia Department of Public Health in Kingsland is a staffed clinical function: counseling, medication adherence education, and partner notification services are conducted directly in Spanish, not mediated through a secondary system.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Georgia Department of Public Health in Kingsland tests for herpes, hepatitis A, hepatitis B, and hepatitis C, along with TB, with vaccines for hepatitis A, hepatitis B, and HPV available at the same appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Skylark in Kingsland runs on scheduled appointments, so arriving with a confirmed slot means testing for HIV, gonorrhea, chlamydia, and syphilis moves straight into STI treatment and counseling. All at no fee, for everyone.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 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 Fernandina Beach, 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 Nassau 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.
1250 South 18th Street, Fernandina Beach, FL 32034
CMS-certified lab Accredited · College of American Pathologists
1699 South 14th Street Suite 2, Fernandina Beach, FL 32034
CMS-certified lab
22371 Flora Parke Crossing, Fernandina Beach, FL 32034
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Fernandina Beach. 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, 903 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fernandina Beach. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 360 offer telehealth.
Justin Federico, DO
Internal medicine · 1210 Vintage Way, Fernandina Beach
Alex Llarena, MD Telehealth
Internal medicine · 1126 South 14th Street, Fernandina Beach
George Le-Bert, DO Telehealth
Internal medicine · 1132 South 14th Street, Fernandina Beach
Tanya Hunter, MD
Family medicine · 1250 South 18th Street, Fernandina Beach
Holly Hamilton, MD Telehealth
Family medicine · 1250 South 18th Street, Fernandina Beach
Eric Ordinario, DO
Urology · 1340 South 18th Street, Fernandina Beach
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 Fernandina Beach, FL 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.
Waas Drug Store
0.6 mi
0.8 mi 
1.2 mi 
1.3 mi 
1.3 mi Showing the 5 closest pharmacies to Fernandina Beach, FL.
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 Fernandina Beach, 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
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
$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 Nassau County, the county that includes Fernandina Beach, compare with Florida 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.
#62 of 67 Florida counties for chlamydia, a higher rate than 7% of the state
| Infection | Nassau County | Florida | United States |
|---|---|---|---|
| Chlamydia | 206.9 210 cases ▼ 59% | 498.9 | 492.2 |
| Gonorrhea | 67 68 cases ▼ 68% | 206.7 | 179.5 |
| Syphilis (P&S) | 5.9 6 cases ▼ 69% | 19.3 | 15.8 |
| Syphilis (early) | 2 2 cases ▼ 92% | 25.1 | 16 |
| Syphilis (late/unknown) | 14.8 15 cases ▼ 61% | 37.7 | 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.
Between 2020 and 2023 in Nassau County, chlamydia has fallen from 251.2 to 206.9 per 100,000 (18%), gonorrhea has fallen from 109.6 to 67 per 100,000 (39%), and P&S syphilis has risen from 4.4 to 5.9 per 100,000 (34%).
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 Nassau County.
Local HIV snapshot
Nassau County HIV care continuum (2021)
Nassau County recorded 7.4 new HIV diagnoses per 100,000 (2021), against 22.7 statewide and 13.7 nationally. Among Nassau County residents living with HIV, 85.9% are in care · 78.2% 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 Nassau County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
SR A1A threads south past the Atlantic shoreline before the island's pace slows to a four-way stop, and from most neighborhoods here, any clinic visit means getting into a car, likely a ten- to fifteen-minute drive along Sadler Road or down South 8th Street, because nothing about Fernandina Beach is built for walking to a health appointment. That reality lands differently depending on where you sit in the local economy. About three in four residents own their homes, and more than half of households are married. A profile that skews older and more settled than many Florida beach towns.
But the roughly one-in-four households that rent, managing rent well above a thousand dollars in a high-cost island market, are often the same younger adults (people in their late teens and twenties, still building out relationships and networks) for whom scheduling any appointment around a job, a second job, or spotty transportation requires the kind of planning that makes easy-to-cancel tasks genuinely hard to complete. With nearly half the working-age population outside the labor force and unemployment running measurably higher than tourist-economy appearances suggest, cost and schedule collide in ways that can quietly sideline even motivated people. The options listed on this page include clinics with sliding-scale fees and extended hours, so a test that would otherwise require burning half a workday off Sadler Road can instead fit inside a lunch break or a Saturday morning near Central Park.
Getting there
At 7.32/20 on the EPA walkability index, day-to-day errands in Fernandina Beach 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 32034 snapshot
ZIP-level Census figures for the wider 32034 area around Fernandina Beach: a single ZIP can span several communities, so they describe the area, not Fernandina Beach alone.
Fernandina Beach sits in Nassau County, ZIP 32034. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Fernandina Beach? 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 Nassau County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Florida 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 Fernandina Beach-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 Fernandina Beach 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 Florida 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 Florida, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Florida 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 FloridaSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Yes, Medicaid typically covers it, and public clinics are free either way.
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.
Nassau County reported ~207 chlamydia cases per 100,000 in 2023, below the Florida average.
Most results are ready in about 1–2 days.
In Florida, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.