The syphilis rate in Botetourt County runs about 82% lower than the US average. To plan for a one-time concern or regular check-ups in Fincastle, Virginia, consider your options: clinics may bill insurance or offer sliding-scale fees while many private labs let you pay a flat self-pay price.
Available testing centers
7 testing options are listed for Fincastle, VA. The nearest, Virginia Department of Health, is about 0.2 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.
Virginia Department of Health in Fincastle runs on a sliding scale and accepts Medicaid, Medicare, and private insurance, with fees adjusted to income for everyone. By appointment, it covers chlamydia, gonorrhea, syphilis, herpes, hepatitis C, TB, and HIV. Plus DoxyPEP for prevention.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, requires clinical judgment about dosing, timing, and follow-up testing to confirm it's working. Virginia Department of Health in Fincastle has staff who prescribe it directly, review your history to establish it's appropriate, and schedule the monitoring visits that make the regimen actually protective.
Skip herpes and hepatitis C testing at an appointment and you leave carrying two conditions that standard four-pathogen panels miss entirely: meaning another appointment, potentially another provider, and a gap in which both can progress untreated. Virginia Department of Health in Fincastle folds herpes and hepatitis C into the same visit alongside chlamydia, gonorrhea, syphilis, and HIV.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Carilion Clinic in Daleville requires an appointment for STI testing, which means visits run on a schedule that covers gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B and C, and TB. With bacterial infections treated the same day and fees adjusted on a sliding scale.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Monroe Health Center in New Castle covers gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, TB, and HIV, treating bacterial infections the same visit and billing on a sliding scale accepted by Medicaid, Medicare, and most insurance. An appointment is required.
Monroe Health Center tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV: meaning liver-affecting infections are identified at the same visit, so follow-up care and vaccination decisions can start without a separate appointment elsewhere.
Spanish is a complete clinical language at Monroe Health Center, not a supplemental accommodation, so counseling, exposure history, and treatment decisions are conducted directly in Spanish, without a layered communication step between clinician and patient.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 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 Fincastle, 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 Botetourt 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.
60 Market Center Way, Daleville, VA 24083
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Fincastle. 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, 292 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fincastle. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 52 offer telehealth.
Lianna Lawson, MD Telehealth
Family medicine · 12 Boone Drive, Troutville
Kimberly Orr, DO
Family medicine · 150 Market Ridge Lane, Daleville
Nancy Misicko, MD
Family medicine · 150 Market Ridge Lane, Daleville
Bassel Moughrabi, MD
Internal medicine · 65 Shenandoah Avenue, Daleville
Robert Dums, MD
Family medicine · 46 Wesley Road, Daleville
Michael Szilagyi, MD
Family medicine · 46 Wesley Road, Daleville
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 Fincastle, 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.
Ransones Drug
11 mi
12 mi Friendship Pharmacy
13 miMarket Street Pharmacy
13 mi
13 mi 
13 mi Showing the 6 closest pharmacies to Fincastle, 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 Fincastle, 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 Botetourt County, the county that includes Fincastle, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#120 of 133 Virginia counties for chlamydia, a higher rate than 10% of the state
| Infection | Botetourt County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 158.2 54 cases ▼ 67% | 472.8 | 492.2 |
| Gonorrhea | 46.9 16 cases ▼ 70% | 158.3 | 179.5 |
| Syphilis (P&S) | 2.9 1 cases ▼ 73% | 10.7 | 15.8 |
| Syphilis (early) | — no data | 9.5 | 16 |
| Syphilis (late/unknown) | 8.8 3 cases ▼ 44% | 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 Botetourt County, chlamydia has fallen from 226.2 to 158.2 per 100,000 (30%), gonorrhea has fallen from 77.4 to 46.9 per 100,000 (39%), and P&S syphilis has fallen from 5.9 to 2.9 per 100,000 (51%).
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 Botetourt County.
Local HIV snapshot
Botetourt County HIV care continuum (2022)
Botetourt County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Botetourt County residents living with HIV, 80.6% are in care · 75% 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 Botetourt County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along the Fincastle Historic District's tree-lined blocks, the rhythms of daily life feel unhurried, but that quietness has a practical edge when it comes to healthcare access. Botetourt County's STI landscape affects everyone here, including the substantial share of residents in their late teens and twenties, years when relationships shift frequently and routine screening carries real weight. That planning burden lands unevenly. About a third of Fincastle residents rent, and a typical monthly payment leaves limited room for unexpected medical costs, so the range of fee structures among the options listed on this page matters more than it might elsewhere.
Homeowners here tend to be more financially rooted, but even households well above the median aren't immune to schedule pressure. That schedule pressure is real in a specific way: Fincastle's labor-force participation is notably lower than state norms, which means a meaningful portion of working-age adults are managing caregiving, part-time arrangements, or irregular hours rather than a predictable Monday-through-Friday calendar. Several of the options listed here offer extended or weekend availability, for someone whose week doesn't follow a standard pattern, that flexibility is often what makes the appointment actually happen rather than stay a intention that keeps getting moved.
Getting there
At 5.68/20 on the EPA walkability index, day-to-day errands in Fincastle 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 24090 snapshot
ZIP-level Census figures for the wider 24090 area around Fincastle: a single ZIP can span several communities, so they describe the area, not Fincastle alone.
Fincastle sits in Botetourt County, ZIP 24090. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Fincastle? 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 Botetourt 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 Fincastle-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 Fincastle 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.
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.
Botetourt County reported ~158 chlamydia cases per 100,000 in 2023, below the Virginia average.
Most results are ready in about 1–2 days.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
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.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.