In St. Johns County, reported chlamydia runs about 63% lower than the US average. Whether you're testing before starting a new relationship in Flagler Estates, Florida or as part of ongoing care, public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. See your options below.
Available testing centers
9 testing options are listed for Flagler Estates, FL. The nearest, Aza Health, is about 6.0 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.
Aza Health, a community health center in Hastings, folds STI care into a broader primary-care structure: meaning gonorrhea, chlamydia, syphilis, and HIV testing sit alongside TB screening and family planning, all on a sliding-scale fee, with same-visit treatment for bacterial infections. Appointments required; Spanish spoken on-site.
Skip hepatitis testing and a silent infection can persist for years while the standard four-infection workup shows nothing: leaving a gap that eventually surfaces as a separate appointment, a separate bill, and lost time. Aza Health tests for hepatitis A, B, and C alongside the core STI panel, so nothing gets deferred to a second visit.
When a language barrier means details get lost or softened, treatment decisions suffer: a patient may leave uncertain about what they were exposed to, what their result means, or how to take a prescribed medication. At Aza Health in Hastings, Spanish is spoken directly by staff, so every clinical conversation carries its full weight.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
A safety-net rural health clinic about 11 miles from Flagler Estates. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Florida Department of Health in Putnam County, in Palatka, requires an appointment and covers gonorrhea, chlamydia, syphilis, rapid and conventional HIV testing on a sliding-scale fee: with same-visit treatment for bacterial infections, PrEP, HPV and hepatitis vaccines, and all services provided at no fee.
An untreated infection or a skipped follow-up visit often comes down to what the bill will look like afterward. At the Florida Department of Health in Putnam County, that calculation disappears entirely. Every service, from testing through treatment to PrEP management, carries no fee.
Many clinics hand off language access to an outside line that isn't in the room where care actually happens. At the Florida Department of Health in Putnam County, interpretation services are available for non-English languages as part of the clinical encounter itself, so a provider can discuss symptoms, treatment options, and next steps directly.
Ryan White Program funding at the Florida Department of Health in Putnam County supports the full HIV care continuum operationally: a positive result moves into ongoing medical treatment with antiretroviral prescribing, viral load monitoring, and medication adherence counseling. All coordinated within the same clinical team that ran the initial test.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
A community safety-net rural health clinic about 14 miles from Flagler Estates. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 14 miles from Flagler Estates. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Flagler Estates, 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 St. Johns 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.
205 Trinity Way, St Johns, FL 32259
CMS-certified lab Accredited · Joint Commission
100 Deerfield Preserve Boulevard, Saint Augustine, FL 32086
CMS-certified lab Accredited · Joint Commission
42 Doctors Village Drive, St Johns, FL 32259
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Flagler Estates. 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, 231 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Flagler Estates. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 66 offer telehealth.
Shailja Dayal, DO
OB-GYN · 199 South US Hwy 17, East Palatka
Preeti Manavalan, MD
Infectious disease · 2801 Kennedy Street, Palatka
Brian Raymaker, MD Telehealth
Family medicine · 811 State Rd 206, St Augustine
Rebeca Juarbe Arrillaga Telehealth
Internal medicine · 6500 Crill Avenue, Palatka
Fawaz Ashouri, MD
Urology · 6690 Crill Avenue, Palatka
Mohamed Akhiyat, MD
OB-GYN · 6061 Saint Johns Avenue, Palatka
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 Flagler Estates, 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.
Extended Care Pharmacy Hastings
5.7 miExtended Care Pharmacy East
8.0 mi
8.4 mi Palatka Pharmacy
8.9 miSaverx Pharmacy
8.9 miRNRX Health
9.0 miShowing the 6 closest pharmacies to Flagler Estates, 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 Flagler Estates, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 St. Johns County, the county that includes Flagler Estates, compare with Florida and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#64 of 67 Florida counties for chlamydia, a higher rate than 4% of the state
| Infection | St. Johns County | Florida | United States |
|---|---|---|---|
| Chlamydia | 181.5 581 cases ▼ 64% | 498.9 | 492.2 |
| Gonorrhea | 53.4 171 cases ▼ 74% | 206.7 | 179.5 |
| Syphilis (P&S) | 5.3 17 cases ▼ 73% | 19.3 | 15.8 |
| Syphilis (early) | 4.4 14 cases ▼ 82% | 25.1 | 16 |
| Syphilis (late/unknown) | 5.3 17 cases ▼ 86% | 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 St. Johns County, chlamydia has fallen from 225.7 to 181.5 per 100,000 (20%), gonorrhea has risen from 53 to 53.4 per 100,000 (1%), and P&S syphilis has risen from 2.9 to 5.3 per 100,000 (83%).
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 St. Johns County.
Local HIV snapshot
St. Johns County HIV care continuum (2023)
St. Johns County recorded 5.5 new HIV diagnoses per 100,000 (2023), against 22.7 statewide and 13.7 nationally. Among St. Johns County residents living with HIV, 86.3% are in care · 78% 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 St. Johns County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
CR 13 South threads through Flagler Estates as the community's main connection to the wider county, and the households along it lean heavily toward ownership, with families averaging more than three people under one roof. Nearly half of adults here are married, which shapes how health decisions tend to get made: they're often weighed against competing household needs, shared budgets, and schedules that stretch across multiple people rather than one person alone. Those competing demands carry real weight given the local economic picture. For young adults in their late teens and twenties, who make up a sizeable slice of the population, that combination of tight budgets and irregular work schedules makes same-week appointment availability more than a convenience.
Getting to any listed clinic from Flagler Estates means committing to a drive along CR 13, so pairing a screening visit with another St. Johns County errand is a practical way residents already approach it. St. Johns County's STI figures for chlamydia and gonorrhea reflect the same generational patterns seen statewide, meaning someone who stays current with testing isn't reacting to a risk so much as keeping pace with what living here, at this point in life, actually calls for.
Getting there
At 5.38/20 on the EPA walkability index, day-to-day errands in Flagler Estates 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 32145 snapshot
ZIP-level Census figures for the wider 32145 area around Flagler Estates: a single ZIP can span several communities, so they describe the area, not Flagler Estates alone.
Flagler Estates sits in St. Johns County, ZIP 32145. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Flagler Estates? 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 St. Johns 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 Flagler Estates-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 Flagler Estates 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
St. Johns County reported ~182 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.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
Yes, most STIs cause no symptoms for a long time, which is exactly why routine screening matters.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.