Chlamydia reports in Spokane County run 23% lower than the US average. If you need STI testing in Four Lakes, Washington, whether after possible exposure or as part of routine care, you can weigh visiting a clinic for immediate guidance and treatment, or use an at-home kit on your own schedule.
Available testing centers
7 testing options are listed for Four Lakes, WA. The nearest, CHAS Health, is about 4.3 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.
CHAS Health in Cheney runs on a sliding scale open to all, with Medicaid, Medicare, and private insurance accepted. Testing covers HIV, syphilis, gonorrhea, chlamydia, and hepatitis C; bacterial infections are treated the same visit. Appointments are required, and care is delivered in Russian.
Without a provider who works in Russian, a patient navigating STI care faces compounded risk: missed nuance, delayed disclosure, a follow-up that never happens. At CHAS Health, care is delivered directly in Russian. Meaning nothing critical gets deferred to a later visit that may not come.
CHAS Health prescribes both PrEP and PEP, which means ongoing HIV prevention is handled at the same clinic where testing and treatment already live. No separate specialist, no fragmented care calendar.
The conventional STI panel (gonorrhea, chlamydia, syphilis, HIV) doesn't surface hepatitis C, a chronic infection that can go undetected for years without a targeted test. CHAS Health adds hepatitis C to its panel, catching what a basic screen leaves out.
Languages
English, Russian
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Cheney Health Center in Cheney welcomes patients without an appointment, making it straightforward to walk in for STI screening. Federally qualified status ties fees to a sliding income scale, and a single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
Tests offered
Fees & payment
MultiCare in Spokane runs appointments for gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, HIV, and TB: with same-visit treatment for bacterial infections and sliding-scale fees accepted across all income levels, alongside insurance and Medicaid.
MultiCare treats hepatitis C on-site, which means a confirmed diagnosis moves directly into a treatment plan without redirecting to a separate provider: keeping the prescribing relationship, monitoring, and follow-up inside a single practice.
MultiCare prescribes PrEP, PEP, and DoxyPEP: a combination that covers HIV pre-exposure prevention, post-exposure management, and bacterial STI prevention after potential exposure. For anyone without a standing prescriber for these medications, having all three available through a single appointment matters.
Spanish-language services at MultiCare operate as a direct clinical capability: meaning medication instructions, adherence counseling, and STI prevention education are delivered in Spanish without routing through interpretation, which keeps dosing guidance and follow-up timelines precise and unambiguous.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · 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 about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Four Lakes, 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 Spokane 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.
19 North 7th Street, Cheney, WA 99004
CMS-certified lab
210 West Cataldo Avenue, Spokane, WA 99201
CMS-certified lab
1123 North Evergreen Road, Spokane Valley, WA 99216
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Four Lakes. 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, 399 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Four Lakes. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 145 offer telehealth.
Nelson Mckay, MD
Family medicine · 1720 2nd Street, Cheney
David Little, MD
Family medicine · 850 Maple Street, Medical Lake
Harpreet Uppal, MD
Family medicine · 5615 West Sunset Highway, Spokane
Richard Bale, MD
Family medicine · 823 West 7th Avenue, Spokane
Jessica Mchugh, MD
Family medicine · 910 West 5th Avenue, Spokane
Elizabeth Platz, MD
OB-GYN · 910 West 5th Avenue, Spokane
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 Four Lakes, WA 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.
Medical Lake Owl Pharmacy
4.5 mi
6.2 mi Yokes Pharmacy
8.4 miRosauers Supermarkets
9.6 mi
10.0 mi Community Health Association of Spokane
10 miShowing the 6 closest pharmacies to Four Lakes, WA.
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 Four Lakes, 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 Spokane County, the county that includes Four Lakes, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~3% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 39 Washington counties for chlamydia, a higher rate than 74% of the state
| Infection | Spokane County | Washington | United States |
|---|---|---|---|
| Chlamydia | 377.9 2,084 cases ▲ 7% | 354.4 | 492.2 |
| Gonorrhea | 158.1 872 cases ▲ 22% | 129.6 | 179.5 |
| Syphilis (P&S) | 36.1 199 cases ▲ 69% | 21.3 | 15.8 |
| Syphilis (early) | 14 77 cases ▲ 12% | 12.5 | 16 |
| Syphilis (late/unknown) | 18.5 102 cases ▼ 19% | 22.9 | 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 Spokane County, chlamydia has fallen from 480 to 377.9 per 100,000 (21%), gonorrhea has fallen from 180.4 to 158.1 per 100,000 (12%), and P&S syphilis has risen from 15.2 to 36.1 per 100,000 (138%).
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 Spokane County.
Local HIV snapshot
Spokane County HIV care continuum (2023)
Spokane County recorded 7 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Spokane County residents living with HIV, 88.5% are in care · 78.7% 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 Spokane County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Mornings at Willow Lake Natural Area draw a steady stream of joggers and dog walkers from across Four Lakes, many of them young adults who cycle through the neighborhood routines that structure a weekday. Work, errands, the loop around the park. That same demographic, spanning late teens through their thirties, tends to navigate sexual health with a different calculus than older residents: screening fits into life between job changes and relationship shifts, and the ability to get tested without fanfare becomes less a luxury and more a practical necessity. Testing in and around Four Lakes listed on this page reflects that reality, with providers who understand that confidentiality isn't theater: it's the foundation that lets someone walk in, get answers, and walk back out without the weight of small-town visibility. The clinics and urgent-care centers serving Four Lakes hold fast to the principle that what you learn about your status stays yours alone.
No one receives a call at home; no one's name appears on a workplace insurance summary in a way that invites questions. That separation between the test itself and the rest of your life is what makes early, regular screening possible for people in their twenties and thirties who are managing relationships, jobs, and futures all at once. Access to confidential testing here means you don't have to drive far, don't have to wait months, and don't have to wonder whether the person behind the desk knows your family. That matters.
Getting there
At 9.4/20 on the EPA walkability index, day-to-day errands in Four Lakes 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 99004 snapshot
ZIP-level Census figures for the wider 99004 area around Four Lakes: a single ZIP can span several communities, so they describe the area, not Four Lakes alone.
Four Lakes sits in Spokane County, ZIP 99004. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Four Lakes? 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 Spokane County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington 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 Four Lakes-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 Four Lakes 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 Washington 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 Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington 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 WashingtonSource: 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.
Possibly, Spokane, WA is close; compare it by distance against CHAS Health.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
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 378 cases per 100,000 residents (2023), above the Washington average.
Yes, at-home kits ship to 99004; you collect a sample, mail it back, and get results in about 2–5 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
It's cured with antibiotics; treating partners together prevents reinfection.
There's no cure, but antivirals manage symptoms well and reduce transmission.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.