In Kent County, Delaware, there are about 15 syphilis cases per 100,000 residents. If you're in Frederica, Delaware, and need testing after a possible exposure or as part of routine care, you can weigh the benefits of visiting a clinic or using an at-home kit. Clinics offer in-person guidance; at-home kits offer convenience. Find your options below.
Available testing centers
7 testing options are listed for Frederica, DE. The nearest, Delaware Health and Social Services, is about 6.7 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.
Delaware Health and Social Services in Milford tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and both hepatitis B and C: all at no charge, on a sliding scale, by appointment, with same-visit treatment for bacterial infections and vaccines for HPV, hepatitis A and B, and mpox.
For anyone managing care without insurance or paying entirely out of pocket, the full scope at Delaware Health and Social Services (testing, treatment, and vaccines) carries no fee. That means the decision to come in, come back, and follow through never depends on what's in your wallet.
Spanish speakers who want to ask questions, understand results, and weigh treatment options in their own language can do exactly that here. Staff deliver care directly in Spanish. For anyone navigating a sensitive health concern, that capacity to communicate fully and without friction is what makes follow-through realistic.
Clinics that test only for HIV, syphilis, gonorrhea, and chlamydia leave real gaps. Herpes and hepatitis B and C routinely go undetected until symptoms arrive. Delaware Health and Social Services runs all of those on the same visit, giving a fuller picture of what's actually circulating.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
La Red Health Center in Milford runs on scheduled appointments, so visits move with purpose: covering the full bacterial and viral panel, same-visit treatment for gonorrhea, chlamydia, and syphilis, plus hepatitis A, B, and C tests on a sliding-scale fee that applies to everyone.
La Red Health Center staffs Spanish and Haitian Creole directly into clinical encounters: meaning diagnoses, treatment instructions, and medication counseling happen in those languages without relay through a separate service. Interpretation is also available for additional languages across the same visits.
As a Title X-funded site, La Red Health Center is legally required to provide confidential family planning services to minors. That protection is baked into federal program rules, not a clinic-by-clinic policy. Contraception counseling and STI care for younger patients are managed under that same framework.
La Red Health Center treats hepatitis C on-site, which means the prescribing and monitoring happen within the same practice that ran the test. Patients move from confirmed diagnosis into an active treatment plan without changing providers.
Languages
English, Haitian Creole, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Bayhealth Primary Care Sussex in Milford runs the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, herpes, rapid HIV, hepatitis A, B, and C, and TB) with same-visit treatment for bacterial infections and appointments accepted through insurance or Medicaid, in French, Portuguese, or Spanish.
For someone navigating PrEP prescriptions, hepatitis treatment, or an STI diagnosis without a regular English-speaking provider, the language capacity here goes well beyond a front-desk greeting: clinical conversations about medications, follow-up schedules, and lab results happen directly in French, Portuguese, or Spanish.
PrEP at Bayhealth Primary Care Sussex means an ongoing clinical relationship: baseline HIV and kidney-function testing, a prescription for daily oral medication, and the follow-up lab work, every three to six months, that sustains the prescription. PEP is also prescribed on-site, with the same medical staff managing the full course.
For someone without a gastroenterologist or specialist relationship, hepatitis C care here doesn't stop at a confirmed antibody result. The clinic carries treatment through to direct-acting antiviral prescriptions and the monitoring needed to confirm clearance, all within primary care.
Languages
English, French, Portuguese, 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 about 7 miles away; if you'd rather skip the trip, an at-home kit ships to Frederica, 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 for simplicity & support
$89 & 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 Kent 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.
655 South Bay Road, Dover, DE 19901
CMS-certified lab Accredited · Joint Commission
1695 South State Street, Suite B, Dover, DE 19901
CMS-certified lab
200 Banning Street, Suite 250, Dover, DE 19904
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Frederica. 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, 316 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Frederica. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 143 offer telehealth.
Joseph Parise, DO
Family medicine · 77 Milford Neck Road, Milford
Paulina Mccabe, DO Telehealth
Family medicine · 1012 Mattlind Way, Milford
Tetsoma Tonwe, MD Telehealth
Family medicine · 1011 North Walnut Street, Milford
Scott Hammer, MD Telehealth
Family medicine · 100 Silicato Parkway, Milford
Natalie Kunsman, MD
Family medicine · 7586 South Dupont Highway, Felton
Abdul Muhaymin Siyal, MD Telehealth
Internal medicine · 804 North Dupont Boulevard, Milford
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 Frederica, DE 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.
5.2 mi 
5.7 mi Rhythaan
5.8 miPillbox Pharmacy
5.8 miAerenson Road Pharmacy
5.8 miThe Pill Box Pharmacy
5.8 miShowing the 6 closest pharmacies to Frederica, DE.
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 Frederica, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
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
$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 Kent County, the county that includes Frederica, compare with Delaware and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~42% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#1 of 3 Delaware counties for chlamydia, among the very highest in the state
| Infection | Kent County | Delaware | United States |
|---|---|---|---|
| Chlamydia | 653.9 1,241 cases ▲ 18% | 552.7 | 492.2 |
| Gonorrhea | 166 315 cases ▲ 9% | 151.9 | 179.5 |
| Syphilis (P&S) | 14.8 28 cases ▼ 15% | 17.4 | 15.8 |
| Syphilis (early) | 7.4 14 cases ▼ 15% | 8.7 | 16 |
| Syphilis (late/unknown) | 16.3 31 cases ▲ 8% | 15.1 | 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 Kent County, chlamydia has fallen from 655.5 to 653.9 per 100,000 (0%), gonorrhea has fallen from 191.9 to 166 per 100,000 (13%), and P&S syphilis has risen from 7.7 to 14.8 per 100,000 (92%).
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 Kent County.
Local HIV snapshot
Kent County HIV care continuum (2023)
Kent County recorded 14.4 new HIV diagnoses per 100,000 (2023), against 11.4 statewide and 13.7 nationally. Among Kent County residents living with HIV, 86.4% are in care · 76.2% 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 Kent County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Riverview Estates sits close enough to Bay Road to feel connected, yet daily life here still runs on a car. A grocery run, a school pickup, a doctor's visit all mean getting behind the wheel. That's the quiet texture of Frederica: a predominantly homeowning community where most households span three or more people, marriages and families anchoring a stable but decidedly spread-out place. With nearly a third of residents renting at just over a thousand dollars a month, and unemployment running meaningfully above national norms, there's real financial pressure on a portion of households that makes any added cost, including a clinic visit, worth thinking through carefully before it gets skipped.
Kent County's STI picture gives younger adults here particular reason to act on that thinking. The people in their late teens and twenties make up a striking share of Frederica's population, years when infections are most commonly acquired and most easily overlooked. In a community where almost two in three residents are in the labor force and many are managing family schedules across a mid-sized household, carving out a weekday appointment isn't frictionless. The options listed on this page include 24 tested sites in and around Frederica, several offering sliding-scale fees that ease the cost calculation.
The Bowers Beach Maritime Museum sits a short drive down Bowers Beach Road, and the nearest listed clinic is comparably close. Pulling up that clinic's hours before your next errand along Bay Road is the most direct first step.
Getting there
At 7.14/20 on the EPA walkability index, day-to-day errands in Frederica 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 19946 snapshot
ZIP-level Census figures for the wider 19946 area around Frederica: a single ZIP can span several communities, so they describe the area, not Frederica alone.
Frederica sits in Kent County, ZIP 19946. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Frederica? 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 Kent County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Delaware 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 Frederica-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 Frederica 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 Delaware 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 Delaware, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Delaware 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 DelawareSource: 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.
Delaware Health and Social Services, about 6.7 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Kent County reported ~654 chlamydia cases per 100,000 in 2023, above the Delaware average.
At-home kits mail to 19946: self-collect, send to the lab, results in ~2–5 days.
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 Delaware, 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.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.