Gonorrhea rates in Nassau County are 63% lower than the national average. If you're in Hilliard, Florida and have had a recent risk or test regularly, consider your options. Local clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. See the list below for your options in Hilliard.
Available testing centers
9 testing options are listed for Hilliard, FL. The nearest, MainStreet Family Care, is about 9.9 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.
MainStreet Family Care in Callahan operates without appointment requirements, so a single walk-in visit can cover gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, hepatitis C, and TB testing, with same-visit treatment for bacterial infections and fees scaled to income through accepted Medicaid, Medicare, and insurance.
Prevention medication often stops at whatever the testing clinic can offer, which, at many practices, means a conversation and nothing further. MainStreet Family Care writes PrEP and PEP prescriptions directly, keeping both ongoing prevention and post-exposure response inside the same practice where the testing happened.
The expanded panel at MainStreet Family Care adds herpes simplex and both hepatitis B and hepatitis C testing to the core screen: hepatitis B antibody results also inform whether the on-site adult hepatitis B vaccine series is warranted, linking diagnosis and prevention within the same visit.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Florida Department of Health in Nassau County, in Callahan, screens for gonorrhea, chlamydia, syphilis, HIV, and all three hepatitis strains on a sliding-scale fee schedule, with insurance also accepted. Bacterial STIs are treated the same visit, and appointments are required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
McKinney Community Health Center, in Folkston, calibrates fees to each patient's income. No one is turned away for inability to pay. Federal qualification anchors that commitment, which extends to STI screening for syphilis, gonorrhea, and chlamydia, with no appointment required to get started.
Tests offered
Fees & payment
Georgia Department of Public Health in Folkston tests for HIV, syphilis, gonorrhea, and chlamydia on a sliding-scale fee structure, with HIV testing free for everyone; bacterial STIs are treated same visit, appointments are required, and all services carry no out-of-pocket cost.
For anyone managing care without insurance, a regular provider, or a predictable income, Georgia Department of Public Health in Folkston covers the full cost of testing, treatment, and vaccines. No sliding-scale arithmetic required, no bill at checkout. That standing policy extends to TB treatment, HPV and hepatitis A and B vaccines, and mpox vaccination alike.
Without Spanish-language care on-site, a patient may leave with instructions they can't fully act on. A medication schedule misunderstood, a follow-up missed, a treatment course incomplete. Georgia Department of Public Health in Folkston delivers clinical services directly in Spanish, so nothing that matters to a diagnosis or treatment plan gets lost between the visit and what happens after.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
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 about 10 miles away; if you'd rather skip the trip, an at-home kit ships to Hilliard, 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 range: couples & full panels
$79 & 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.
76011 William Burgess Blvd - First Floor, Yulee, FL 32097
CMS-certified lab
462600 State Road 200, Yulee, FL 32097
CMS-certified lab Accredited · College of American Pathologists
1699 South 14th Street Suite 2, Fernandina Beach, FL 32034
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hilliard. 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, 566 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hilliard. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 209 offer telehealth.
Kedra Williams, MD Telehealth
Family medicine · 551616 US Hwy 1, Hilliard
Michael Sharpe, MD Telehealth
Family medicine · 3756 West 3rd Street, Hilliard
Maria Yssa, MD Telehealth
Family medicine · 449621 West Hwy 301, Callahan
Brittany Lawson, MD
Family medicine · 3919 Main Street, Folkston
Jennifer Clairday
Family medicine · 3913 Main Street, Folkston
Maged Abdelmalik, MD
Internal medicine · 3722 Main Street, Folkston
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 Hilliard, 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.
Hilliard Pharmacy
0.4 miCallahan Pharmacy
10.0 miHometown Pharmacy
10.0 mi
10 mi 
10 mi Showing the 5 closest pharmacies to Hilliard, 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 Hilliard, 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
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
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 Nassau County, the county that includes Hilliard, compare with Florida and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% 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
EF Burnham Park sits quiet on a weekday morning, the kind of place that makes Hilliard feel settled and rooted, and for many residents, it is. Nearly half of households here own their homes, and close to half are married, with an average of three people under the roof. For young adults in their late teens and twenties, a substantial share of Hilliard's population, that distance calculus matters most. Forming new relationships, managing busy schedules, and often stretching limited budgets, this group benefits most when testing requires as little logistical negotiation as possible. The options listed on this page span the wider area in and around Hilliard, which means planning a trip rather than slipping one in.
With labor-force participation notably below majority and unemployment a real factor for some households, a workday appointment can mean lost hours that genuinely cost something. Cost is its own layer. With typical rent hovering under nine hundred dollars a month and fewer than one in six households reaching six-figure income, the uninsured-friendly and sliding-scale options among the clinics listed here carry particular weight for renters. Especially those managing a household of three on a single paycheck.
Getting there
At 2.47/20 on the EPA walkability index, day-to-day errands in Hilliard 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 32046 snapshot
ZIP-level Census figures for the wider 32046 area around Hilliard: a single ZIP can span several communities, so they describe the area, not Hilliard alone.
Hilliard sits in Nassau County, ZIP 32046. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Hilliard? 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 Hilliard-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 Hilliard 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.
Closest is MainStreet Family Care (9.9 mi), or order an at-home kit to 32046.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 207 cases per 100,000 residents (2023), below the Florida average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Florida, people under 18 can consent to confidential STD testing and treatment on their own.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.