Chlamydia reports in Buchanan County run about 90% lower than the US average. Whether you seek testing after a possible exposure or as part of routine care in Home Creek, Virginia, you can visit a clinic for in-person attention or use an at-home kit for convenient sample collection.
Available testing centers
7 testing options are listed for Home Creek, VA. The nearest, Virginia Department of Health, is about 4.4 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 Grundy tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C on a sliding-scale fee open to everyone, with same-visit treatment for bacterial STIs and no appointment required, and Spanish-language care available throughout.
Hepatitis C treatment is delivered on-site, which means a confirmed diagnosis doesn't stall at the testing stage. The same clinic that identifies the infection can carry a patient through to clearance without sending them elsewhere for the treatment itself.
Prevention-focused prescribing is narrow at many STI clinics: PrEP appears, but DoxyPEP and PEP rarely do. Virginia Department of Health in Grundy prescribes all three, letting someone build a prevention strategy around their actual exposure patterns rather than settling for whatever a single-option clinic happens to stock.
Spanish is a working language of care at this clinic, not a bridged accommodation, so a Spanish-speaking patient can discuss their full sexual health history, review results, and work through a treatment plan without anything getting compressed or lost in translation.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Stone Mountain Health Services in Hurley covers gonorrhea, chlamydia, syphilis, and HIV testing with same-visit treatment for bacterial infections confirmed on the spot. Appointments are required, and fees run on a sliding scale with Medicaid, Medicare, and private insurance all accepted.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Vansant Respiratory Care Center, in Vansant, carries federal qualification as a community health center, which means fees for STI screening (syphilis, gonorrhea, and chlamydia) are set on a sliding scale tied to each patient's income, and no appointment is needed to get tested.
Tests offered
Fees & payment
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 Home Creek, 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 Buchanan 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.
1535 Slate Creek Road, Grundy, VA 24614
CMS-certified lab Accredited · Joint Commission
1941 Lover'S Gap Road, Vansant, VA 24656
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Home Creek. 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, 154 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Home Creek. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 29 offer telehealth.
Noelle Bissell, MD
Internal medicine · 1051 Rosebud Road, Grundy
Scott Siegel, DO
Family medicine · 1535 Slate Creek Road, Grundy
Kevin Combs, DO
Internal medicine · 1107 Riverview Street, Grundy
Ramesh Kabaria
Internal medicine · 13430 Riverside Drive, Oakwood
Tresha Ward, MD Telehealth
Family medicine · 13136 Riverside Drive, Oakwood
Mansoor Mahmood, MD
Internal medicine · 48 Phillips Branch Road, Phelps
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 Home Creek, 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.
Medical Park Pharmacy
4.5 miSuper Dollar Pharmacy
5.2 mi
6.4 mi Tri-State Pharmacy
6.5 miK-VA-T Food Stores
8.1 miLevisa Pharmacy
10 miShowing the 6 closest pharmacies to Home Creek, 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 Home Creek, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$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 Buchanan County, the county that includes Home Creek, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#133 of 133 Virginia counties for chlamydia, among the lowest in the state
| Infection | Buchanan County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 47.2 9 cases ▼ 90% | 472.8 | 492.2 |
| Gonorrhea | — no data | 158.3 | 179.5 |
| Syphilis (P&S) | — no data | 10.7 | 15.8 |
| Syphilis (early) | — no data | 9.5 | 16 |
| Syphilis (late/unknown) | — no data | 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 Buchanan County, chlamydia has fallen from 93.3 to 47.2 per 100,000 (49%), gonorrhea has fallen from 15.1 to 10.3 per 100,000 (32%), and P&S syphilis has risen from 4.9 to 5 per 100,000 (2%).
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 Buchanan County.
Local HIV snapshot
Buchanan County HIV care continuum (2022)
Buchanan County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Buchanan County residents living with HIV, 76.9% are in care · 69.2% 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 Buchanan County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Route 460 curves through the hollow here, and the nearest clinic from Home Creek is a genuine drive. Not a quick errand slotted between lunch and a meeting, but a trip you have to decide to take. That reality shapes everything about how people in southwest Virginia approach routine health care, including STI screening. What makes Home Creek distinctive is how settled it feels: an overwhelming share of residents own their homes, and nearly half of adults are married.
A household profile that can quietly create the impression that regular sexual-health screening is someone else's concern. It isn't. Younger adults in their late teens and twenties live here too, and Buchanan County's STI patterns reflect exactly the vulnerability that age carries. The low unemployment figure suggests most working-age residents who are in the workforce are employed and occupied, which means a weekday clinic run competes with real hours that aren't easy to spare.
The good news is that the testing options appear on this page, a number large enough to find one that fits a longer commute from this part of the county. Some offer evening or weekend hours; some use sliding-scale fees. For anyone who already budgets carefully against a modest rent or a fixed mortgage in a community where home values run modest, a free or low-cost option changes whether the drive actually happens.
Getting there
At 4.85/20 on the EPA walkability index, day-to-day errands in Home Creek 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 24614 snapshot
ZIP-level Census figures for the wider 24614 area around Home Creek: a single ZIP can span several communities, so they describe the area, not Home Creek alone.
Nearby cities & towns
Just outside Home Creek? 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 Buchanan 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 Home Creek-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 Home Creek 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.
There are 5 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Buchanan County reported ~47 chlamydia cases per 100,000 in 2023, below the Virginia average.
In Virginia, 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.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Most HIV tests detect infection about 2–6 weeks out depending on the test type; a later retest confirms a negative.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.