Syphilis reports in York County run 37% lower, on average, than the US. If you're in Hornsbyville, Virginia, for a one-time concern or regular check-ups, 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
7 testing options are listed for Hornsbyville, VA. The nearest, Quest Diagnostics, is about 5.7 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.
Southeastern Virginia Health System in Newport News tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C on a sliding-scale fee, with insurance and Medicare accepted; appointments are required, and bacterial STIs are treated the same visit.
Leaving hepatitis B or C undetected means a separate appointment elsewhere, another intake, and weeks of delay before treatment begins. At Southeastern Virginia Health System, both are part of the standard draw: one visit surfaces the full picture, and hepatitis C treatment is managed on-site from there.
PrEP and PEP at Southeastern Virginia Health System follow a clinical protocol: an HIV test, baseline labs for kidney function, and a prescription. Then scheduled follow-up visits every three months to retest and renew. The monitoring cycle stays within the same practice, not handed off between providers.
Southeastern Virginia Health System holds Ryan White program funding, which means HIV-positive patients move from a confirmed test result into ongoing medical treatment within the same system. Care is sustained rather than restarted elsewhere at each stage.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Riverside Health in Newport News accepts Medicaid and most insurance, with sliding-scale fees for those paying out of pocket, and tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB. Appointments required, with same-visit treatment for bacterial infections.
Riverside Health runs seven distinct pathogen tests beyond HIV alone: herpes simplex, hepatitis A, hepatitis B, hepatitis C, and TB alongside the bacterial STIs. That breadth means a single appointment surfaces infections that a narrower panel would leave undetected and unmanaged.
Clinics that carry PrEP on paper frequently leave uninsured patients to navigate manufacturer assistance programs alone. Riverside Health funds PrEP directly for uninsured patients, and also provides PEP, so both the daily preventive regimen and the post-exposure course are available here without the coverage prerequisite.
Riverside Health staffs care in American Sign Language directly, not through a remote relay, and provides Spanish services and interpretation for additional languages on-site. That infrastructure means clinical conversations about dosing schedules, adherence counseling, and test results happen in real time without a lag in the room.
Languages
American Sign Language, English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Virginia Department of Health in Newport News offers free HIV, syphilis, gonorrhea, chlamydia, hepatitis B, hepatitis C, and herpes testing alongside a sliding-scale fee structure, with STI treatment available the same visit; an appointment is required.
Fee schedules, co-pays, and cost-sharing exist at most publicly funded clinics in some form. Virginia Department of Health in Newport News breaks from that pattern entirely. Every service, from testing through treatment, is provided at no charge to the patient.
Virginia Department of Health in Newport News maintains Spanish-language capacity and live interpretation for other languages as a standing feature of care, not a case-by-case arrangement. A patient navigating PrEP, DoxyPEP, or STI treatment gets the same depth of clinical conversation regardless of the language they use.
Virginia Department of Health in Newport News prescribes PrEP, PEP, and DoxyPEP directly, which means prevention medication decisions happen at the same appointment as testing. Shortening the time between a conversation and an active prescription.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Hornsbyville, 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 York 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.
4740 George Washington Memorial Highway, Yorktown, VA 23692
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hornsbyville. 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, 922 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hornsbyville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 350 offer telehealth.
Janelle Wells, MD Telehealth
Family medicine · 100 Enterprise Drive, Yorktown
Latisha Murray, MD Telehealth
Family medicine · 222 Grafton Drive, Grafton
Ann Marie Defiglio-Smith, MD
Internal medicine · 307 Cook Road, Yorktown
Jason Evers, MD Telehealth
Family medicine · 405 Holmes Boulevard, Yorktown
Meghna Chopra, MD Telehealth
Family medicine · 2855 Denbigh Boulevard, Grafton
Phi Lam, MD
Family medicine · 518 Allens Mill Road, Yorktown
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 Hornsbyville, 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.
1.6 mi 
1.7 mi 
1.7 mi Heritage Pharmacy
2.1 mi
3.5 mi Showing the 5 closest pharmacies to Hornsbyville, 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 Hornsbyville, 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
$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
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 York County, the county that includes Hornsbyville, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#70 of 133 Virginia counties for chlamydia, a higher rate than 47% of the state
| Infection | York County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 308.7 219 cases ▼ 35% | 472.8 | 492.2 |
| Gonorrhea | 97.2 69 cases ▼ 39% | 158.3 | 179.5 |
| Syphilis (P&S) | 9.9 7 cases ▼ 7% | 10.7 | 15.8 |
| Syphilis (early) | 2.8 2 cases ▼ 71% | 9.5 | 16 |
| Syphilis (late/unknown) | 9.9 7 cases ▼ 37% | 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 York County, chlamydia has risen from 308.4 to 308.7 per 100,000 (0%), gonorrhea has fallen from 112.8 to 97.2 per 100,000 (14%), and P&S syphilis has risen from 1.4 to 9.9 per 100,000 (607%).
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 York County.
Local HIV snapshot
York County HIV care continuum (2021)
York County recorded 11.7 new HIV diagnoses per 100,000 (2021), against 11.8 statewide and 13.7 nationally. Among York County residents living with HIV, 77.5% are in care · 70.4% 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 York County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along US 17, the George Washington Memorial Highway that threads through Hornsbyville, most households make health decisions together, and in a community where nearly two-thirds of adults are married and families average closer to three people than two, "I'll get tested" often means coordinating schedules, sharing cars, and working around a partner's or child's needs before a clinic visit even gets planned. That coordination matters most for younger adults here (people in their late teens and twenties moving through relationships, new jobs, and transitions) because they're the ones most likely to benefit from routine screening and least likely to make it a fixed priority when life gets complicated. The clinics listed on this page range widely in fees, hours, and location, which is exactly why comparing them by distance and cost makes a practical difference for anyone juggling work and family in neighborhoods like Harris Grove or Marlbank Heights.
The county STI picture in York gives residents a clearer reason to keep testing regular rather than reactive. A quick scan of the clinic cards above, sorted by how far they sit from Chisman Creek Park or along the George Washington Memorial Highway corridor, is a reasonable place to start that conversation.
Getting there
At 7.22/20 on the EPA walkability index, day-to-day errands in Hornsbyville 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 23692 snapshot
ZIP-level Census figures for the wider 23692 area around Hornsbyville: a single ZIP can span several communities, so they describe the area, not Hornsbyville alone.
Hornsbyville sits in York County, ZIP 23692. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Hornsbyville? 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 York 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 Hornsbyville-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 Hornsbyville 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.
The closest is Quest Diagnostics (5.7 mi); 7 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 309 cases per 100,000 residents (2023), below the Virginia average.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Yes, at-home kits ship to 23692; you collect a sample, mail it back, and get results in about 2–5 days.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
The sore can disappear on its own even though the infection remains; only testing confirms it's gone.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.