Chlamydia rates are 69% lower in Tazewell County than the US average, but anyone in Horsepen, Virginia whether symptomatic or just seeking peace of mind has various STI testing options. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. Below you'll find a list of local solutions.
Available testing centers
7 testing options are listed for Horsepen, VA. The nearest, Virginia Department of Health, is about 7.1 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 Tazewell runs STI care through the depth of a public health department: testing for HIV, gonorrhea, chlamydia, syphilis, and more on a sliding-scale fee, by appointment, with same-visit treatment for bacterial infections, and PrEP, PEP, and DoxyPEP on hand.
Virginia Department of Health in Tazewell prescribes PrEP, PEP, and DoxyPEP from the same clinic where testing happens, so prevention and care stay coordinated rather than split across separate providers or follow-up visits.
Without herpes and hepatitis testing on the same panel, a clean four-infection result can still leave gaps that require a separate appointment elsewhere. Virginia Department of Health in Tazewell tests for herpes A, B, and C-strain hepatitis alongside the standard bacterial infections, closing those gaps before they become untreated problems.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Southwest Virginia Community Health Systems is a community health center in Tazewell where STI care sits alongside ongoing primary care, meaning hepatitis B and C testing join the standard bacterial and HIV panel, all on a sliding-scale fee, by appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Carilion Clinic in Tazewell covers gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, TB, and HIV, with same-visit treatment available for bacterial STIs. 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 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 Horsepen, 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 range: couples & full panels
$79 & 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 Tazewell 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.
6801 Gov G C Peery Highway, Richlands, VA 24641
CMS-certified lab Accredited · Joint Commission
460 Front Street, Richlands, VA 24641
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Horsepen. 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, 122 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Horsepen. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 31 offer telehealth.
William Shrader, MD Telehealth
Family medicine · 140 Campbell Lane, Tazewell
Angela Venuto-Ashton, MD
Internal medicine · 388 Ben Bolt Avenue, Tazewell
Jordan Saunders, DO
Family medicine · 388 Ben Bolt Avenue, Tazewell
Jasmine Jackson, DO Telehealth
Infectious disease · 388 Ben Bolt Avenue, Tazewell
Brandon Lingenfelter, DO Telehealth
OB-GYN · Rt 103 Supply Street, Gary
Farzin Rahmanou, DO Telehealth
Internal medicine · 150 Venus Road, Gary
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 Horsepen, 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.
6.2 mi Hayes Drug
6.7 miRight Way Drug
6.7 miMcDowell Pharmacy
11 miShowing the 4 closest pharmacies to Horsepen, 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 Horsepen, 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
$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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Tazewell County, the county that includes Horsepen, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data.
#122 of 133 Virginia counties for chlamydia, a higher rate than 8% of the state
| Infection | Tazewell County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 150.8 59 cases ▼ 68% | 472.8 | 492.2 |
| Gonorrhea | 25.6 10 cases ▼ 84% | 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 Tazewell County, chlamydia has fallen from 155.8 to 150.8 per 100,000 (3%), gonorrhea has risen from 22.3 to 25.6 per 100,000 (15%), and P&S syphilis has held roughly steady from 5 to 5 per 100,000.
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 Tazewell County.
Local HIV snapshot
Tazewell County HIV care continuum (2023)
Tazewell County recorded 0 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Tazewell County residents living with HIV, 86.2% are in care · 82.8% 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 Tazewell County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Horsepen is a small, rural community in Tazewell County, Virginia, where a large share are outside the workforce, such as retirees or students. It skews toward families and larger households. Out here, the nearest clinic can be a real drive, so at-home test kits and telehealth carry much of the load, with an in-person visit when it's needed.
Getting there
At 3.32/20 on the EPA walkability index, day-to-day errands in Horsepen 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 24884 snapshot
ZIP-level Census figures for the wider 24884 area around Horsepen: a single ZIP can span several communities, so they describe the area, not Horsepen alone.
Horsepen sits in Tazewell County, ZIP 24884. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Horsepen? 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 Tazewell 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 Horsepen-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 Horsepen 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.
Tazewell, VA is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Tazewell County reported ~151 chlamydia cases per 100,000 in 2023, below the Virginia average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 24884: self-collect, send to the lab, results in ~2–5 days.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.