Sacramento County reports about 461 chlamydia cases per 100,000 residents, near the US average. Whether you're getting tested in Howard Landing, California before starting a new relationship or as part of ongoing care, decide if you need public clinics to keep costs down, private labs to prioritize speed, or at-home kits for convenience.
Available testing centers
4 testing options are listed for Howard Landing, CA. The nearest, Quest Diagnostics, is about 17.2 miles away. Compare private labs and at-home kits below.
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 17 miles away; if you'd rather skip the trip, an at-home kit ships to Howard Landing, 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 Sacramento 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.
330 Montrose Drive, Folsom, CA 95630
CMS-certified lab Accredited · Joint Commission
2590 Venture Oaks Way, Suite 103, Sacramento, CA 95833
CMS-certified lab
3301 C Street Suite 200 East, Sacramento, CA 95816
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Howard Landing. 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, 2,160 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Howard Landing. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 991 offer telehealth.
Nadir Matti, MD Telehealth
Family medicine · 327 Main Street, Rio Vista
Craig Ruggles, MD Telehealth
Family medicine · 4810 Elk Grove Boulevard, Elk Grove
Rajashekar Reddy Yeruva, MD
Family medicine · 2401 West Turner Road, Lodi
Menalin Ganal, DO Telehealth
Family medicine · 8220 Wymark Drive, Elk Grove
Wendy Lin, MD Telehealth
Family medicine · 9394 Big Horn Boulevard, Elk Grove
Rolando Del Pozo, MD Telehealth
Family medicine · 9390 Big Horn Boulevard, Elk Grove
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 Howard Landing, CA 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.
Raleys
15 mi
15 mi 
15 mi Lakeside Pharmacy
15 mi
16 mi 
16 mi Showing the 6 closest pharmacies to Howard Landing, CA.
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 Howard Landing, 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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Sacramento County, the county that includes Howard Landing, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~35% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#16 of 58 California counties for chlamydia, a higher rate than 72% of the state
| Infection | Sacramento County | California | United States |
|---|---|---|---|
| Chlamydia | 461 7,303 cases ▼ 6% | 491.1 | 492.2 |
| Gonorrhea | 198.9 3,151 cases ▲ 5% | 190.2 | 179.5 |
| Syphilis (P&S) | 19.3 305 cases ▲ 18% | 16.3 | 15.8 |
| Syphilis (early) | 13.2 209 cases ▼ 31% | 19.1 | 16 |
| Syphilis (late/unknown) | 36.5 578 cases ▼ 22% | 46.7 | 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 Sacramento County, chlamydia has risen from 460.3 to 461 per 100,000 (0%), gonorrhea has fallen from 283.5 to 198.9 per 100,000 (30%), and P&S syphilis has fallen from 24.8 to 19.3 per 100,000 (22%).
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 Sacramento County.
Local HIV snapshot
Federal priority area: Sacramento County is one of 48 U.S. counties prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Sacramento County HIV care continuum (2023)
Sacramento County recorded 13.6 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Sacramento County residents living with HIV, 83.7% know their status · 80.5% are in care · 73% 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 Sacramento County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
CA 160, Victory Highway, runs the spine of this Sacramento County community, and for anyone without a car, the drive to the one option listed on this page is a genuine commitment of time. That reality lands differently depending on how you live here: renters carrying a rent load that leaves little cushion are less likely to rearrange a workday for a screening unless the visit is worth it; owners in the area, many of them equity-rich in a market where typical home values have climbed far past what most California cities see, face their own calendar math. Howard Landing skews toward paired households (the majority of adults here are married, and average household size runs close to three people) which means reproductive and sexual health decisions often involve a partner. For the roughly one-in-three residents who are young adults still in the relationship-forming years, getting tested is straightforwardly useful, not a crisis response, but the single option serving this area demands some planning around work schedules.
With nearly two-thirds of residents in the labor force, mid-morning appointment slots aren't always available. Ryer Island and Steamboat Slough frame a community that is geographically distinct, not urban-core accessible. Screening fits most naturally when it's treated as something a couple or household plans together, penciled in on the same errand as a commute off 160, rather than a solo afterthought.
Getting there
At 5.35/20 on the EPA walkability index, day-to-day errands in Howard Landing 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 95690 snapshot
ZIP-level Census figures for the wider 95690 area around Howard Landing: a single ZIP can span several communities, so they describe the area, not Howard Landing alone.
Howard Landing sits in Sacramento County, ZIP 95690. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Howard Landing? 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 Sacramento County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California 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 Howard Landing-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 Howard Landing 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 California 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 California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
California 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 CaliforniaSource: 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.
Nearest is Quest Diagnostics, about 17.2 mi away; 4 are within 30 miles. An at-home kit shipped to 95690 also works.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Sacramento County reported ~461 chlamydia cases per 100,000 in 2023, below the California average.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
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.
Yes, the HPV vaccine prevents the types most linked to cancer and genital warts; it's recommended through age 26 (and some adults to 45).
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.