Syphilis in Cabell County is 17% more common than the national average. When considering testing in Howells Mill, West Virginia whether you have symptoms or not, you'll find that community and public clinics are often low-cost or free, while private labs offer faster results and more flexible scheduling. Below, you'll find local options.
Available testing centers
7 testing options are listed for Howells Mill, WV. The nearest, FamilyCare Health Center - Barboursville, is about 2.6 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.
FamilyCare Health Center - Barboursville welcomes anyone in Barboursville navigating gaps in coverage, paying out of pocket, or without a regular provider. Federally qualified and fee-adjusted by income, it screens for syphilis, gonorrhea, and chlamydia. No insurance required, no appointment needed.
Tests offered
Fees & payment
Valley Health in Milton pairs gonorrhea, chlamydia, syphilis, hepatitis C, and HIV testing with same-visit treatment for bacterial infections, all on a sliding-scale fee accepted by Medicaid, Medicare, and most insurers. Appointments are required.
Valley Health prescribes and manages both PrEP and PEP on-site: a meaningful capability for anyone without an established infectious-disease provider or who pays cash and needs a single practice handling the prescription, monitoring, and follow-up rather than juggling multiple offices.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Valley Health tests for hepatitis C. Bringing the panel to infections. That fifth test travels with hepatitis A and B vaccination, giving the visit both diagnostic and preventive reach across the full hepatitis spectrum.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Valley Health - Milton at Harbour Way, located in Milton, earned its federally qualified designation by anchoring sliding-scale fees to patient income. Walk in without an appointment for syphilis, gonorrhea, and chlamydia screening: no prior scheduling needed, and fees adjust to what you can actually pay.
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 3 miles away; if you'd rather skip the trip, an at-home kit ships to Howells Mill, 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 Cabell 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.
55 Donohoe Drive, Huntington, WV 25705
CMS-certified lab Accredited · COLA
2900 First Avenue, Huntington, WV 25702
CMS-certified lab Accredited · College of American Pathologists
1305 Elm Street, Lower, Huntington, WV 25701
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Howells Mill. 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, 406 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Howells Mill. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 90 offer telehealth.
Elizabeth Smith, MD Telehealth
Family medicine · 9154 US Route 60, Ona
Artina Lane, MD
Family medicine · 4 Chateau Lane, Barboursville
Matthew Christiansen, MD
Family medicine · 1 Harbour Way, Milton
Mathew Weimer, MD
Family medicine · 220 Johns Creek Road, Milton
Leonard White, MD
Internal medicine · 6350 US Route 60 East, Barboursville
Allan Chamberlain, MD
OB-GYN · 143 Peyton Street, Barboursville
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 Howells Mill, WV 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.
Discount Emporium
2.7 mi
3.8 mi 
4.7 mi Fruth Pharmacy
8.7 miShowing the 4 closest pharmacies to Howells Mill, WV.
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 Howells Mill, 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.
$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
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 Cabell County, the county that includes Howells Mill, compare with West Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 55 West Virginia counties for chlamydia, among the very highest in the state
| Infection | Cabell County | West Virginia | United States |
|---|---|---|---|
| Chlamydia | 405.1 373 cases ▲ 63% | 249 | 492.2 |
| Gonorrhea | 130.3 120 cases ▲ 138% | 54.7 | 179.5 |
| Syphilis (P&S) | 18.5 17 cases ▲ 70% | 10.9 | 15.8 |
| Syphilis (early) | 17.4 16 cases ▲ 185% | 6.1 | 16 |
| Syphilis (late/unknown) | 34.8 32 cases ▲ 113% | 16.3 | 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 Cabell County, chlamydia has fallen from 549 to 405.1 per 100,000 (26%), gonorrhea has fallen from 299.9 to 130.3 per 100,000 (57%), and P&S syphilis has risen from 17 to 18.5 per 100,000 (9%).
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 Cabell County.
Local HIV snapshot
Cabell County HIV care continuum (2023)
Cabell County recorded 31.5 new HIV diagnoses per 100,000 (2023), against 6.5 statewide and 13.7 nationally. Among Cabell County residents living with HIV, 72.3% are in care · 34.6% 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 Cabell County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
People land in Howells Mill for the quiet: a place where you can buy a house and stay, where the hills hold steady and the neighbors don't pry. That stability attracts young adults looking to build something real, away from the churn of bigger towns. For those in their late teens through their thirties, that same privacy and rootedness makes confidential STI testing feel less like a health crisis and more like straightforward self-care, the kind of thing you handle on your own schedule without explanation. Testing in and around Howells Mill carries a particular ease because the places listed on this page understand the value of discretion in a town where people know each other.
You're not walking into a clinic where the staff will remember your face and wonder; you're getting care that stays between you and the provider. The community's character, one of homeowners and families who've chosen to stay, means the health infrastructure serves people who expect both quality and respect for their privacy. Routine screening, whether you're in a new relationship or simply being thorough, fits naturally into the kind of deliberate life people build here. The providers available in and around town treat STI testing as the ordinary, unremarkable part of health maintenance it should be, with no performance, no judgment, and no echo beyond the clinic walls.
Getting there
At 5.24/20 on the EPA walkability index, day-to-day errands in Howells Mill 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 25545 snapshot
ZIP-level Census figures for the wider 25545 area around Howells Mill: a single ZIP can span several communities, so they describe the area, not Howells Mill alone.
Howells Mill sits in Cabell County, ZIP 25545. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Howells Mill? 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 Cabell County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under West 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 Howells Mill-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 Howells Mill 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 West 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 West Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
West 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 West 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.
Possibly, Hurricane, WV is close; compare it by distance against FamilyCare Health Center - Barboursville.
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 405 cases per 100,000 residents (2023), above the West Virginia average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In West Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.