Chlamydia reports in Pacific County are about 77% lower than the national average. If you want to know your status whether you have symptoms or just want peace of mind in Ilwaco, Washington, decide if you prefer the low-cost or free services at community and public clinics, or the faster results and more flexible scheduling at private labs. The options below can help.
Available testing centers
7 testing options are listed for Ilwaco, WA. The nearest, Cowlitz Family Health Center, is about 10.3 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.
Cowlitz Family Health Center in Ocean Park tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis B and C on a sliding-scale fee, with appointments required and same-visit treatment available for bacterial infections.
Cowlitz Family Health Center staffs American Sign Language directly alongside Spanish-speaking providers and interpretation services for other languages, meaning a Deaf patient's clinical conversation happens in real time, in the exam room, not routed through a delay. That operational fact changes what a visit can accomplish.
The panel at Cowlitz Family Health Center extends to seven pathogens (gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, and hepatitis C) plus a TB test. Catching herpes and hepatitis B in the same draw that covers the core four means fewer separate appointments and a more complete picture from one visit.
Languages
American Sign Language, English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
Clatsop County Public Health, Astoria's county health department, folds STI testing into a broader public health infrastructure: covering gonorrhea, chlamydia, syphilis, HIV, and hepatitis C on a sliding-scale fee with same-visit bacterial treatment, by appointment, with Spanish-language care available.
Plenty of clinics offer a language line as an afterthought. At Clatsop County Public Health in Astoria, Spanish-language care is woven into the visit itself: meaning history, results, and next steps are handled in Spanish without a delay or a third voice in the room.
Clatsop County Public Health prescribes both PrEP and PEP directly, not as add-ons, but as clinical services the department maintains. PrEP requires ongoing HIV and kidney-function monitoring, and that follow-up care stays in-house rather than being handed off elsewhere.
The standard four-infection panel leaves hepatitis C off the table entirely. Clatsop County Public Health tests for hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, so a single appointment covers a meaningfully wider picture of bloodborne and sexual health risk.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Yakima Valley Farm Workers Clinic in Astoria tests for gonorrhea, chlamydia, syphilis, and HIV. With same-visit treatment for bacterial infections when results call for it. Fees run on a sliding scale, and appointments are required.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · 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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Ilwaco, 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 Pacific 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.
174 First Ave North, Ilwaco, WA 98624
CMS-certified lab
800 Alder Street, South Bend, WA 98586
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Ilwaco. 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, 34 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Ilwaco. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Lynda Williamson, DO
Family medicine · 167 1st Avenue North, Ilwaco
Laurie Belknap, DO Telehealth
Family medicine · 171 South Hwy 101, Warrenton
Jennifer Brown, MD
Family medicine · 1639 Southeast Ensign Lane, Warrenton
Angela Nairn, MD Telehealth
Family medicine · 2055 Exchange Street, Astoria
Patience Pine, MD
Family medicine · 2158 Exchange Street, Astoria
Sarah Humphrey, MD
OB-GYN · 2111 Exchange Street, Astoria
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 Ilwaco, WA 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.
Peninsula Pharmacies
1.2 miPeninsula Pharmacies Long Beach Pharmacy Annex
2.9 mi
12 mi Thrifty Payless
12 miFred Meyer Pharmacy
12 miGenoa Healthcare
13 miShowing the 6 closest pharmacies to Ilwaco, WA.
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 Ilwaco, 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
$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 Pacific County, the county that includes Ilwaco, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#35 of 39 Washington counties for chlamydia, a higher rate than 10% of the state
| Infection | Pacific County | Washington | United States |
|---|---|---|---|
| Chlamydia | 111.6 27 cases ▼ 69% | 354.4 | 492.2 |
| Gonorrhea | 45.5 11 cases ▼ 65% | 129.6 | 179.5 |
| Syphilis (P&S) | 16.5 4 cases ▼ 23% | 21.3 | 15.8 |
| Syphilis (early) | 4.1 1 cases ▼ 67% | 12.5 | 16 |
| Syphilis (late/unknown) | 4.1 1 cases ▼ 82% | 22.9 | 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 Pacific County, chlamydia has fallen from 184 to 111.6 per 100,000 (39%), gonorrhea has risen from 12.8 to 45.5 per 100,000 (255%), and P&S syphilis has risen from 4.3 to 16.5 per 100,000 (284%).
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 Pacific County.
Local HIV snapshot
Pacific County HIV care continuum (2023)
Pacific County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Pacific County residents living with HIV, 75.6% are in care · 70.7% 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 Pacific County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Cape Disappointment Lighthouse stands at the edge of a peninsula where the Columbia River meets the Pacific, and for Ilwaco residents, that geography is the daily reality of getting anywhere, including a clinic. The options listed on this page serve the area, but reaching any of them means a deliberate trip out, not a detour on the way home. That shapes who gets screened and when. Nearly seven in ten households here own their homes, reflecting the kind of rooted, longer-term community where people know their neighbors in Holman or down toward Seaview, but rootedness doesn't automatically translate to routine healthcare.
With close to half of adults outside the formal labor force and unemployment genuinely low, many residents aren't working traditional nine-to-five schedules; fishing, seasonal tourism, and self-employment along the Long Beach corridor mean mornings free one week and stretched thin the next. For the under-35 crowd (still building relationships, less likely to have an established primary-care provider) that irregular rhythm makes appointment-based screening easy to deprioritize. Rent in the low-$800s keeps budgets honest, so options listed here that offer sliding-scale fees or short appointment windows carry real weight. Several of the twelve listed include telehealth intake or extended hours, which fits the way Ilwaco residents actually move through their week: by tide table and season as much as by calendar.
Getting there
At 5.34/20 on the EPA walkability index, day-to-day errands in Ilwaco 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 98624 snapshot
ZIP-level Census figures for the wider 98624 area around Ilwaco: a single ZIP can span several communities, so they describe the area, not Ilwaco alone.
Ilwaco sits in Pacific County, ZIP 98624. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Ilwaco? 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 Pacific County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington 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 an Ilwaco-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 Ilwaco 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 Washington 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 Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington 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 WashingtonSource: 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 Cowlitz Family Health Center (10.3 mi); 4 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 112 cases per 100,000 residents (2023), below the Washington average.
Yes, at-home kits ship to 98624; you collect a sample, mail it back, and get results in about 2–5 days.
In Washington, 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.
The gap between exposure and when a test can reliably detect the infection; testing inside it can miss a real infection.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.