New HIV diagnoses in Hawaii County are about 71% lower than the national average. If you live in Kealakekua, Hawaii, and are looking for an STI test either for a one-time concern or regular check-ups, consider the choice between clinics which may bill insurance or offer sliding-scale fees, versus paying a flat self-pay price at many private labs. Review the listings below.
Available testing centers
7 testing options are listed for Kealakekua, HI. The nearest, Diagnostic Laboratory Services, is about 1.1 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.
Kona Family Health Center in Kailua Kona tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C on a fee-based, insurance- and Medicare-accepted basis. Appointments are required, and bacterial infections are treated same visit.
Direct-acting antivirals for hepatitis C, medications like sofosbuvir-based regimens, require ongoing monitoring that Kona Family Health Center carries out in-house. A positive hepatitis C result doesn't pause treatment while a specialist is located; the prescribing and follow-up happen within the same practice.
Hepatitis B and C testing at Kona Family Health Center is ordered as part of the same clinical workup as HIV, syphilis, gonorrhea, and chlamydia. Not as a separate referral to a GI or infectious disease practice. Hepatitis B status informs vaccination decisions; hepatitis C status, here, triggers treatment eligibility review within the same facility.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN + HRSA
Hawaii Island Community Health Center in Kailua Kona requires an appointment and covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B and C, and TB testing on a sliding-scale fee open to everyone, with same-visit treatment for bacterial STIs and Title X family planning including legally confidential services for minors.
Hawaii Island Community Health Center holds Title X designation, which carries a legal guarantee: minors can access family planning services confidentially, without parental notification required. For a young person without a regular provider or navigating care independently, that standing protection is built into every appointment.
PrEP, whether Truvada or Descovy, requires ongoing HIV and kidney-function monitoring to be prescribed safely, and Hawaii Island Community Health Center handles that full prescribing relationship in-house. PEP is also available, meaning both the prevention medication before and after exposure are sourced from the same clinical team.
Many clinics confirm a hepatitis C infection and then send patients elsewhere for treatment. Hawaii Island Community Health Center carries the care through to completion, antiviral treatment for hepatitis C is provided on-site, alongside hepatitis B treatment, so a diagnosis doesn't become the start of a referral chain.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Kumukahi Health and Wellness in Kailua Kona is a community health center where the full STI panel (gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, TB, and rapid or conventional HIV) runs on a sliding scale, with same-visit treatment for bacterial infections, by appointment, and at no fee.
All services at Kumukahi are provided at no fee, which means the sliding scale bottoms out at nothing, and a patient managing an ongoing condition like HIV or hepatitis C faces the same zero-dollar figure at every return visit as they did at the first.
Kumukahi carries both PrEP and PEP directly, including PrEP coverage for uninsured patients. Anyone without a regular provider who needs ongoing HIV prevention medication, or who needs PEP after an exposure, can access both through a single clinic rather than hunting across separate prescribers.
A hepatitis C antibody test at Kumukahi is the opening step in a treatment arc that stays within the clinic, antiviral therapy, not just a confirmed diagnosis, is part of what the care team manages. That continuity means the infection can be cleared rather than simply documented.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Kealakekua, 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 value: single tests
$49 & 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 Hawaii 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.
79-1019 Haukapila Street, Clinical Laboratory, Kealakekua, HI 96750
CMS-certified lab Accredited · College of American Pathologists
79-1019 Haukapila Street, Pathology Laboratory, Kealakekua, HI 96750
CMS-certified lab Accredited · College of American Pathologists
81-980 Halekii Place, Unit 2, Kealakekua, HI 96750
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Kealakekua. 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, 51 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Kealakekua. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 14 offer telehealth.
Brian Thielen, MD
Family medicine · 79 -1019 Haukapila Street, Kealakekua
Paul Hayward, DO
Internal medicine · 81 -980 Halekii Street, Kealakekua
Bradon Kimura, MD Telehealth
Family medicine · 81 -937 Halekii Street, Kealakekua
Esther Smith, MD Telehealth
Family medicine · 79 -7266 Hawaii Belt Road, Kealakekua
Santad Sira, MD
OB-GYN · 79-7266 Mamalahoa Highway, Kealakekua
Joyce Mobley, MD
Family medicine · 78 -6957 Kamehameha III Road, Kailua Kona
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 Kealakekua, HI 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.
Oshima Drug
1.5 miKainaliu Pharmacy
1.8 miLongs Drugs
4.8 miKta Keauhou Pharmacy
4.9 miLongs Drugs #09936
5.1 miMalama Compounding Pharmacy
5.9 miShowing the 6 closest pharmacies to Kealakekua, HI.
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 Kealakekua, 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
$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
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 Hawaii County, the county that includes Kealakekua, compare with Hawaii and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 5 Hawaii counties for chlamydia, among the very highest in the state
| Infection | Hawaii County | Hawaii | United States |
|---|---|---|---|
| Chlamydia | 333.8 693 cases ▼ 23% | 435.6 | 492.2 |
| Gonorrhea | 77.1 160 cases ▼ 39% | 126.7 | 179.5 |
| Syphilis (P&S) | 9.6 20 cases ▼ 24% | 12.7 | 15.8 |
| Syphilis (early) | 3.4 7 cases ▼ 51% | 7 | 16 |
| Syphilis (late/unknown) | 10.1 21 cases ▼ 48% | 19.6 | 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 Hawaii County, chlamydia has fallen from 341.4 to 333.8 per 100,000 (2%), gonorrhea has risen from 60.8 to 77.1 per 100,000 (27%), and P&S syphilis has risen from 4 to 9.6 per 100,000 (140%).
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 Hawaii County.
Local HIV snapshot
Hawaii County HIV care continuum (2023)
Hawaii County recorded 4 new HIV diagnoses per 100,000 (2023), against 4.8 statewide and 13.7 nationally. Among Hawaii County residents living with HIV, 87.9% are in care · 81% 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 Hawaii County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Kuamoʻo Burials sits just off Mamalahoa Highway, a road that doubles as Kealakekua's main artery and the route most residents follow for nearly every errand, appointment, or supply run. Kealakekua is a place where households run large and more than half of adults are married, which shapes the rhythms of daily life around shared schedules and shared budgets. A typical rent that sits well below state norms helps, but with nearly a quarter of households reaching six-figure income alongside a significant renting share, the community spans a real range of financial flexibility.
Younger adults, people in their late teens and twenties, make up a meaningful slice of that population, and for them the county STI picture is most directly relevant: those years carry the steepest exposure risk, and straightforward access to testing keeps pace with relationship changes that often happen fast. The labor-force participation rate here reflects a community where a notable share of working-age adults are outside formal employment, whether caring for households, farming, or otherwise self-directing their time. That irregular-hours reality cuts both ways: some residents have daytime flexibility others don't.
Getting there
At 6.11/20 on the EPA walkability index, day-to-day errands in Kealakekua 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 96750 snapshot
ZIP-level Census figures for the wider 96750 area around Kealakekua: a single ZIP can span several communities, so they describe the area, not Kealakekua alone.
Kealakekua sits in Hawaii County, ZIP 96750. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Kealakekua? 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 Hawaii County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Hawaii 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 Kealakekua-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 Kealakekua 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 Hawaii 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 Hawaii, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Hawaii 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 HawaiiSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Hawaii County reported ~334 chlamydia cases per 100,000 in 2023, below the Hawaii average.
In Hawaii, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.