Syphilis cases in Pierce County are about 95% higher than the national average. Whether you need testing after a possible exposure, or as part of routine care in Ketron Island, Washington, we list clinics that may bill insurance or offer sliding-scale fees, plus private labs for a flat self-pay price.
Available testing centers
7 testing options are listed for Ketron Island, WA. The nearest, Sea Mar Community Health Centers, is about 4.4 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.
Sea Mar Community Health Centers in Lakewood accepts Medicaid, Medicare, and most insurance, with sliding-scale fees for everyone else, and tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis A, B, and C, and TB. With same-visit treatment for bacterial STIs and care delivered in Spanish.
Sea Mar delivers care in Spanish across the full visit: not just intake, but clinical conversation, treatment decisions, and follow-up. That continuity means nothing gets compressed or lost between what a patient describes and what gets documented and acted on.
Sea Mar carries hepatitis C treatment through to completion on-site, including the direct-acting antiviral regimens that clear the infection. Patients who test positive don't need to seek a specialist elsewhere, the prescribing and management stay within the same facility.
Sea Mar tests for hepatitis A, B, and C in addition to HIV, syphilis, gonorrhea, and chlamydia, which means a single appointment surfaces infections that a narrower panel would leave undetected and unaddressed.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Community Health Care in Lakewood tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and TB on a sliding-scale fee accepted by Medicaid, Medicare, and most insurers. Appointments are required, and bacterial STIs are treated the same visit. Spanish-language care is available throughout.
Community Health Care delivers care in Spanish across the full visit: history, results, treatment, and prevention counseling. For someone whose primary language is Spanish and who has no regular provider, that continuity means nothing gets lost in translation when decisions actually need to be made.
Community Health Care prescribes both PrEP and PEP for HIV prevention, which means a patient can establish ongoing medication management at the same clinic where they test and receive counseling. No hand-off to a separate provider required.
For anyone without a regular primary care provider, Community Health Care's panel (which adds herpes testing to HIV, syphilis, gonorrhea, and chlamydia) means a more complete picture is available in one appointment, on the sliding-scale fee structure that applies to every service.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
AHF Wellness Center – Tacoma runs every service — HIV, chlamydia, gonorrhea, and syphilis testing, same-visit bacterial treatment, and PrEP — at no charge, with no insurance required and no appointment needed.
Free testing is one thing; AHF Wellness Center – Tacoma extends that same no-fee structure through treatment, PrEP prescriptions, and pharmacy support — including home delivery where available. The operational backbone is AHF's own pharmacy network, which fulfills and refills prescriptions without routing through a separate cost center.
Plenty of clinics prescribe PrEP; far fewer have DoxyPEP in their active formulary alongside PEP. AHF Wellness Center – Tacoma carries all three, meaning the full current range of biomedical HIV and bacterial STI prevention tools can be prescribed, managed, and refilled in Tacoma without sending patients elsewhere.
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 2026 · Source: ahf-locator
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Ketron Island, 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 Pierce 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.
1112 South Cushman Avenue, Tacoma, WA 98405
CMS-certified lab
1420 3rd Street Southeast Suite 200, Puyallup, WA 98372
CMS-certified lab
9720 South Tacoma Way, Lakewood, WA 98499
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Ketron Island. 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, 1,674 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Ketron Island. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 605 offer telehealth.
Gavind Niamatali, MD Telehealth
Internal medicine · 8307 63rd St Court West, University Place, WA
Minh-Triet Vo
Family medicine · 9537 Gravelly Lake Drive Southwest, Lakewood, WA
Ulrich Birlenbach, MD Telehealth
Internal medicine · 5920 100th Southwest, Lakewood, WA
Micah Atwood, DO
Family medicine · 5700 100th Street Southwest, Lakewood, WA
Savita Kurup, MD Telehealth
Family medicine · 5520 Bridgeport Way West, University Place, WA
Arash Mirzaie Amirabadi, MD
Family medicine · 5520 Bridgeport Way West, University Place, WA
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 Ketron Island, 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.
Department of Social
3.6 miHaggen Opco North
4.2 mi
4.2 mi 
4.4 mi Fred Meyer Pharmacy
5.8 miShowing the 5 closest pharmacies to Ketron Island, 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 Ketron Island, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Pierce County, the county that includes Ketron Island, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data.
#6 of 39 Washington counties for chlamydia, a higher rate than 85% of the state
| Infection | Pierce County | Washington | United States |
|---|---|---|---|
| Chlamydia | 466.8 4,335 cases ▲ 32% | 354.4 | 492.2 |
| Gonorrhea | 164.7 1,530 cases ▲ 27% | 129.6 | 179.5 |
| Syphilis (P&S) | 30.8 286 cases ▲ 45% | 21.3 | 15.8 |
| Syphilis (early) | 14.6 136 cases ▲ 17% | 12.5 | 16 |
| Syphilis (late/unknown) | 28.6 266 cases ▲ 25% | 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 Pierce County, chlamydia has fallen from 607.7 to 466.8 per 100,000 (23%), gonorrhea has fallen from 239.7 to 164.7 per 100,000 (31%), and P&S syphilis has risen from 11.8 to 30.8 per 100,000 (161%).
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 Pierce County.
Local HIV snapshot
Pierce County HIV care continuum (2023)
Pierce County recorded 8.4 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Pierce County residents living with HIV, 79.3% are in care · 72.4% 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 Pierce County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Ketron Island sits in the middle of Puget Sound, close enough to see the mainland but separated from it by water that makes every errand a logistical calculation. For residents near Lyle Point or spending an afternoon at Saltar's Point Park, reaching a clinic isn't a matter of walking a few blocks: it involves a ferry crossing, then a drive through DuPont or beyond, before arriving at any of the options listed on this page.
Pierce County's STI data reflects the same patterns seen statewide: younger adults, the people still early in their relationship histories and least likely to have a regular doctor they see annually, account for a disproportionate share of new diagnoses. On an island where accessing anything requires planning, that group faces a steeper climb than most when it comes to acting on a testing intention before something else takes priority.
Getting there
Ketron Island scores 11.25/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 98388 snapshot
ZIP-level Census figures for the wider 98388 area around Ketron Island: a single ZIP can span several communities, so they describe the area, not Ketron Island alone.
Ketron Island sits in Pierce County, ZIP 98388. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside Ketron Island? 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 Pierce 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 a Ketron Island-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 Ketron Island 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.
Possibly, Lakewood, WA is close; compare it by distance against Sea Mar Community Health Centers.
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 467 cases per 100,000 residents (2023), above the Washington average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, pelvic or lower-belly pain can be a sign of untreated chlamydia or gonorrhea spreading, so see a provider and test.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
Checking for sexually transmitted infections with a urine sample, a swab, or a blood draw, often before any symptoms appear.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.