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STD Testing in Kilmarnock, VA: Free, Same-Day & Confidential

Gonorrhea cases in Lancaster County run about 28% lower than the US average. If you're in Kilmarnock, Virginia, and looking for STI testing before starting a new relationship or as part of ongoing care, decide whether you prefer the sliding-scale fees or insurance billing of local clinics, or the flat self-pay prices of private labs. See your options below.

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STD testing near Kilmarnock, VA

6 testing options are listed for Kilmarnock, VA. The nearest, Northern Neck Middlesex Free Health Clinic, is about 0.7 miles away. Compare community and public clinics, private labs, and at-home kits below.

Most reviewed 0.7 miles

Northern Neck Middlesex Free Health Clinic

Where these reviews come from

Review sources

  • Google63
  • EasySTD5
Rated 4.5 out of 5 from 68 reviews

Northern Neck Middlesex Free Health Clinic in Kilmarnock tests for gonorrhea, chlamydia, syphilis, and HIV, treating confirmed bacterial infections the same visit: all on a no-fee basis, with donations accepted, and an appointment required to be seen.

Tests & treats
Address
51 William B Graham Court, Kilmarnock, VA 22482
Booking
Appointment required
Opening hours
  • Monday 8:30 AM – 5:00 PM
  • Tuesday 8:30 AM – 7:30 PM
  • Wednesday 8:30 AM – 5:00 PM
  • Thursday 8:30 AM – 7:30 PM
  • Friday 8:30 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
Website
5.4 miles

Virginia Department of Health

No ratings yet

Virginia Department of Health in Lancaster tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding-scale fee accepted by Medicaid and Medicare. Bacterial infections are treated same visit; an appointment is required.

Read full overview Show less

Prevention Prescriptions Beyond the Basic Two

Plenty of STI clinics offer PrEP, fewer add PEP, and fewer still have adopted DoxyPEP. The post-exposure doxycycline protocol for reducing bacterial STI risk. Virginia Department of Health in Lancaster carries all three, keeping every current prevention tool prescribable in one appointment.

Herpes Testing Sits Inside the Standard Panel

Virginia Department of Health in Lancaster runs herpes testing alongside gonorrhea, chlamydia, syphilis, and HIV. infections on one panel. That inclusion means herpes isn't a separate referral or an add-on negotiated at the front desk; it's already built into what the clinic tests for.

Tests & treats Sliding-scale PrEP DoxyPEP
Address
9049 Mary Ball Road, Lancaster, VA 22503
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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More ways to get tested in Kilmarnock, VA

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.

At-home STD testing in Kilmarnock, VA

The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to Kilmarnock, 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.

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.

Other CLIA-certified labs near Kilmarnock, VA

Beyond the public testing sites above, these federally certified (CLIA) labs serve Lancaster 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.

  • Rappahannock General Hospital

    101 Harris Road, Kilmarnock, VA 22482

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Kilmarnock. 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.

Clinicians near Kilmarnock, VA who may help arrange STD testing

Beyond dedicated clinics, 133 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Kilmarnock. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 66 offer telehealth.

  • June Daffeh, MD Telehealth

    Internal medicine · 107 Dmv Drive, Kilmarnock

  • Osama Mitri, MD Telehealth

    Internal medicine · 101 Harris Road, Kilmarnock

  • Cameron Wood

    Internal medicine · 101 Harris Road, Kilmarnock

  • David Harris, MD

    Urology · 95 Harris Road, Kilmarnock

  • Joseph Bessler, MD

    Internal medicine · 402 North Main Street, Kilmarnock

  • Brian Cubbage, MD Telehealth

    Family medicine · 132 Lancaster Drive, Irvington

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.

Pharmacies near Kilmarnock, VA

No pharmacy near Kilmarnock, VA 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.

  • Kilmarnock Pharmacy

    0.4 mi
    Rx pickupCondoms / EC
  • Chesapeake Pharmacy Services

    0.7 mi
    Rx pickupCondoms / EC
  • Walgreens 1.0 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • Walmart Pharmacy 1.1 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
  • White Stone Pharmacy

    4.4 mi
    Rx pickupCondoms / EC

Showing the 5 closest pharmacies to Kilmarnock, VA.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Kilmarnock, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Lancaster County: the local picture

How reported STI rates in Lancaster County, the county that includes Kilmarnock, compare with Virginia 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.

#45 of 133 Virginia counties for chlamydia, a higher rate than 66% of the state

Reported STD rates per 100,000, Lancaster County vs Virginia vs U.S.

Lancaster County Virginia U.S. ▲▼ = Lancaster County vs the state average
Infection Lancaster County Virginia United States
Chlamydia
405.2 44 cases ▼ 14%
472.8 492.2
Gonorrhea
128.9 14 cases ▼ 19%
158.3 179.5
Syphilis (P&S) — no data 10.7 15.8
Syphilis (early)
18.4 2 cases ▲ 94%
9.5 16
Syphilis (late/unknown)
9.2 1 cases ▼ 42%
15.8 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.

Reported STD rates in Lancaster County over time (per 100,000)

Chlamydia ▲ 18% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 300 600 2020202120222023

Between 2020 and 2023 in Lancaster County, chlamydia has fallen from 586.1 to 405.2 per 100,000 (31%), gonorrhea has risen from 109.9 to 128.9 per 100,000 (17%), and P&S syphilis has held roughly steady from 18.3 to 18.3 per 100,000.

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

What shapes testing access in and around Kilmarnock, VA

Adults uninsured
8.4%
No routine checkup
14.1%
No transportation
7.5%
Binge drinking
9.2%
Frequent mental distress
13.9%
Depression
20.4%
Below poverty line
19.3%
Primary-care ratio
2,732 : 1
Lancaster County
  • Primary-care shortage score 12 / 26
  • Medically Underserved Area · IMU 62
  • Social Vulnerability Index · 51st percentile nationally

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 Lancaster County.

Local HIV snapshot

HIV in Lancaster County (2023)

People living with HIV
368 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
82

Lancaster County HIV care continuum (2023)

Lancaster County recorded 0 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Lancaster County residents living with HIV, 88.9% are in care · 86.1% 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Lancaster County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

18 Sources

Local resources & officials

Data & references

About Kilmarnock, VA

Baylor Park sits near the center of Kilmarnock, a short walk from VA 3, yet getting almost anywhere else in this town means a car and a stretch of road. A reality that shapes how residents think about routine health visits, including STI screening. With nearly half of households renting at rates well below the regional average, a surprising amount of financial breathing room exists here, but cost alone doesn't determine whether someone books an appointment; time and distance do. The labor-force picture adds texture. Just over half of working-age residents are active in the workforce, and among those who are, schedules rarely leave a convenient gap on a Tuesday morning.

Young adults in their late teens and twenties, the years when STI rates run highest and relationships are still forming, are especially likely to be juggling hourly work or irregular shifts that make a distant clinic feel impractical rather than impossible. That's why the range of options listed on this page matters. Several offer telehealth intake or extended hours, so a resident heading home along North Main Street after a long shift can confirm availability before the drive. Rather than arriving to a closed window.

Getting there

How residents reach STD testing in Kilmarnock, VA

Walkability 7.4 / 20 · Below average

At 7.4/20 on the EPA walkability index, day-to-day errands in Kilmarnock 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.

Map of 6 STD & STI testing locations in Kilmarnock, Virginia, EasySTD

ZIP 22482 snapshot

Residents
3,171
Median age
64.1
Median income
$49,733

ZIP-level Census figures for the wider 22482 area around Kilmarnock: a single ZIP can span several communities, so they describe the area, not Kilmarnock alone.

Kilmarnock sits in Lancaster County, ZIP 22482. Local context that shapes where residents test:

Local landmarks

  • Kilmarnock Museum
  • Baylor Park
  • White Stone Corporate Limits
  • Objects Art and More
  • Old Weems Schoolhouse

Major routes

  • VA 3 (North Main Street)
  • VA 200 (East Church Street)

STD testing in Kilmarnock, VA: screening, costs & privacy

Everything to know before you test in Lancaster County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Kilmarnock-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Kilmarnock 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.

TestReference priceCPT / 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.

Confidentiality & consent in Virginia

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on 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).

Can a minor consent on their own?

In Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

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 Virginia

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Kilmarnock, VA

Answers to the questions people ask most before getting tested.

Can I get tested near West Point, VA instead?

Possibly, West Point, VA is close; compare it by distance against Northern Neck Middlesex Free Health Clinic.

What does STD testing cost around Kilmarnock, VA?

Public clinics are free; private labs ~$24–$139, at-home kits $49+.

Can I get tested in Kilmarnock, VA without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Kilmarnock, VA?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Lancaster County?

About 405 cases per 100,000 residents (2023), below the Virginia average.

Can someone under 18 get tested in Virginia without a parent?

In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.

Where do I get PrEP around Kilmarnock, VA?

PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.

Can I test at home near Kilmarnock, VA?

Yes, at-home kits ship to 22482; you collect a sample, mail it back, and get results in about 2–5 days.

When will an HIV test turn positive?

Roughly 2–6 weeks by test type; a 3-month retest gives full confidence in a negative.

Can the HPV vaccine prevent warts and cancer?

The HPV vaccine guards against the cancer- and wart-causing types; ask a provider if you're still eligible.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.