In Coos County, New Hampshire, reported Chlamydia cases run about 70% lower than the US average. Whether it's your first STI test or routine screening in Lancaster, New Hampshire, costs tend to be lowest at public clinics, fastest at private labs, and most convenient with at-home kits. You can weigh those trade-offs with the options below.
Available testing centers
8 testing options are listed for Lancaster, NH. The nearest, ACHS - Whitefield, is about 7.7 miles away. Compare 5 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.
ACHS - Whitefield, serving Whitefield as a federally qualified health center, extends sliding-scale fees across income levels for STI screening (syphilis, gonorrhea, and chlamydia) with no appointment needed to get tested.
Tests offered
Fees & payment
A community safety-net rural health clinic about 9 miles from Lancaster. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Ammonoosuc Community Health Services in Whitefield covers gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, TB, and rapid or conventional HIV testing, bacterial infections treated the same visit, with fees on a sliding scale accepted alongside Medicaid and insurance. Appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
ACHS - Littleton serves Littleton residents who are paying out of pocket, between insurance coverage, or simply watching costs, and its federally qualified status means fees for syphilis, gonorrhea, and chlamydia screening slide according to income, no appointment needed.
Tests offered
Fees & payment
Northern Counties Health Care in Concord tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, HIV, and TB, bacterial infections treated same visit, with fees set on a sliding scale and appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
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 8 miles away; if you'd rather skip the trip, an at-home kit ships to Lancaster, 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 Coos 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.
59 Page Hill Road, Berlin, NH 03570
CMS-certified lab
181 Corliss Lane, Colebrook, NH 03576
CMS-certified lab
2 Broadway Street, Gorham, NH 03581
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lancaster. 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, 71 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lancaster. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.
John Ford, MD
Family medicine · 173 Middle Street, Lancaster
James Buckmaster, MD
Family medicine · 8 Clover Lane, Whitefield
Kylee Roberts, MD
Family medicine · 47 Church Street, Groveton
David Ferris, DO
Family medicine · 25 Mt Eustis Road, Littleton
Sarah Berrian, MD
Family medicine · 201 East Main Street, Concord
Christine Orlowicz, MD
Internal medicine · 580 Saint Johnsbury Road, Littleton
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 Lancaster, NH 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.
North Country Healthcare Pharmacy
0.9 mi
1.8 mi 
16 mi 
17 mi Showing the 4 closest pharmacies to Lancaster, NH.
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 Lancaster, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Coos County, the county that includes Lancaster, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#6 of 10 New Hampshire counties for chlamydia, a higher rate than 40% of the state
| Infection | Coos County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 149.8 47 cases ▼ 24% | 196.6 | 492.2 |
| Gonorrhea | 15.9 5 cases ▼ 62% | 41.9 | 179.5 |
| Syphilis (P&S) | — no data | 3.9 | 15.8 |
| Syphilis (early) | — no data | 1.9 | 16 |
| Syphilis (late/unknown) | 3.2 1 cases ▼ 20% | 4 | 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 Coos County, chlamydia has fallen from 175.9 to 149.8 per 100,000 (15%), gonorrhea has risen from 12.8 to 15.9 per 100,000 (24%), and P&S syphilis has fallen from 6.4 to 3.2 per 100,000 (50%).
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 Coos County.
Local HIV snapshot
Coos County HIV care continuum (2023)
Coos County recorded 0 new HIV diagnoses per 100,000 (2023), against 2.8 statewide and 13.7 nationally. Among Coos County residents living with HIV, 62.5% are in care · 46.9% 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 Coos County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Prospect Street, where US 3 curves toward the Connecticut River lowlands, gives Lancaster the feel of a town whose rhythms run on longer cycles than most. Wood stacked before snow, errands consolidated into one trip down Main Street. That unhurried pace shapes daily life here, but it can also stretch the gap between knowing you should get screened and actually going. Nearly three-quarters of Lancaster households own their homes, and the majority of adults are married with an average household of three: meaning many people's schedules already revolve around others, whether school pickups, a partner's work shift, or a shared car. Those domestic rhythms make spontaneous appointments rare.
At the same time, a meaningful share of residents carry some financial breathing room, while the portion who rent do so at relatively modest monthly costs, which can help when a visit requires co-pays or fees. Young adults in their late teens and twenties bear the steepest STI risk nationally, and in a spread-out county like Coos, advance scheduling matters most for them. Labor-force participation here runs solidly above half, and with unemployment nudging upward, flexible appointment windows, including options that don't require taking a full day off, are what turn a reasonable intention into a kept one. The option listed here is worth checking for extended or weekend hours before the drive out.
Getting there
At 6.48/20 on the EPA walkability index, day-to-day errands in Lancaster 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.
Lancaster sits in Coos County, ZIP 3584. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Lancaster? 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 Coos County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 Lancaster-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 Lancaster 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 New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Hampshire 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 New HampshireSource: 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.
ACHS - Whitefield, about 7.7 mi away, with 5 options within 30 miles.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Coos County reported ~150 chlamydia cases per 100,000 in 2023, below the New Hampshire average.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
No, most STIs have no visible signs, so the only way to know is to test.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.