Chlamydia in Sussex County reported rates are 28% lower than in the US. If you're looking for STI testing in Lewes, Delaware, whether you have symptoms or just want peace of mind, local clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. See your options below.
Available testing centers
9 testing options are listed for Lewes, DE. The nearest, Quest Diagnostics, is about 2.2 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.
CAMP Rehoboth in Rehoboth Beach offers STI and HIV testing at no cost, with fees scaled to income so no one is turned away for inability to pay. Walk-ins are welcome for screening that covers syphilis, gonorrhea, and chlamydia alongside HIV testing.
Languages
English
Tests offered
Serves
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Delaware Health and Social Services in Georgetown tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C on a sliding-scale fee open to everyone, with walk-ins welcome and same-visit treatment for bacterial infections. All services carry no charge.
Paying out of pocket without a regular provider is exactly where this clinic's model holds firm, every test, every treatment, every vaccine is provided at no cost. There is no bill waiting at checkout, regardless of insurance status or income.
For someone whose primary language is Spanish, Delaware Health and Social Services in Georgetown delivers care directly in Spanish. Not as a workaround, but as a standing part of how services are provided. That means counseling, results, and treatment discussions all happen in the same language.
Clinics running a basic STI panel routinely stop at gonorrhea, chlamydia, syphilis, and HIV. Hepatitis C is simply absent from the visit. Delaware Health and Social Services adds hepatitis C antibody testing to that slate, catching a chronic infection that shares transmission routes but rarely shows up on standard sexual health screens.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
La Red Health Center in Georgetown functions as a community health center where STI care (gonorrhea, chlamydia, syphilis, herpes, HIV, and hepatitis A, B, and C) runs on a sliding-scale fee structure open to all. Appointments are required, same-visit treatment is available for bacterial infections, and Spanish is spoken on staff.
La Red Health Center staffs Spanish-speaking providers directly, so clinical conversations (symptom history, treatment instructions, follow-up plans) happen in Spanish without mediation. For non-Spanish languages, on-site interpretation services are operationally integrated into appointments rather than patched in by request.
As a Title X-funded site, La Red Health Center is legally required to provide confidential family planning and STI services to minors. Meaning records are protected by federal mandate, not just policy. That legal structure is built into how the clinic operates, not offered case by case.
La Red Health Center treats hepatitis C with direct-acting antivirals prescribed and monitored by its own clinical staff, alongside hepatitis B treatment. Testing, diagnosis, and the full treatment course for both infections are handled within the same clinic, with medication adherence counseling built into ongoing care.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Bayhealth Primary Care Sussex in Milford runs the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, herpes, rapid HIV, hepatitis A, B, and C, and TB) with same-visit treatment for bacterial infections and appointments accepted through insurance or Medicaid, in French, Portuguese, or Spanish.
For someone navigating PrEP prescriptions, hepatitis treatment, or an STI diagnosis without a regular English-speaking provider, the language capacity here goes well beyond a front-desk greeting: clinical conversations about medications, follow-up schedules, and lab results happen directly in French, Portuguese, or Spanish.
PrEP at Bayhealth Primary Care Sussex means an ongoing clinical relationship: baseline HIV and kidney-function testing, a prescription for daily oral medication, and the follow-up lab work, every three to six months, that sustains the prescription. PEP is also prescribed on-site, with the same medical staff managing the full course.
For someone without a gastroenterologist or specialist relationship, hepatitis C care here doesn't stop at a confirmed antibody result. The clinic carries treatment through to direct-acting antiviral prescriptions and the monitoring needed to confirm clearance, all within primary care.
Languages
English, French, Portuguese, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
South Jersey AIDS Alliance in Rio Grande tests for HIV, gonorrhea, chlamydia, and hepatitis C on a sliding scale, with every service available at no fee, and pairs that with the hepatitis B vaccine and STI prevention education; an appointment is required.
The sliding scale at South Jersey AIDS Alliance reaches all the way to no charge, not on selected services, but across the full visit. Testing, vaccination, and prevention education each carry the same floor: nothing owed.
Spanish-language services at South Jersey AIDS Alliance are built into how the clinic operates: staff deliver care in Spanish directly, meaning clinical conversations about exposure history, test results, and prevention options happen without relay or delay.
Beyond gonorrhea, chlamydia, and rapid HIV, South Jersey AIDS Alliance runs a dedicated rapid hepatitis C antibody test. A separate assay that produces a same-visit result and pairs with hepatitis prevention education and the hepatitis B vaccine in a single appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Lewes, 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 Sussex 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.
424 Savannah Road, Lewes, DE 19958
CMS-certified lab Accredited · College of American Pathologists
424 Savannah Road, Lewes, DE 19958
CMS-certified lab Accredited · College of American Pathologists
424 Savannah Road, Lewes, DE 19958
CMS-certified lab Accredited · College of American Pathologists
750 Kings Highway Suite 110, Lewes, DE 19958
CMS-certified lab
34434 King Street Row 2nd Floor Unit 4, Lewes, DE 19958
CMS-certified lab
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lewes. 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, 242 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lewes. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 109 offer telehealth.
Amy Robinson, MD Telehealth
Family medicine · 12100 Black Swan Drive, Lewes
Leo Eschbach, DO
OB-GYN · 424 Savannah Road, Lewes
Lindsay Albanese, MD Telehealth
Family medicine · 424 Savannah Road Er Department, Lewes
Monique Yost, MD Telehealth
Internal medicine · 750 Kings Highway, Lewes
Lourdes Aponte, MD Telehealth
Internal medicine · 1302 Savannah Road, Lewes
John Hale, MD Telehealth
Family medicine · 1305 Savannah Road, Lewes
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 Lewes, DE 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.
0.5 mi 
2.1 mi Cape Pharmacy
2.2 mi
2.2 mi Super Fresh Pharmacy
2.8 miShowing the 5 closest pharmacies to Lewes, DE.
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 Lewes, 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
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
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 Sussex County, the county that includes Lewes, compare with Delaware and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~6% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#3 of 3 Delaware counties for chlamydia, among the very highest in the state
| Infection | Sussex County | Delaware | United States |
|---|---|---|---|
| Chlamydia | 352.5 929 cases ▼ 36% | 552.7 | 492.2 |
| Gonorrhea | 71 187 cases ▼ 53% | 151.9 | 179.5 |
| Syphilis (P&S) | 14 37 cases ▼ 20% | 17.4 | 15.8 |
| Syphilis (early) | 8.3 22 cases ▼ 5% | 8.7 | 16 |
| Syphilis (late/unknown) | 10.6 28 cases ▼ 30% | 15.1 | 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 Sussex County, chlamydia has fallen from 367.3 to 352.5 per 100,000 (4%), gonorrhea has fallen from 142 to 71 per 100,000 (50%), and P&S syphilis has risen from 11 to 14 per 100,000 (27%).
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 Sussex County.
Local HIV snapshot
Sussex County HIV care continuum (2023)
Sussex County recorded 6.1 new HIV diagnoses per 100,000 (2023), against 11.4 statewide and 13.7 nationally. Among Sussex County residents living with HIV, 87.7% are in care · 82.4% 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 Sussex County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Swanendael's quieter streets and the blocks stretching back from Cape Henlopen Drive house a community that skews heavily toward settled households: most residents own their homes, and more than half of adults are married. That stability shapes daily rhythms in ways that affect health decisions: a population where well over two in five households clear six figures and where nearly everyone who wants work has it tends to have predictable schedules and disposable income for copays. Yet younger adults navigating their first serious relationships or newly independent years still need routine STI screening, and that need doesn't shrink just because the surrounding zip code trends older and more established.
Sussex County's STI picture underscores why those younger residents, people in their late teens and twenties, are the ones most likely to benefit from accessible, routine testing, even in a largely owner-occupied, low-unemployment town like this one. The roughly one-in-five households paying around $1,065 a month in rent are stretching budgets in a market where home values have climbed well past half a million; for them, low-cost options matter as much as convenient timing. That changes the calculus: options listed on this page spread across the region, so picking one that fits both your route and your schedule is worth the few minutes it takes to compare them here before you drive.
Getting there
At 7.37/20 on the EPA walkability index, day-to-day errands in Lewes 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 19958 snapshot
ZIP-level Census figures for the wider 19958 area around Lewes: a single ZIP can span several communities, so they describe the area, not Lewes alone.
Lewes sits in Sussex County, ZIP 19958. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Lewes? 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 Sussex County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Delaware 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 Lewes-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 Lewes 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 Delaware 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 Delaware, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Delaware 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 DelawareSource: 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Sussex County reported ~353 chlamydia cases per 100,000 in 2023, below the Delaware average.
At-home kits mail to 19958: self-collect, send to the lab, results in ~2–5 days.
In Delaware, 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.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.