STD Testing in Lewiston, ID: Free, Same-Day & Confidential
Chlamydia cases are about 60% lower than the US average in Nez Perce County. Whether you need STI testing after a possible exposure or as part of routine care in Lewiston, Idaho, weigh the trade-offs between clinics which may bill insurance and private labs offering flat fees at the options listed below.
10 testing options are listed for Lewiston, ID. The nearest, CHAS Behavioral Health Center - Lewiston, is about 1.7 miles away. Compare 7 community and public clinics, private labs, and at-home kits below.
How to read these listings
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.
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Community health center 1.7 miles
CHAS Behavioral Health Center - Lewiston
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CHAS Behavioral Health Center – Lewiston welcomes walk-in patients for STI screening without requiring an appointment. Federally qualified standing backs its sliding-scale fees, letting costs adjust to income across a standard visit covering syphilis, gonorrhea, and chlamydia testing.
CHAS Health, a federally qualified community health center in Lewiston, weaves STI care into the same clinical infrastructure that handles primary and preventive medicine: meaning gonorrhea, chlamydia, syphilis, and HIV testing, same-visit bacterial treatment, and sliding-scale fees all live alongside full ongoing care, with appointments required, and Russian spoken on staff.
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Russian Spoken by Clinical Staff Here
Without a Russian-speaking clinician, a patient navigating an STI diagnosis faces follow-up appointments that don't happen, treatment instructions that don't land, and gaps that quietly compound. At CHAS Health in Lewiston, Russian is a staff language: meaning the clinical conversation, the treatment plan, and the follow-up all happen in it.
PrEP Prescribed and Monitored On-Site
Tenofovir-based PrEP requires regular HIV testing, kidney-function monitoring, and prescription renewals. The infrastructure that actually keeps someone protected long-term. CHAS Health in Lewiston carries all of that within its primary-care system, so PrEP isn't handed off; it's sustained.
Hepatitis C Treatment Completed Here
For someone without a specialist relationship or managing costs on a sliding scale, hepatitis C treatment that requires a separate referral is treatment that often doesn't happen. CHAS Health in Lewiston holds both the diagnosis and the curative antiviral treatment on-site, so a confirmed hep C result moves directly into a treatment plan.
Idaho North Central District Health Department in Lewiston tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding scale open to everyone, with insurance and Medicaid accepted, and every service carries no fee at point of care. Appointments are required; bacterial STIs are treated the same visit.
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Zero-Fee Services Across the Full Visit
Idaho North Central District Health Department charges nothing for any service it provides: testing, treatment, vaccination, and prevention counseling alike. That blanket applies regardless of insurance status, meaning the sliding scale functions as a ceiling of zero rather than a reduced figure.
Spanish-Language Care Fully on Staff
Spanish is one of the clinic's operating languages, placing it among a narrow set of public health departments where clinical conversations (exposure history, treatment instructions, follow-up planning) happen directly in both English and Spanish. That capacity shapes what a visit can accomplish for speakers of either language.
DoxyPEP Prescribed for the Right Candidates
Idaho North Central District Health Department prescribes DoxyPEP, doxycycline taken after potential bacterial STI exposure, for people whose exposure patterns make it a fit. The clinic's standing capability to evaluate, prescribe, and counsel on DoxyPEP is particularly consequential for anyone without a regular provider who might otherwise have no clear path to this prevention option.
Nimiipuu Health in Lapwai tests for HIV, gonorrhea, chlamydia, syphilis, and TB: all at no cost, with Medicaid and insurance also accepted alongside a sliding scale. Bacterial STIs are treated the same visit; appointments are required.
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Every Service Carries a Zero Balance
Every service at Nimiipuu Health is provided at no charge, which means the full scope of care (testing, treatment, vaccines) stays within reach without financial planning before you walk in.
Substance-Use Treatment Sits Next to STI Care
Substance-use treatment is available alongside STI care at Nimiipuu Health, so a patient managing both concerns can address them through a single provider relationship rather than coordinating across separate systems.
A public safety-net rural health clinic about 22 miles from Lewiston. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
A community safety-net rural health clinic about 24 miles from Lewiston. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
WISH Medical in Moscow runs appointments-only STI care covering HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C, with same-visit treatment for bacterial infections, and charges nothing for any of it, on a sliding scale that reaches zero.
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Every Test, Every Visit, No Charge
When cost becomes the reason someone delays a test or skips a follow-up, an untreated infection advances. WISH Medical charges nothing (no fee for any test, no fee for any service) so that barrier never gets the chance to create a gap in care.
Language Access Built Into Every Appointment
Without interpretation, a diagnosis lands without context and a treatment plan without clarity. Both of which can mean instructions that don't get followed. WISH Medical provides interpretation services for non-English languages directly within appointments, so the clinical conversation is complete from the start.
Herpes and Hepatitis Testing Alongside the Standard Four
Someone without a regular provider who needs a thorough baseline (not just gonorrhea, chlamydia, syphilis, and HIV) finds WISH Medical's panel covers herpes, hepatitis B, and hepatitis C as well, all in a single scheduled visit and at no cost.
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.
The nearest testing center is about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Lewiston, 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
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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
Other CLIA-certified labs near Lewiston, ID
Beyond the public testing sites above, these federally certified (CLIA) labs serve Nez Perce 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lewiston. 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
Clinicians near Lewiston, ID who may help arrange STD testing
Beyond dedicated clinics, 74 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lewiston. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 16 offer telehealth.
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
Pharmacies near Lewiston, ID
No pharmacy near Lewiston, ID 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.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Lewiston, 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.
Online treatment
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
STDs & HIV in Nez Perce County: the local picture
How reported STI rates in Nez Perce County, the county that includes Lewiston, compare with Idaho and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#22
#22 of 44 Idaho counties for chlamydia, a higher rate than 50% of the state
Reported STD rates per 100,000, Nez Perce County vs Idaho vs U.S.
Nez Perce CountyIdahoU.S.▲▼ = Nez Perce County vs the state average
Infection
Nez Perce County
Idaho
United States
Chlamydia
197.785 cases▼ 33%
294.9
492.2
Gonorrhea
4.72 cases▼ 88%
39.6
179.5
Syphilis (P&S)
— no data
3.8
15.8
Syphilis (early)
4.72 cases▲ 52%
3.1
16
Syphilis (late/unknown)
— no data
6.3
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 Nez Perce County over time (per 100,000)
Chlamydia ▼ 43% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Nez Perce County, chlamydia has fallen from 256.6 to 197.7 per 100,000 (23%), gonorrhea has fallen from 125.9 to 4.7 per 100,000 (96%), and P&S syphilis has held roughly steady from 4.7 to 4.7 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 Lewiston, ID
Adults uninsured
9.4%
No routine checkup
24.1%
No transportation
7.6%
Binge drinking
16.3%
Frequent mental distress
16.6%
Depression
24.3%
Below poverty line
12.8%
Primary-care ratio
1,516 : 1
Nez Perce County
Primary-care shortage score 17 / 26
Medically Underserved Area · IMU 56.3
Social Vulnerability Index · 59th 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 Nez Perce County.
Local HIV snapshot
HIV in Nez Perce County (2023)
People living with HIV
35 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
27
Nez Perce County HIV care continuum (2023)
Nez Perce County recorded 0 new HIV diagnoses per 100,000 (2023), against 3 statewide and 13.7 nationally. 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 Nez Perce County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines → (opens in a new tab)
Bryden Canyon Road cuts east out of downtown past the basalt walls toward The Orchards, and most of the clinics listed here sit within a short drive of that corridor. Close enough that a lunch break or an errand run can realistically cover it, even in a city where walking isn't the primary way anyone gets around. That practical geography matters most for younger adults, people in their late teens and twenties who are navigating new relationships and are statistically the most likely to encounter an STI without knowing it. Lewiston skews heavily toward homeowners and established households: more than half of adults here are married, and the average household runs close to three people. That stability is real, but it can create a false sense that routine screening is someone else's concern.
It isn't, and the low rent typical of this market means cost is less of a barrier than scheduling. With nearly two in five working-age residents outside the labor force and a low unemployment rate among those who are employed, the people most likely to delay testing aren't necessarily cash-strapped; they're often locked into daytime hours that don't flex easily. The clinics on this page include options with extended and weekend hours specifically because a Thain Road commute on a Wednesday afternoon isn't always on the table. Finding the right slot, and then actually using it, is what the clinic cards above are built to help with.
Getting there
How residents reach STD testing in Lewiston, ID
Walkability7.84 / 20 · Below average
At 7.84/20 on the EPA walkability index, day-to-day errands in Lewiston 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 83501 snapshot
Residents
37,478
Median age
40
Median income
$71,909
ZIP-level Census figures for the wider 83501 area around Lewiston: a single ZIP can span several communities, so they describe the area, not Lewiston alone.
Lewiston sits in Nez Perce County, ZIP 83501. Local context that shapes where residents test:
Local landmarks
Sunset Park
Grace Park
Ruth Rowell Modie Wildlife Park
Hathaway Field
Airport Park
Locomotive Park
Neighborhoods & communities
The Orchards
North Lewiston
Major routes
Thain Road
21st Street
Bryden Avenue
Bryden Canyon Road
US 12 (Nez Perce National Historic Trail)
Nearby cities & towns
Nearby cities and towns near Lewiston, ID
Just outside Lewiston? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Lewiston, ID: screening, costs & privacy
Everything to know before you test in Nez Perce County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Idaho 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.
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Lewiston-area provider.
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 Lewiston 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.
Confidentiality & consent in Idaho
Minor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Idaho 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 Idaho, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
Idaho 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.
