New HIV diagnoses in Davidson County run about 17% lower than the US average. Whether it's your first STI test or a routine screening in Lexington, North Carolina, you can weigh options based on cost, speed, and convenience. As you decide, consider your priorities.
Available testing centers
9 testing options are listed for Lexington, NC. The nearest, Kintegra Health, is about 2.0 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.
Kintegra Health in Lexington runs by appointment, and a single scheduled visit covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, and HIV) with same-visit treatment for bacterial infections, sliding-scale fees for all, and Spanish spoken on staff.
Kintegra Health carries Spanish as a direct clinical language alongside interpretation services for other languages, meaning STI counseling, medication instructions, and treatment conversations happen without a relay. That operational capacity shapes how completely a patient can engage with their own care from the first visit.
For anyone without a regular prescriber or navigating HIV prevention without insurance, Kintegra Health carries both PrEP and PEP as standing services. With dedicated funding for uninsured PrEP patients. The clinic manages the prescription and the follow-up, not a separate provider down the road.
Kintegra Health in Lexington prescribes direct-acting antiviral therapy for hepatitis C and carries that treatment through monitoring and completion on-site. Hepatitis B treatment is managed the same way, both infections move from diagnosis into active clinical management within the same practice.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
Novant Health-GoHealth Urgent Care in Lexington runs on a walk-in basis, so same-day testing for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis requires no scheduled appointment. Bacterial STIs are treated at the same visit; fees are charged on a sliding-scale basis with Medicaid, Medicare, and insurance accepted.
The panel at Novant Health-GoHealth Urgent Care extends beyond the core bacterial and HIV tests to include herpes simplex and hepatitis A, B, and C. Three additional conditions that require their own targeted testing. That breadth means a single visit can surface infections a narrower panel would leave undetected.
Walk-in urgent-care settings typically handle acute concerns and route HIV prevention elsewhere. Novant Health-GoHealth Urgent Care in Lexington maintains both PrEP prescribing and PEP dispensing on-site, pairing those services with the medication adherence counseling needed to sustain them.
Interpretation services for non-English languages are available at Novant Health-GoHealth Urgent Care in Lexington, meaning clinical conversations about test results, treatment, and PrEP adherence proceed in the language a person uses to understand their own health. Not in approximations negotiated around a language gap.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Novant Health in Lexington tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, hepatitis C, and TB, treating bacterial infections the same visit. Fees are charged on a sliding scale with insurance accepted, and appointments are required.
Without interpretation at the point of care, follow-up instructions get lost, treatment goes unfinished, and conditions that should close in one visit drag on. Novant Health Lexington has interpretation services available for non-English languages, keeping every step of care (diagnosis, treatment, prevention counseling) fully in reach from the first word.
For anyone without a regular provider, Novant Health Lexington covers hepatitis B and hepatitis C testing in the same appointment as gonorrhea, chlamydia, syphilis, and HIV. No separate specialist visit needed. Hepatitis A and B vaccines are also available on-site, rounding out the screen-and-protect picture in one place.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Davidson County Health Department in Lexington tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis, and HIV, all at no charge, with same-visit treatment for bacterial infections. Every service runs on a sliding scale, and appointments are required.
For anyone without insurance or a regular provider who dreads the billing that follows a clinic visit, Davidson County Health Department operates with no fees attached to any service: tests, vaccines, and treatment included. That standing policy means the cost calculation never enters the room.
Many health departments route non-English speakers through third-party call services, breaking the conversation at the moments it matters most. Davidson County Health Department staffs Spanish-language capability directly and provides interpretation services for additional languages, keeping the clinical exchange uninterrupted.
Leaving herpes or hepatitis off a panel means a second appointment elsewhere, and another waiting period before treatment can begin. Davidson County Health Department tests for herpes alongside hepatitis A, B, and C in addition to the standard bacterial infections, closing those gaps before they become untreated conditions.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Cabarrus Rowan Community Health Centers in Spencer is a community health center where STI care sits within a broader primary-care infrastructure: meaning gonorrhea, chlamydia, syphilis, and HIV testing, sliding-scale fees, same-visit bacterial treatment, and HPV and hepatitis A and B vaccines are all part of a coordinated clinical relationship. Appointments are required, and services are available in Spanish.
Where many STI panels test only gonorrhea, chlamydia, syphilis, and HIV, Cabarrus Rowan adds herpes testing to that workup. Herpes serology requires a separate clinical order and specimen, its inclusion means a provider is actively assessing for it rather than leaving it off the table by default.
Because Cabarrus Rowan operates substance-use treatment as an integrated service alongside STI care, both conditions share the same clinical record and care team. That integration means a provider managing STI follow-up can also monitor and coordinate treatment for substance use without routing the patient to a separate program.
Spanish is available as a care language at Cabarrus Rowan in Spencer, which means the clinical intake (the history, the diagnosis, the treatment plan) happens directly in Spanish. That directness reduces the gap between what a patient describes and what a provider documents.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 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 Lexington, 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 for simplicity & support
$89 & up
Best value: single tests
$49 & 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 Davidson 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.
250 Hospital Drive, Lexington, NC 27292
CMS-certified lab Accredited · College of American Pathologists
107 West Medical Park Drive, Suite 101, Lexington, NC 27292
CMS-certified lab
110 West Medical Park Drive, Lexington, NC 27292
CMS-certified lab
102 West Medical Park, Lexington, NC 27292
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lexington. 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, 874 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lexington. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 244 offer telehealth.
Mark Weiser, MD
Family medicine · 4705 South Hwy 150, Lexington
Candice Thornton, MD
Internal medicine · 1201 Cotton Grove Road, Lexington
Sara Furr, MD Telehealth
Internal medicine · 13 Medical Park Drive, Lexington
Zineb Mashak, MD
OB-GYN · 11 Medical Park Drive, Lexington
Steven Spivey, MD Telehealth
Family medicine · 14 Medical Park Drive, Lexington
Sundararajan Sundararajan, MD
Family medicine · 102 West Medical Park Drive, Lexington
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 Lexington, NC 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.
0.7 mi 
1.1 mi Lexington Family Pharmacy
1.5 miLexington Drug
1.6 miShowing the 4 closest pharmacies to Lexington, NC.
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 Lexington, 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.
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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Davidson County, the county that includes Lexington, compare with North Carolina 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.
#54 of 100 North Carolina counties for chlamydia, a higher rate than 46% of the state
| Infection | Davidson County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 439.9 769 cases ▼ 28% | 607.9 | 492.2 |
| Gonorrhea | 147.6 258 cases ▼ 39% | 243.2 | 179.5 |
| Syphilis (P&S) | 21.2 37 cases ▲ 7% | 19.9 | 15.8 |
| Syphilis (early) | 16 28 cases ▲ 1% | 15.8 | 16 |
| Syphilis (late/unknown) | 18.9 33 cases ▼ 21% | 24 | 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 Davidson County, chlamydia has risen from 438.1 to 439.9 per 100,000 (0%), gonorrhea has fallen from 254.5 to 147.6 per 100,000 (42%), and P&S syphilis has risen from 7.7 to 21.2 per 100,000 (175%).
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 Davidson County.
Local HIV snapshot
Davidson County HIV care continuum (2023)
Davidson County recorded 11.4 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Davidson County residents living with HIV, 81.3% are in care · 71.7% 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 Davidson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Lexington households tend to run close-knit (nearly three people under one roof on average, with just over a third of adults married) and that kind of shared domestic life shapes health decisions in ways that aren't always visible. When one person delays a screening, it's rarely only their own timeline at stake. That reality matters here, where most residents rent rather than own, and a $700-a-month budget leaves little cushion for anything that feels optional or expensive. The unemployment picture adds another layer. With a meaningful share of working-age adults outside the labor force or between jobs, irregular schedules aren't the exception.
They're the norm along South Main Street and out toward Cotton Grove Road. Younger adults, still navigating early relationships and shifting living situations near neighborhoods like The Vineyards and Dickerson Estates, are at the years when STI transmission runs highest, and they're also the most likely to be juggling income gaps that make a clinic visit feel like a cost-benefit calculation rather than a routine errand. Lexington isn't a city where you walk to an appointment on a lunch break; getting tested means planning a drive, finding a window, and knowing what it costs when you arrive. The options listed on this page include low- and no-cost clinics specifically because that math is real for most people in Davidson County.
Getting there
At 7.18/20 on the EPA walkability index, day-to-day errands in Lexington 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 27292 snapshot
ZIP-level Census figures for the wider 27292 area around Lexington: a single ZIP can span several communities, so they describe the area, not Lexington alone.
Lexington sits in Davidson County, ZIP 27292. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Lexington? 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 Davidson County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 Lexington-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 Lexington 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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.
There are 9 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
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.
Davidson County reported ~440 chlamydia cases per 100,000 in 2023, below the North Carolina average.
At-home kits mail to 27292: self-collect, send to the lab, results in ~2–5 days.
Most results are ready in about 1–2 days.
In North Carolina, 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.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.