New HIV diagnoses in Anson County run about 94% higher than the US average. Whether you need testing after a possible exposure or as part of routine care, Lilesville, North Carolina residents have choices. Community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling.
Available testing centers
7 testing options are listed for Lilesville, NC. The nearest, Anson Regional Medical Services, is about 5.3 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.
Anson Regional Medical Services in Wadesboro carries federal qualification that anchors its sliding-scale fee structure, costs adjust to income so no one is priced out. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Anson County Health Department in Wadesboro tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee that applies to everyone, with Medicaid, Medicare, and private insurance also accepted. Appointments are required, and bacterial STIs can be treated the same visit.
Spanish-language services are available directly at Anson County Health Department, which means a Spanish-speaking patient can ask questions, weigh options, and understand their results in full. Without waiting on a callback or a separate coordination step.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Goshen Medical Center in Rockingham brings medical-clinic infrastructure to STI care: the standard bacterial panel plus hepatitis A, B, and C, same-visit treatment for bacterial infections, and sliding-scale fees for all, by appointment.
Goshen Medical Center carries Spanish-language capability and broader interpretation services as a standing clinical resource: meaning a patient discussing exposure history, symptoms, or treatment options in Spanish gets that conversation directly with staff, not relayed through a secondary channel. For anyone whose primary language isn't English, that directness shapes what care actually gets communicated.
Leaving hepatitis off a panel means a separate visit, a separate provider, and a gap where an undetected infection can progress untreated. Goshen Medical Center tests for hepatitis A, B, and C alongside gonorrhea, chlamydia, syphilis, and HIV, so one appointment closes what a narrower panel would leave open.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · 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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Lilesville, 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 value: single tests
$49 & 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 Anson 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.
2301 US Highway 74 West, Wadesboro, NC 28170
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lilesville. 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, 72 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lilesville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 19 offer telehealth.
Gregory Bracewell, MD
OB-GYN · 110 East Ashe Street, Wadesboro
Matthew Findlay, MD Telehealth
Family medicine · 2301 US Hwy 74 West, Wadesboro
Michael Lincoln, MD
Family medicine · 9191 US Hwy 52 North, Ansonville
Benjamin Marengo, DO
Internal medicine · 106 Physicians Park Drive, Rockingham
Gleybis Sanchez, MD Telehealth
Internal medicine · 809 South Long Drive, Rockingham
Mohamed Ibrahim, MD
OB-GYN · 921 South Long Drive, Rockingham
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 Lilesville, 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.
4.2 mi Parsons Drug
5.2 miRX Services
5.4 miShowing the 3 closest pharmacies to Lilesville, 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 Lilesville, 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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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
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 Anson County, the county that includes Lilesville, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#6 of 100 North Carolina counties for chlamydia, a higher rate than 94% of the state
| Infection | Anson County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 1082.3 237 cases ▲ 78% | 607.9 | 492.2 |
| Gonorrhea | 310.5 68 cases ▲ 28% | 243.2 | 179.5 |
| Syphilis (P&S) | 32 7 cases ▲ 61% | 19.9 | 15.8 |
| Syphilis (early) | 18.3 4 cases ▲ 16% | 15.8 | 16 |
| Syphilis (late/unknown) | 41.1 9 cases ▲ 71% | 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 Anson County, chlamydia has risen from 902.3 to 1082.3 per 100,000 (20%), gonorrhea has fallen from 457.9 to 310.5 per 100,000 (32%), and P&S syphilis has risen from 9.1 to 32 per 100,000 (252%).
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 Anson County.
Local HIV snapshot
Anson County HIV care continuum (2023)
Anson County recorded 26.6 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Anson County residents living with HIV, 80.3% are in care · 72.4% 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 Anson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Riverdale's mix of longtime homeowners and a steady third of households renting modest places shapes a community where most adults are working, many are raising families, and discretionary spending stays tight. With nearly two-thirds of residents owning their homes at values well below the state median, and typical rents that still take a real share of a paycheck when unemployment edges above five percent, an unexpected medical bill can feel like a reason to delay rather than a reason to go. That calculus matters most for younger adults in Lilesville, people in their late teens and twenties who are still forming relationships and for whom a positive test caught early stays manageable, while one found late rarely does. You're driving to reach anything, including the options listed on this page.
Households where both partners work to keep a budget balanced don't always have a free afternoon mid-week, which is exactly why the range of hours and fee structures shown in the clinic cards above matters. If you're starting from Ingram Plantation, pull up the nearest listed option before you head out onto US 74, confirm the hours, and book it then. Same day, same errand run.
Getting there
At 4.3/20 on the EPA walkability index, day-to-day errands in Lilesville 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 28091 snapshot
ZIP-level Census figures for the wider 28091 area around Lilesville: a single ZIP can span several communities, so they describe the area, not Lilesville alone.
Lilesville sits in Anson County, ZIP 28091. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Lilesville? 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 Anson 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 Lilesville-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 Lilesville 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.
The closest is Anson Regional Medical Services (5.3 mi); 3 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 1,082 cases per 100,000 residents (2023), above the North Carolina average.
Yes, at-home kits ship to 28091; you collect a sample, mail it back, and get results in about 2–5 days.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Roughly 1–2 weeks after exposure gives a dependable gonorrhea result.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.