In Arapahoe County, syphilis rates are about 34% higher than the national average. Whether it's your first STI test or a routine screening, Littleton, Colorado residents can choose from community clinics, which might be low-cost or free, or private labs, which can offer faster results and more flexible scheduling. Check the options below.
Available testing centers
12 testing options are listed for Littleton, CO. The nearest, Quest Diagnostics, is about 1.8 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.
Arapahoe County Public Health in Englewood tests for HIV, hepatitis C, syphilis, gonorrhea, and chlamydia (all at no charge, on a sliding scale) with same-visit treatment for bacterial infections and appointments required for scheduled care.
Fee-waived STI testing is common enough, but many clinics apply charges the moment care moves beyond the test itself. A vaccine, a treatment visit, a counseling session. At Arapahoe County Public Health, the no-fee policy holds across the board: testing, treatment, vaccines, and prevention services alike.
Arapahoe County Public Health maintains on-staff Spanish-language capability alongside broader interpretation services: meaning a conversation about PrEP, medication adherence, or a new diagnosis unfolds with full fluency rather than pauses and workarounds. That standing capacity is what makes follow-through on treatment plans realistic.
The clinic prescribes and manages all three preventive regimens (daily PrEP for HIV, PEP for post-exposure HIV prevention, and DoxyPEP for bacterial STI prevention) with medication adherence education built into the visit rather than handed off. Ongoing monitoring for PrEP, including required labs, is handled within the same clinical relationship.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Sheridan Health Services in Denver welcomes walk-ins for STI screening: no appointment needed to get tested for syphilis, gonorrhea, and chlamydia. Backed by federal FQHC designation, the clinic ties visit costs to a sliding income-based fee scale, so a single drop-in visit stays within reach regardless of what you earn.
Tests offered
Fees & payment
Peak Health Family Medicine in Lakewood screens for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C on a fee-based sliding scale accepted by Medicaid, Medicare, and most insurance: appointments required, with same-visit treatment available for bacterial infections and PrEP and PEP on hand for ongoing prevention.
Peak Health carries both PrEP, tenofovir-based daily oral regimens, and PEP within its regular prescribing scope, meaning monitoring labs, refills, and dosing adjustments stay with the same provider rather than splitting across separate care relationships. Keeping prevention and primary care in one chart simplifies the follow-up cadence that both regimens require.
Sexual health panels built around gonorrhea, chlamydia, syphilis, and HIV leave hepatitis C unaddressed. A gap that matters because hep C transmission through sexual contact is well documented. Peak Health Family Medicine adds hepatitis C to its panel, and any reactive result can be managed through the same practice rather than handed off.
Languages
English
Tests offered
Care services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Stride Community Health Center in Sheridan roots STI care inside a full-service community health practice, pairing the standard panel (gonorrhea, chlamydia, syphilis, and HIV) with same-visit bacterial treatment, family planning, and sliding-scale fees accepted alongside Medicaid, Medicare, and insurance. Appointments are required.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
Sheridan Health Services-Urban Peak in Denver welcomes walk-ins for STI screening, so there's no appointment standing between a patient and care. Federal qualification anchors a sliding-scale fee structure tied to income, and a single visit can cover syphilis, gonorrhea, and chlamydia testing.
Tests offered
Fees & payment
Denver Health delivers same-visit treatment for bacterial STIs alongside testing for HIV, syphilis, gonorrhea, chlamydia, and herpes, with fees on a sliding scale accepted by Medicaid, Medicare, and most insurance. No appointment required to be seen.
Denver Health's panel extends to herpes in addition to HIV, syphilis, gonorrhea, and chlamydia. Useful for anyone without a regular provider who needs a single visit to resolve uncertainty rather than piecing together care across multiple stops. Sliding-scale fees apply to every test on that panel.
Denver Health prescribes both PrEP and PEP on-site, which means prevention medication is initiated and followed through in the same place rather than handed off: keeping labs, dosing adjustments, and ongoing HIV monitoring consolidated with one clinical team.
When language support breaks down at a clinic, the real cost is a diagnosis left half-explained or a treatment plan not followed. Denver Health carries Spanish-speaking staff and interpretation services for other languages so that nothing critical gets lost between the provider's instructions and the patient's understanding.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Planned Parenthood of the Rocky Mountains in Greenwood Village takes walk-ins for STI testing (HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C) with same-visit treatment for bacterial infections, sliding-scale fees, and staff who communicate in American Sign Language and Spanish.
Planned Parenthood of the Rocky Mountains in Greenwood Village has staff who communicate in American Sign Language and Spanish, with interpretation available for other languages, which means Deaf patients and non-English speakers get clinical conversations conducted in their own language, not mediated through workarounds.
Many family planning providers leave minors reliant on a parent's coverage and the privacy exposure that comes with it. As a Title X clinic, Planned Parenthood of the Rocky Mountains in Greenwood Village provides legally confidential services to minors: meaning the visit, the test, and any treatment stay off a guardian's insurance explanation of benefits by law.
Planned Parenthood of the Rocky Mountains in Greenwood Village prescribes PrEP, PEP, and DoxyPEP directly, so patients leave with an actual prevention regimen rather than a name to look up, and PrEP is available at no cost for those without insurance.
Languages
American Sign Language, 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
Evans Medical Center in Denver accepts Medicaid, Medicare, and private insurance, with fees applying at the standard rate for those outside those plans. Walk-in appointments are welcome for gonorrhea, chlamydia, syphilis, and conventional HIV testing, with same-visit treatment available for bacterial infections.
Languages
English, French, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Mar 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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Littleton, 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 Arapahoe 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.
7700 South Broadway, Littleton, CO 80122
CMS-certified lab Accredited · College of American Pathologists
7750 South Broadway, Suite 100, Littleton, CO 80122
CMS-certified lab Accredited · College of American Pathologists
9670 West Coal Mine Avenue, Littleton, CO 80123
CMS-certified lab Accredited · College of American Pathologists
6196 South Ammons Way, Littleton, CO 80123
CMS-certified lab Accredited · College of American Pathologists
56 East Arapahoe Road, Suite A, Littleton, CO 80122
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 Littleton. 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, 2,436 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Littleton. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 871 offer telehealth.
Kirby Duvall, MD
Family medicine · 1500 West Mineral Avenue, Littleton
Stephen Adams, MD Telehealth
Family medicine · 2679 West Main Street, Littleton
Robert Ballard, MD Telehealth
Internal medicine · 15 West Dry Creek Circle, Littleton
Amy Ghaibeh, MD
Internal medicine · 1420 West Canal Court, Littleton
Robert Douglas, MD Telehealth
Family medicine · 8199 Southpark Lane, Littleton
Suzanne Weber, MD Telehealth
OB-GYN · 7700 South Broadway, 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 Littleton, CO 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.
1.5 mi Clearspring Pharmacy
1.6 miAllhealth Network Pharmacy
1.8 miParagon Pharmacy
1.9 miShowing the 4 closest pharmacies to Littleton, CO.
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 Littleton, 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
$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
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 Arapahoe County, the county that includes Littleton, compare with Colorado 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.
#4 of 64 Colorado counties for chlamydia, a higher rate than 94% of the state
| Infection | Arapahoe County | Colorado | United States |
|---|---|---|---|
| Chlamydia | 528.2 3,465 cases ▲ 21% | 435.1 | 492.2 |
| Gonorrhea | 159.7 1,048 cases ▲ 24% | 128.7 | 179.5 |
| Syphilis (P&S) | 21.2 139 cases ▲ 32% | 16 | 15.8 |
| Syphilis (early) | 12.7 83 cases ▲ 22% | 10.4 | 16 |
| Syphilis (late/unknown) | 29.3 192 cases ▲ 3% | 28.4 | 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 Arapahoe County, chlamydia has fallen from 537.7 to 528.2 per 100,000 (2%), gonorrhea has fallen from 231.7 to 159.7 per 100,000 (31%), and P&S syphilis has risen from 11.1 to 21.2 per 100,000 (91%).
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 Arapahoe County.
Local HIV snapshot
Arapahoe County HIV care continuum (2023)
Arapahoe County recorded 15.3 new HIV diagnoses per 100,000 (2023), against 9.6 statewide and 13.7 nationally. Among Arapahoe County residents living with HIV, 72.9% are in care · 66.8% 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 Arapahoe County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Columbine feels like settled Littleton, the kind of neighborhood where two out of three households own their homes and long-term neighbors know each other's routines. That stability shapes daily life here in practical ways: most adults are working, many are raising families under the same roof, and the calendar fills fast between commutes along South Santa Fe Drive and weekend afternoons at Chatfield State Park. That rhythm is exactly where STI screening tends to fall through the cracks. Littleton's young adults, the late-teens-and-twenties crowd forming new relationships and moving between jobs or schools, are the people for whom a complicated appointment becomes an easy deferral.
A meaningful share of households here carry real rent obligations each month, and even among those who own, the financial margin isn't unlimited. Cost clarity and appointment flexibility matter concretely, not abstractly. For residents over near Ridgeview Park or heading out West Bowles Avenue, the most useful move is straightforward: check which of the listed options accepts your insurance or offers a sliding-scale fee, confirm the hours fit your work schedule, and book it. That is the single step that turns Columbine's quiet sense of routine into something that actually protects it.
Getting there
At 8.21/20 on the EPA walkability index, day-to-day errands in Littleton 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 80123 snapshot
ZIP-level Census figures for the wider 80123 area around Littleton: a single ZIP can span several communities, so they describe the area, not Littleton alone.
Littleton sits in Arapahoe County, ZIP 80123. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Littleton? 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 Arapahoe County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Colorado 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 Littleton-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 Littleton 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 Colorado 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 Colorado, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Colorado 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 ColoradoSource: 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.
Yes, Medicaid typically covers it, and public clinics are free either way.
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.
Arapahoe County reported ~528 chlamydia cases per 100,000 in 2023, above the Colorado average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Colorado, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
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.