STD Testing in Littleton, NH: Free, Same-Day & Confidential
Gonorrhea in Grafton County runs about 84% lower than the US average. Whether you have symptoms or just want peace of mind in Littleton, New Hampshire, choosing between in-person clinics and at-home kits means weighing visit convenience versus immediate expert advice. The options below detail both pathways.
6 testing options are listed for Littleton, NH. The nearest, Convenient MD Urgent Care, is about 1.8 miles away. Compare 5 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.
Location unavailable — enter a ZIP code or city instead.
Community health center 1.8 miles
Convenient MD Urgent Care
4.7(705)?Where these reviews come from
Review sources
Google700
EasySTD5
Rated 4.7 out of 5 from 705 reviews
Convenient MD Urgent Care in Littleton tests for gonorrhea, syphilis, and chlamydia, and treats bacterial infections the same visit if results call for it. No appointment is needed, and every service is provided at no fee, with Medicare and insurance also accepted.
Ammonoosuc Community Health Services in Littleton runs on scheduled appointments, so every visit is deliberate: covering the full panel of HIV, syphilis, gonorrhea, chlamydia, hepatitis A, B, and C, and herpes, with same-visit treatment for bacterial infections, sliding-scale fees, and all services provided at no charge.
Read full overviewShow less
Zero-Fee Care Runs Through Every Service Line
The no-fee structure at Ammonoosuc isn't a discount applied at checkout: it's built into the billing model across every service, so testing, treatment, vaccines, and counseling all carry the same price: nothing. Medicaid, Medicare, and insurance are accepted where applicable, and sliding scale covers the rest.
Spanish Is a Full Clinical Language Here
Spanish-language care at Ammonoosuc Community Health Services spans the full scope of the clinic: STI testing, treatment, counseling, and prevention education are all delivered in Spanish. That coverage means clinical detail, dosing instructions, and follow-up planning land accurately the first time.
Substance-Use Treatment Sits Inside the Same Clinic
Ammonoosuc offers substance-use treatment alongside STI care within the same facility, which means a patient managing both can coordinate two treatment tracks under one clinical team. Reducing the scheduling burden and keeping providers informed across conditions.
A community safety-net federally qualified health center about 3 miles from Littleton. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Northern Counties Health Care in Concord tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, HIV, and TB, bacterial infections treated same visit, with fees set on a sliding scale and appointments required.
ACHS - Whitefield, serving Whitefield as a federally qualified health center, extends sliding-scale fees across income levels for STI screening (syphilis, gonorrhea, and chlamydia) with no appointment needed to get tested.
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 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
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 Littleton, NH
Beyond the public testing sites above, these federally certified (CLIA) labs serve Grafton 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.
Littleton Hospital Association
600 St Johnsbury Road, Littleton, NH 03561
CMS-certified labAccredited · College of American Pathologists
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
Clinicians near Littleton, NH who may help arrange STD testing
Beyond dedicated clinics, 66 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 5 offer telehealth.
CO
Christine Orlowicz, MD
Internal medicine · 580 Saint Johnsbury Road, 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
Pharmacies near Littleton, NH
No pharmacy near Littleton, NH 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.
1.7 mi
Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
Showing the 4 closest pharmacies to Littleton, NH.
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 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.
Online treatment
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
STDs & HIV in Grafton County: the local picture
How reported STI rates in Grafton County, the county that includes Littleton, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~35% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#4
#4 of 10 New Hampshire counties for chlamydia, a higher rate than 60% of the state
Reported STD rates per 100,000, Grafton County vs New Hampshire vs U.S.
Grafton CountyNew HampshireU.S.▲▼ = Grafton County vs the state average
Infection
Grafton County
New Hampshire
United States
Chlamydia
169.6158 cases▼ 14%
196.6
492.2
Gonorrhea
2927 cases▼ 31%
41.9
179.5
Syphilis (P&S)
4.34 cases▲ 10%
3.9
15.8
Syphilis (early)
1.11 cases▼ 42%
1.9
16
Syphilis (late/unknown)
2.12 cases▼ 47%
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.
Reported STD rates in Grafton County over time (per 100,000)
Chlamydia ▼ 20% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Grafton County, chlamydia has fallen from 189.9 to 169.6 per 100,000 (11%), gonorrhea has risen from 19.8 to 29 per 100,000 (46%), and P&S syphilis has risen from 2.2 to 4.3 per 100,000 (95%).
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 Littleton, NH
Adults uninsured
7%
Grafton County
No routine checkup
28.4%
Grafton County
Primary-care ratio
530 : 1
Grafton County
Primary-care shortage score 15 / 26
Medically Underserved Area
Social Vulnerability Index · 26th 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 Grafton County.
Local HIV snapshot
HIV in Grafton County (2023)
People living with HIV
95 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
116
Grafton County HIV care continuum (2023)
Grafton County recorded 0 new HIV diagnoses per 100,000 (2023), against 2.8 statewide and 13.7 nationally. Among Grafton County residents living with HIV, 78.5% are in care · 75.9% 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.
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 Grafton 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)
The drive from Wheeler Hill down to Saint Johnsbury Road takes maybe eight minutes on a clear afternoon, and that's roughly the same commitment a clinic visit demands once you've already decided to go. In a town where nearly half of residents rent rather than own, that modest monthly rent still shapes trade-offs: an out-of-pocket test competes with real budget lines, which matters most to younger adults in their late teens and twenties who are still piecing together steady income and are statistically the group most likely to encounter chlamydia or gonorrhea for the first time. What keeps screening accessible here isn't walking distance: Littleton's spread means almost everyone is arriving by car, whether from the Farr Hill side or off I-93.
The practical barrier is more often timing and cost. With about two-thirds of residents in the workforce and unemployment low, schedules are full; evening or weekend hours on one of the listed options make the difference for someone clocking out after five on Meadow Street who can't afford a long wait or an unexpected bill. The roughly four in ten households that are married-with-family also means partners often share the same decision: one person making the appointment frequently prompts the other, and both benefit when the options are genuinely close and straightforward to afford.
Getting there
How residents reach STD testing in Littleton, NH
Walkability8.07 / 20 · Below average
At 8.07/20 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.
Littleton sits in Grafton County, ZIP 3561. Local context that shapes where residents test:
Local landmarks
Wheeler Hill
Farr Hill
Parker Mountain
Pine Hill
Mount Eustis
Towns Mountain
Major routes
NH 135 (North Littleton Road)
I 93 (Styles Bridges Highway)
Saint Johnsbury Road
Meadow Street
Main Street
Nearby cities & towns
Nearby cities and towns near Littleton, NH
Just outside Littleton? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Littleton, NH: screening, costs & privacy
Everything to know before you test in Grafton County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 Littleton-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 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.
Confidentiality & consent in New Hampshire
Minor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
New Hampshire 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.
