Franklin County reports about 453 cases of chlamydia per 100,000 residents. If you've had a recent risk or test regularly, consider where you'd prefer to test in Louisburg, North Carolina. Clinics may bill insurance or work on a sliding scale, whereas private labs typically charge a flat self-pay price. Use the list below to compare your options.
Available testing centers
9 testing options are listed for Louisburg, NC. The nearest, Advance Community Health-Franklin County CarePlex, is about 0.4 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.
Advance Community Health-Franklin County CarePlex in Louisburg meets patients where they are (uninsured, rural, or paying out of pocket) through its federally qualified structure that ties fees to income. Walk-ins are welcome for sliding-scale STI screening covering syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
A public safety-net rural health clinic about 1 mile from Louisburg. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Wake County Human Services in Wake Forest tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee open to anyone, with hepatitis C and TB rounding out a broader panel: appointments are required, and bacterial infections can be treated the same visit.
Plenty of STI clinics hand off hepatitis C to a separate provider, leaving patients to navigate a second appointment before they know where they stand. Wake County Human Services tests for hepatitis C and TB alongside gonorrhea, chlamydia, syphilis, and HIV. One visit covers the full picture.
When clinical conversations get routed through workarounds, follow-up questions go unasked, treatment instructions get missed, and the gap between diagnosis and resolved infection widens. Wake County Human Services delivers STI care directly in Spanish, so nothing critical gets lost between the exam room and the door.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
BDIHS Wake Forest, serving Wake Forest residents who are uninsured, between providers, or paying out of pocket, channels federal health center funding into sliding-scale STI screening. Syphilis, gonorrhea, and chlamydia testing is available, with fees adjusted to income so cost stays manageable.
Tests offered
Fees & payment
Advance CarePlex - Wake Forest earned its federally qualified health center designation by tying fees directly to household income, so STI screening stays within reach across the pay scale. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing without an appointment.
Tests offered
Fees & payment
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Louisburg, 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 range: couples & full panels
$79 & 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 Franklin 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.
100 Hospital Drive, Louisburg, NC 27549
CMS-certified lab Accredited · Joint Commission
216 North Bickett Boulevard, Suite 3, Louisburg, NC 27549
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Louisburg. 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, 716 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Louisburg. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 245 offer telehealth.
Demaura Russell, MD Telehealth
Family medicine · 315 Franklin Plz, Louisburg
Yousef Naji, MD
Internal medicine · 100 Hospital Drive, Louisburg
Adrian Ogle, MD
Urology · 100 Hospital Drive, Louisburg
Chad Greer, MD
Family medicine · 1501 North Bickett Boulevard, Louisburg
David Browder, MD
Internal medicine · 100 Dodd Street, Spring Hope
Sarah Cassel, MD Telehealth
Family medicine · 515 Dr Calvin Jones Highway, Wake Forest
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 Louisburg, 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.
Harris Pharmacy
0.1 mi
0.3 mi 
0.4 mi Advance Community Health Pharmacy Louisburg
0.4 miShowing the 4 closest pharmacies to Louisburg, 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 Louisburg, 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.
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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Franklin County, the county that includes Louisburg, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#51 of 100 North Carolina counties for chlamydia, a higher rate than 49% of the state
| Infection | Franklin County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 453.2 349 cases ▼ 25% | 607.9 | 492.2 |
| Gonorrhea | 164.9 127 cases ▼ 32% | 243.2 | 179.5 |
| Syphilis (P&S) | 10.4 8 cases ▼ 48% | 19.9 | 15.8 |
| Syphilis (early) | 9.1 7 cases ▼ 42% | 15.8 | 16 |
| Syphilis (late/unknown) | 10.4 8 cases ▼ 57% | 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 Franklin County, chlamydia has risen from 446.2 to 453.2 per 100,000 (2%), gonorrhea has fallen from 221.7 to 164.9 per 100,000 (26%), and P&S syphilis has risen from 4.4 to 10.4 per 100,000 (136%).
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 Franklin County.
Local HIV snapshot
Franklin County HIV care continuum (2022)
Franklin County recorded 11.1 new HIV diagnoses per 100,000 (2022), against 15.1 statewide and 13.7 nationally. Among Franklin County residents living with HIV, 83.9% are in care · 72.3% 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 Franklin County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
People move to Louisburg for the quiet: a place where a paycheck stretches, where you can rent affordably and actually build something, where the pace lets you breathe. That affordability draws young adults seeking a fresh start, but it also means that routine sexual health care can feel like an afterthought when money is tight. STI testing in and around Louisburg is available through the clinics and providers listed on this page, and the confidentiality standard is absolute: test results don't flow to employers, landlords, or anyone else in town who might cross your path at River Bend Park or along South Bickett Boulevard. The town's character (a mix of young adults, retirees, and people between chapters) means that sexual health questions belong to no single age or life stage. Testing happens quietly, without the assumption that you owe anyone an explanation for seeking it.
Whether you're checking in after a new relationship, managing ongoing prevention, or simply making health a routine like any other, the process is straightforward and private. Louisburg's modest size and close-knit feel can make privacy feel precious. The testing sites available in the area understand that concern and operate with the discretion the community values. Your visit, your results, your health decisions stay yours alone.
Getting there
At 6.15/20 on the EPA walkability index, day-to-day errands in Louisburg 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 27549 snapshot
ZIP-level Census figures for the wider 27549 area around Louisburg: a single ZIP can span several communities, so they describe the area, not Louisburg alone.
Louisburg sits in Franklin County, ZIP 27549. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Louisburg? 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 Franklin 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 Louisburg-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 Louisburg 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 Advance Community Health-Franklin County CarePlex (0.4 mi); 9 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 453 cases per 100,000 residents (2023), below the North Carolina average.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 27549; you collect a sample, mail it back, and get results in about 2–5 days.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.