Syphilis diagnoses in Grafton County are less likely, running about 73% lower than the national average. If you've had a recent risk or test regularly in Lyme, New Hampshire, weigh the convenience of walk-in clinics against the scheduling flexibility of labs and at-home kits. See the options below.
Available testing centers
7 testing options are listed for Lyme, NH. The nearest, Mascoma Community Health Center, is about 11.5 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.
Mascoma Community Health Center in Orange tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C on a sliding-scale fee that applies to everyone, with insurance and Medicaid also accepted; bacterial STIs are treated same visit, and appointments are required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Dartmouth Health in Lebanon brings STI and HIV care into an academic health system that runs standard panels (HIV, syphilis, gonorrhea, chlamydia) on a sliding scale, with bacterial infections treated same visit; appointments are required, and services extend across French, Portuguese, and Spanish.
A prescription misunderstood or a diagnosis imprecisely conveyed can stall care for weeks. At Dartmouth Health in Lebanon, clinical staff conduct visits directly in French, Portuguese, and Spanish (no relay, no lag) so dosing instructions, follow-up timelines, and risk conversations land with the precision they require.
Ryan White Program funding at Dartmouth Health in Lebanon underwrites the full arc: initial HIV testing, linkage to a provider, antiretroviral prescribing, viral load and CD4 monitoring, and medication adherence counseling maintained over time. Staffed and billed through the program so cost doesn't interrupt the continuum.
Dartmouth Health in Lebanon prescribes and manages PrEP: including the required HIV testing at baseline and every three months, renal function monitoring, and adherence counseling built into follow-up visits. PEP is also available, dispensed and monitored through the same clinical framework.
Languages
English, French, Portuguese, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Little Rivers Health Care in Bradford runs STI care without requiring an appointment, so gonorrhea, chlamydia, and syphilis testing, plus HIV screening, can happen on your schedule. Bacterial infections treated same visit; HPV, hepatitis A, and hepatitis B vaccines are on-site. Fees run on a sliding scale.
Languages
English
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 12 miles away; if you'd rather skip the trip, an at-home kit ships to Lyme, 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 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.
90 Swiftwater Road, Woodsville, NH 03785
CMS-certified lab
367 Route 120, Suite A1, Lebanon, NH 03766
CMS-certified lab
264 Cottage Street, Littleton, NH 03561
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lyme. 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, 294 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lyme. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 121 offer telehealth.
Adam Schwarz, MD Telehealth
Internal medicine · 45 Lyme Road, Hanover
Karen Loring, MD Telehealth
Internal medicine · 7 Allen Street, Hanover
Rui Zhang
Internal medicine · 35 Drake Lane, West Lebanon
Anthony Tran, MD Telehealth
Internal medicine · 6 Timberwood Drive, Lebanon
Angela Koenig Telehealth
OB-GYN · 18 Old Etna Road, Lebanon
Michael Lyons, MD
Family medicine · 331 Olcott Drive, White River Junction
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 Lyme, 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.
11 mi Dartmouth-Hitchcock Pharmacy at Centerra
11 miD-H Pharmacy at Centerra
12 miDartmouth-Hitchcock Pharmacy
12 miKPH Healthcare Services
12 miHannaford Supermarket & Pharmacy
12 miShowing the 6 closest pharmacies to Lyme, NH.
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 Lyme, 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
$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
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 Grafton County, the county that includes Lyme, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~18% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#4 of 10 New Hampshire counties for chlamydia, a higher rate than 60% of the state
| Infection | Grafton County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 169.6 158 cases ▼ 14% | 196.6 | 492.2 |
| Gonorrhea | 29 27 cases ▼ 31% | 41.9 | 179.5 |
| Syphilis (P&S) | 4.3 4 cases ▲ 10% | 3.9 | 15.8 |
| Syphilis (early) | 1.1 1 cases ▼ 42% | 1.9 | 16 |
| Syphilis (late/unknown) | 2.1 2 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.
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
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
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.
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).
Local resources & officials
Data & references
Local context
NH 10 threads through Lyme as Orford Road before it becomes Main Street past the Lyme Common Historic District, and the nearest testing option listed on this page requires a real drive out of town. That's the first practical fact anyone weighing a screening appointment has to reckon with. Lyme's homeownership rate is one of the highest you'll encounter anywhere: nearly nine in ten residents own their homes, with a typical value well north of four hundred thousand dollars. That stability shapes the community's rhythm, but it doesn't eliminate the scheduling friction of leaving a rural town to access clinical services.
More than half of households here earn six figures, yet high income doesn't automatically translate to convenient healthcare access when the road in and out is a two-lane state highway with no transit alternatives. For young adults in their late teens and twenties (a smaller share of Lyme's population than in most towns, but no less affected by the years when STI transmission peaks) the drive-dependent reality means a test that feels low-priority on a busy morning can stay unscheduled for months. The household picture here is mostly married couples in larger-than-average households, many in the labor force on full work schedules. Testing fits most realistically into a planned trip to an area with more services, not a spontaneous errand, but something worth building into a regular out-of-town run.
Getting there
At 5.93/20 on the EPA walkability index, day-to-day errands in Lyme 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 03768 snapshot
ZIP-level Census figures for the wider 03768 area around Lyme: a single ZIP can span several communities, so they describe the area, not Lyme alone.
Lyme sits in Grafton County, ZIP 03768. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Lyme? 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 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.
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 Lyme-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 Lyme 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 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).
In New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
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.
Learn more about confidential STD testing in New HampshireSource: 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.
Mascoma Community Health Center, about 11.5 mi away, with 3 options within 30 miles.
Yes, Medicaid typically covers it.
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.
Grafton County reported ~170 chlamydia cases per 100,000 in 2023, below the New Hampshire average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, test even without symptoms, and tell the provider which infection so they can treat or retest appropriately.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
No real difference for testing, "STI" is just the current term for what used to be called "STD."
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.