New HIV diagnoses in Strafford County run about 55% lower than the US average. Whether you're looking for a one-time concern or regular check-ups in Madbury, New Hampshire, balance the cost and time of community clinics against the convenience and speed of private labs.
Available testing centers
7 testing options are listed for Madbury, NH. The nearest, Quest Diagnostics, is about 3.1 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.
Convenient MD Urgent Care in Dover tests for gonorrhea, syphilis, and chlamydia, and treats confirmed bacterial infections the same visit, without scheduling a return appointment. Walk-in hours mean no advance planning required, and every service is provided at no charge.
Languages
English
Tests offered
Care services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Greater Seacoast Community Health in Somersworth tests for gonorrhea, chlamydia, syphilis, herpes, HIV, hepatitis A, B, and C, and TB, with same-visit treatment for bacterial STIs, on a sliding-scale fee open to everyone; appointments are required.
Walk into most testing appointments and language support is an afterthought bolted on at the last moment. At Greater Seacoast Community Health, interpretation services are built into the visit itself, so the conversation about results, treatment, and next steps lands clearly, not approximately.
When hepatitis C treatment requires a separate specialist, weeks pass, follow-through frays, and the virus continues its work in the meantime. Greater Seacoast Community Health carries treatment on-site, the gap between knowing and managing closes at the same clinic where the test was run.
Greater Seacoast Community Health's panel extends to herpes and hepatitis A, B, and C alongside the standard bacterial infections. A real advantage for anyone piecing together care without a primary physician who might otherwise order those tests. Sliding-scale fees keep the broader workup within reach whether you're paying cash or carrying insurance.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
A public safety-net federally qualified health center about 6 miles from Madbury. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
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 about 3 miles away; if you'd rather skip the trip, an at-home kit ships to Madbury, 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 Strafford 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.
10 Central Avenue, Dover, NH 03820
CMS-certified lab Accredited · College of American Pathologists
701B Central Avenue, Dover, NH 03820
CMS-certified lab Accredited · College of American Pathologists
789 Central Avenue, Dover, NH 03820
CMS-certified lab Accredited · College of American Pathologists
789 Central Avenue, Dover, NH 03820
CMS-certified lab Accredited · College of American Pathologists
121 Broadway, Suite 101, Dover, NH 03820
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 Madbury. 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, 603 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madbury. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 224 offer telehealth.
Kenneth Shuman, MD Telehealth
Family medicine · 36 Madbury Road, Durham
Andrea Berry, DO
Family medicine · 15 Durham Road, Dover
Janet Perkins-Howland, MD
OB-GYN · 700 Central Avenue, Dover
Brian Trezak, MD
Internal medicine · 100 Sterling Way, Dover
Hernan Altamar, MD Telehealth
Urology · 15 Durham Road, Dover
Edwin Charle, MD
Family medicine · 276 County Farm Road, Dover
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 Madbury, 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.
Hannaford Supermarket & Pharmacy
2.4 mi
2.9 mi 
3.7 mi 
4.0 mi Showing the 4 closest pharmacies to Madbury, 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 Madbury, 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 Strafford County, the county that includes Madbury, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 10 New Hampshire counties for chlamydia, among the very highest in the state
| Infection | Strafford County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 228.9 305 cases ▲ 16% | 196.6 | 492.2 |
| Gonorrhea | 36 48 cases ▼ 14% | 41.9 | 179.5 |
| Syphilis (P&S) | 3 4 cases ▼ 23% | 3.9 | 15.8 |
| Syphilis (early) | — no data | 1.9 | 16 |
| Syphilis (late/unknown) | 2.3 3 cases ▼ 43% | 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 Strafford County, chlamydia has fallen from 285 to 228.9 per 100,000 (20%), gonorrhea has risen from 28.3 to 36 per 100,000 (27%), and P&S syphilis has fallen from 9.2 to 3 per 100,000 (67%).
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 Strafford County.
Local HIV snapshot
Strafford County HIV care continuum (2021)
Strafford County recorded 6.1 new HIV diagnoses per 100,000 (2021), against 2.8 statewide and 13.7 nationally. Among Strafford County residents living with HIV, 77.6% are in care · 62.4% 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 Strafford County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Fancy Hill Road sits in the kind of settled quiet that makes Madbury feel removed from most things, including, practically speaking, a nearby place to get tested. That physical remove matters most for younger adults still building their routines, the people in their late teens and twenties who statistically carry the greatest exposure risk and who are also the least likely to have a flexible schedule or a reliable car window. Madbury's workforce participation is high and unemployment is low, which sounds like good news, but it also means most households are running tight on time. A single testing site reachable only by car demands real advance planning, not just good intentions. The financial picture here cuts two ways.
Nearly six in ten households bring in over six figures, and the homeownership rate is strikingly high. Most residents aren't month-to-month renters. But the roughly 13 percent who do rent face a median monthly cost that leaves limited cushion. For that slice of the community, fee-based clinic visits can be a genuine calculation, making it worth checking each listing on this page closely for sliding-scale options or coverage accepted before the drive out.
Getting there
At 6.47/20 on the EPA walkability index, day-to-day errands in Madbury 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 03820 snapshot
ZIP-level Census figures for the wider 03820 area around Madbury: a single ZIP can span several communities, so they describe the area, not Madbury alone.
Madbury sits in Strafford County, ZIP 03820. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Madbury? 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 Strafford 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 Madbury-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 Madbury 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.
There are 7 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Convenient MD Urgent Care, about 4.2 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Strafford County reported ~229 chlamydia cases per 100,000 in 2023, above the New Hampshire average.
At-home kits mail to 03820: self-collect, send to the lab, results in ~2–5 days.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
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.