Syphilis in Rockingham County is reported 37% higher than the national average. If you have a one-time concern or want regular check-ups in Madison, North Carolina, weigh the cost and scheduling needs when choosing between community clinics and private labs. Our list can help.
Available testing centers
7 testing options are listed for Madison, NC. The nearest, Lifebrite Hospital Group of Stokes, is about 5.2 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.
A community safety-net rural health clinic about 5 miles from Madison. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Novant Health in Oak Ridge pairs testing for gonorrhea, chlamydia, syphilis, herpes, HIV, and both hepatitis B and C with same-visit treatment for bacterial infections; appointments are required, and fees are accepted through Medicaid, Medicare, or private insurance.
Plenty of clinics will run a hepatitis C antibody test and leave you to sort out the rest elsewhere. Novant Health in Oak Ridge carries treatment on-site, meaning a confirmed hepatitis C diagnosis moves directly into managed care without sending you to a separate provider.
The standard four-infection panel (gonorrhea, chlamydia, syphilis, HIV) leaves herpes and hepatitis unaddressed unless you specifically seek them out. At Novant Health in Oak Ridge, herpes, hepatitis B, and hepatitis C testing are built into what's offered, alongside TB screening.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Rockingham County Health and Human Services in Reidsville tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding-scale fee with insurance and Medicaid accepted; bacterial infections are treated same visit, and appointments are required.
The panel here extends to herpes alongside gonorrhea, chlamydia, syphilis, and HIV. A fifth test that most county health departments don't run in-house. That addition means a single appointment covers both the most common bacterial infections and a viral one that often goes undiagnosed elsewhere.
Spanish-language care at Rockingham County HHS is staffed, not patched: clinical conversations about symptoms, treatment instructions, and follow-up happen directly between provider and patient without a relay. That means medication directions and any same-visit treatment plan are communicated in Spanish at the point of care.
Languages
English, Spanish
Tests offered
Serves
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Madison, 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 Rockingham 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.
Rockingham County Health Department, Reidsville, NC 27320
CMS-certified lab
117 East King Highway, Eden, NC 27288
CMS-certified lab Accredited · College of American Pathologists
723 South Van Buren Rd Suite B, Eden, NC 27288
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Madison. 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, 1,054 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madison. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 251 offer telehealth.
Joshua Dettinger, MD
Family medicine · 401 West Decatur Street, Madison
James Sanford, MD Telehealth
Family medicine · 3853 US 311 Highway North, Pine Hall
Kip Corrington, MD
Family medicine · 7607 Nc Hwy 68 North, Oak Ridge
Kevin Howard, MD
Family medicine · 371 Nc Hwy 65, Reidsville
David Kaplan, MD Telehealth
Family medicine · 1570 Nc 8 And 89 Highway North, Danbury
Lisa Cassidy-Vu, MD
Family medicine · 1009 North Main Street, Danbury
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 Madison, 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.
Crossroads Pharmacy
0.5 mi
0.7 mi Madison Pharmacy & Homecare
0.8 miMaureen E Burns
2.2 mi
2.2 mi Showing the 5 closest pharmacies to Madison, 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 Madison, 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
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
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 Rockingham County, the county that includes Madison, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#58 of 100 North Carolina counties for chlamydia, a higher rate than 42% of the state
| Infection | Rockingham County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 382.6 354 cases ▼ 37% | 607.9 | 492.2 |
| Gonorrhea | 160 148 cases ▼ 34% | 243.2 | 179.5 |
| Syphilis (P&S) | 21.6 20 cases ▲ 9% | 19.9 | 15.8 |
| Syphilis (early) | 7.6 7 cases ▼ 52% | 15.8 | 16 |
| Syphilis (late/unknown) | 8.6 8 cases ▼ 64% | 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 Rockingham County, chlamydia has fallen from 432.5 to 382.6 per 100,000 (12%), gonorrhea has fallen from 202 to 160 per 100,000 (21%), and P&S syphilis has risen from 5.5 to 21.6 per 100,000 (293%).
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 Rockingham County.
Local HIV snapshot
Rockingham County HIV care continuum (2023)
Rockingham County recorded 11.3 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Rockingham County residents living with HIV, 82.2% are in care · 78.3% 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 Rockingham County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
West Academy Street threads through a Madison where most households are owner-occupied and nearly half of adults are married: the kind of place where health decisions often get made around a kitchen table, weighed against a mortgage, a partner's schedule, and whatever the week demands. Average households here run to three or more people, which means one person's lapse in routine screening can have ripple effects for others sharing that roof. With labor-force participation well below national norms and a modest share of households reaching higher income brackets, the practical math of taking time off work, or covering an appointment out of pocket, is a real calculation for many Madison residents.
Typical rents stay low enough that housing pressure isn't the defining squeeze here, but a workforce where a meaningful share of adults are outside the labor market entirely means schedules can be unpredictable in both directions: too busy with multiple jobs or too constrained by irregular hours. Younger adults, people in their late teens and twenties, are the group for whom that drive-to-test reality matters most, since this is the life stage when STI exposure is statistically concentrated. Rockingham County's STI figures give that fact local weight: staying current on screening isn't an abstract health recommendation here, it's a direct response to what the county's own numbers document.
Getting there
At 5.39/20 on the EPA walkability index, day-to-day errands in Madison 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 27025 snapshot
ZIP-level Census figures for the wider 27025 area around Madison: a single ZIP can span several communities, so they describe the area, not Madison alone.
Madison sits in Rockingham County, ZIP 27025. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Madison? 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 Rockingham 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 Madison-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 Madison 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 Lifebrite Hospital Group of Stokes (5.2 mi); 7 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 383 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.
Lab results typically come back in 1–2 days.
Yes, at-home kits ship to 27025; you collect a sample, mail it back, and get results in about 2–5 days.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
That's a myth; STIs need sexual contact to spread, not surfaces.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.