New HIV diagnoses in Honolulu County are 60% lower than the US average. If you're in Makakilo, Hawaii, deciding whether to test after possible exposure or for routine care, you might want a provider to answer questions and begin treatment, or you might prefer the convenience of an at-home kit. Check the options below.
Available testing centers
9 testing options are listed for Makakilo, HI. The nearest, Clinical Laboratories of Hawaii, is about 1.4 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.
Waianae Coast Comprehensive Health Center in Kapolei tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, hepatitis C, and TB on a sliding-scale fee open to everyone, with appointments required; Spanish and interpretation services are available throughout care.
Waianae Coast offers Spanish-language services and interpretation for non-English languages across its full scope of care: meaning sexual health counseling, PrEP education, and treatment discussions happen in the language a patient speaks, keeping nothing lost between a diagnosis and a next step.
Picking up PrEP or PEP from a separate prescriber means a second intake, a second wait, and a gap where prevention stalls. Waianae Coast carries both in-house, so the conversation about ongoing HIV prevention or post-exposure medication happens at the same clinic managing your STI care.
Waianae Coast provides hepatitis C treatment directly, not a screen that ends at a positive result and a handoff elsewhere. Managing the full treatment course on-site means monitoring, medication, and follow-up stay with one clinical team rather than fragmenting across providers.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Ewa - West O`ahu Community Health Center in Ewa Beach was built around patients who are uninsured, underinsured, or paying out of pocket. People who need real care without a fixed-price barrier. Federal qualification backs its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening available to walk-ins at a cost tied to income.
Tests offered
Fees & payment
A public safety-net federally qualified health center about 5 miles from Makakilo. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Doctors of Waikiki accepts walk-ins for STI care, covering HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C on a single visit, with same-visit treatment for bacterial infections and sliding-scale fees accepted alongside Medicare and insurance.
Doctors of Waikiki maintains clinical staff fluent in Chinese, Japanese, Korean, and French: meaning history-taking, test explanation, and treatment counseling happen directly in those languages, not routed through an outside service. That operational capacity keeps clinical precision intact across the full encounter.
Many STI clinics screen for HIV without writing prevention prescriptions, Doctors of Waikiki does both. PrEP is prescribed and monitored here, and PEP is available for post-exposure management, making this a clinic where prevention and treatment live in the same chart.
The testing panel at Doctors of Waikiki spans seven pathogens (HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C) meaning viral infections that a four-pathogen panel would leave undetected are caught in the same visit, with hepatitis B and C results informing vaccine and treatment decisions on-site.
Languages
Chinese, English, French, Japanese, Korean, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Wahiawa Health in Wahiawa runs on sliding-scale fees, with Medicaid, Medicare, and most insurance accepted, covering gonorrhea, chlamydia, syphilis, HIV, and hepatitis C. Appointments are required; bacterial infections can be treated the same visit.
Wahiawa Health conducts clinical conversations (history-taking, treatment planning, follow-up) in Chinese, Japanese, Korean, Spanish, Tagalog, and Vietnamese. For anyone whose clearest medical thinking happens outside English, that standing capacity means nothing gets lost between a provider's question and a patient's real answer.
A hepatitis C diagnosis without attached treatment means a second provider to find, a second intake to complete, and weeks of untreated viral load accumulating between appointments. Wahiawa Health carries treatment on-site, so the gap between confirmed diagnosis and active medication management doesn't open in the first place.
Clinics running a bare-minimum panel test for gonorrhea, chlamydia, syphilis, and HIV, and stop. Wahiawa Health adds hepatitis C to that lineup, catching a chronic, transmissible infection that standard panels routinely miss and that produces no obvious symptoms until liver damage is already underway.
Languages
Chinese, English, Japanese, Korean, Spanish, Tagalog, Vietnamese
Tests offered
Serves
Care services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN + HRSA
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Makakilo, 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 value: single tests
$49 & 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 Honolulu 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.
401 Kamokila Boulevard, Kapolei, HI 96707
CMS-certified lab
91-1051 Franklin D Roosevelt Avenue, Kapolei, HI 96707
CMS-certified lab
599 Farrington Highway, Building 2, Kapolei, HI 96707
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Makakilo. 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, 860 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Makakilo. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 357 offer telehealth.
Ian Guerrero, MD Telehealth
Internal medicine · 91-710 Farrington Highway, Kapolei
Fay Bagarinao, MD Telehealth
Family medicine · 91 -5431 Kapolei Parkway, Kapolei
Steven Namiki, MD
Internal medicine · 1001 Kamokila Boulevard, Kapolei
Sean Terada, MD Telehealth
Internal medicine · 401 Kamokila Boulevard, Kapolei
Edward Okimoto, MD Telehealth
Internal medicine · 599 Farrington Highway, Kapolei
Mark Villarin, MD
OB-GYN · 599 Farrington Highway, Kapolei
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 Makakilo, HI 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.
Antonio Vai
1.0 miLongs Drugs #09317
1.6 mi
1.7 mi Foodland Pharmacy
2.1 miKaiser West Oahu Pharmacy
2.2 miLongs Drugs #17471
2.2 miShowing the 6 closest pharmacies to Makakilo, HI.
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 Makakilo, 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.
$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
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
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 Honolulu County, the county that includes Makakilo, compare with Hawaii and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#1 of 5 Hawaii counties for chlamydia, among the very highest in the state
| Infection | Honolulu County | Hawaii | United States |
|---|---|---|---|
| Chlamydia | 491.3 4,861 cases ▲ 13% | 435.6 | 492.2 |
| Gonorrhea | 150.7 1,491 cases ▲ 19% | 126.7 | 179.5 |
| Syphilis (P&S) | 14.5 143 cases ▲ 14% | 12.7 | 15.8 |
| Syphilis (early) | 8.7 86 cases ▲ 24% | 7 | 16 |
| Syphilis (late/unknown) | 24.2 239 cases ▲ 23% | 19.6 | 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 Honolulu County, chlamydia has fallen from 530.4 to 491.3 per 100,000 (7%), gonorrhea has risen from 116.8 to 150.7 per 100,000 (29%), and P&S syphilis has fallen from 15.8 to 14.5 per 100,000 (8%).
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 Honolulu County.
Local HIV snapshot
Honolulu County HIV care continuum (2023)
Honolulu County recorded 5.5 new HIV diagnoses per 100,000 (2023), against 4.8 statewide and 13.7 nationally. Among Honolulu County residents living with HIV, 87% are in care · 77.9% 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 Honolulu County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Puʻumakakilo rises quietly above the neighborhood, and the subdivision streets below it carry that same settled character. Owner-occupied homes, large households, the kind of place where families have put down real roots. That stability is worth noting, because the practical architecture of daily life here shapes how people actually manage health care. Getting tested isn't a neighborhood-park errand; it means navigating down to Kamokila Boulevard or onto the H-1 before most clinics even open, then fitting the return trip around work schedules in a community where nearly three-quarters of residents are in the labor force.
That workforce reality matters most for younger adults, people in their late teens and twenties, who are at the center of STI transmission patterns and the least likely to have scheduling flexibility. With more than half of Makakilo households earning well into six figures, cost alone isn't always the barrier; it's the logistics of a mid-week appointment when you're already commuting toward Kapolei and back. The clinics listed on this page vary enough in hours and location that one of them is likely to align with a realistic window, not an aspirational one. For the roughly one-in-four households that rent, at rates that make every discretionary expense count, the fee structures listed in the clinic cards are worth a close look before committing to a drive down Farrington Highway.
Getting there
Makakilo scores 12.65/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 96707 snapshot
ZIP-level Census figures for the wider 96707 area around Makakilo: a single ZIP can span several communities, so they describe the area, not Makakilo alone.
Makakilo sits in Honolulu County, ZIP 96707. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Makakilo? 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 Honolulu County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Hawaii 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 Makakilo-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 Makakilo 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 Hawaii 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 Hawaii, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Hawaii 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 HawaiiSource: 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 9 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Honolulu County reported ~491 chlamydia cases per 100,000 in 2023, above the Hawaii average.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Hawaii, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, a body or genital rash can be a sign of syphilis or HIV, so get tested and evaluated.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.