Chlamydia in Smyth County runs about 46% lower than the US average. If you're in Marion, Virginia and want STI testing whether you have symptoms or just want peace of mind, note that public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. See your options listed below.
Available testing centers
9 testing options are listed for Marion, VA. The nearest, Virginia Department of Health, is about 1.1 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.
Virginia Department of Health in Marion tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B and C, and TB on a sliding-scale fee; same-visit treatment is available for bacterial STIs. Appointments are required, and interpretation services are available for non-English languages.
Once hepatitis C is confirmed at Virginia Department of Health in Marion, the clinic moves directly into treatment. Prescribing antivirals and monitoring the course on-site rather than handing the case off. That continuity means viral load progress is tracked by the same staff who made the diagnosis.
Many clinics offer PrEP and stop there, leaving PEP and DoxyPEP as gaps patients have to fill elsewhere. Virginia Department of Health in Marion prescribes all three (daily HIV pre-exposure prophylaxis, post-exposure HIV prophylaxis, and doxycycline post-exposure prophylaxis for bacterial STIs) with uninsured PrEP assistance available on-site.
Interpretation services at Virginia Department of Health in Marion are woven into the appointment itself, so questions about a diagnosis or a medication regimen get answered in the conversation rather than deferred. That direct access shapes how clearly a patient can act on what they're told.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
T.K. McKee Hospital Building, serving Saltville under federal qualification as a community health center, anchors its STI care in a sliding-scale fee structure tied directly to income. Walk-ins can pursue syphilis, gonorrhea, and chlamydia screening with costs adjusted to what each patient can actually pay.
Tests offered
Fees & payment
Stone Mountain Health Services in Damascus schedules appointments for STI care, meaning you arrive with a slot reserved and leave with results and same-visit treatment for bacterial infections like gonorrhea, chlamydia, and syphilis: plus HIV testing, HPV and hepatitis vaccines, and fees scaled to income.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Tri-Area Community Health Centers in Troutdale runs STI testing within a full community health center: meaning syphilis, chlamydia, gonorrhea, HIV, and hepatitis C are ordered alongside the rest of your primary care, on a sliding-scale fee, by appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
Southwest Virginia Community Health Systems brings community health center depth to STI care in Saltville: testing for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C, with same-visit treatment for bacterial infections, sliding-scale fees, and HPV, hepatitis A, and hepatitis B vaccines. Appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · 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 Marion, 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 Smyth 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.
340 Bagley Circle, Marion, VA 24354
CMS-certified lab Accredited · College of American Pathologists
1020 Terrace Drive - Suite 200, Marion, VA 24354
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Marion. 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, 141 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Marion. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 29 offer telehealth.
Robert Clampitt, MD
Family medicine · 1020 Terrace Drive, Marion
Randall Falls, MD
OB-GYN · 201 Francis Marion Lane, Marion
Kevin Wess, DO
Family medicine · 1205 Snider Street, Marion
Jennifer Jennings, MD Telehealth
Family medicine · 1616 North Main Street, Marion
Lindsay Wilson, DO Telehealth
Family medicine · 245 Medical Park Drive, Marion
Aaron Clampitt, MD
Family medicine · 245 Medical Park Drive, Marion
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 Marion, VA 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.
0.3 mi K -VA -T Food Stores
0.4 miT C K R
0.4 mi
0.5 mi 
0.8 mi Showing the 5 closest pharmacies to Marion, VA.
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 Marion, 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
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
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 Smyth County, the county that includes Marion, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#79 of 133 Virginia counties for chlamydia, a higher rate than 41% of the state
| Infection | Smyth County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 267 78 cases ▼ 44% | 472.8 | 492.2 |
| Gonorrhea | 65 19 cases ▼ 59% | 158.3 | 179.5 |
| Syphilis (P&S) | 3.4 1 cases ▼ 68% | 10.7 | 15.8 |
| Syphilis (early) | — no data | 9.5 | 16 |
| Syphilis (late/unknown) | 10.3 3 cases ▼ 35% | 15.8 | 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 Smyth County, chlamydia has risen from 234.9 to 267 per 100,000 (14%), gonorrhea has risen from 40.3 to 65 per 100,000 (61%), and P&S syphilis has held roughly steady from 3.4 to 3.4 per 100,000.
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 Smyth County.
Local HIV snapshot
Smyth County HIV care continuum (2022)
Smyth County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Smyth County residents living with HIV, 85% are in care · 77.5% 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 Smyth County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Marion's ridgelines catch the first light each morning, and the town's rhythm moves at the pace of people who've built lives here across decades. That stability (the retirees tending gardens, the young adults settling into jobs or raising children) makes routine STI screening part of ordinary health care rather than something exceptional. Testing in and around Marion listed on this page fits seamlessly into the kind of preventive habits that keep anyone well, whether you've lived here forty years or just moved to the area. The affordability that drew many to Marion means health decisions don't hinge on spare money.
Confidential screening happens without fanfare or long waits; results stay private between you and the clinic. Young adults in particular benefit from access to testing that's straightforward and judgment-free, removing the hesitation that sometimes keeps people from answers they need. STI screening is available through providers who understand Marion's character, a place where people know the value of a solid foundation. Whether your concern is routine or specific, getting tested here is as practical as it is discreet.
Getting there
At 5.96/20 on the EPA walkability index, day-to-day errands in Marion 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 24354 snapshot
ZIP-level Census figures for the wider 24354 area around Marion: a single ZIP can span several communities, so they describe the area, not Marion alone.
Marion sits in Smyth County, ZIP 24354. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Marion? 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 Smyth County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia 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 Marion-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 Marion 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 Virginia 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 Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia 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 VirginiaSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Smyth County reported ~267 chlamydia cases per 100,000 in 2023, below the Virginia average.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Yes, most STIs cause no symptoms for a long time, which is exactly why routine screening matters.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.