Syphilis cases in Snohomish County run about 49% below the US average. Whether you need testing after a possible exposure or as part of routine care in Marysville, Washington, consider that community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. See your options below.
Available testing centers
12 testing options are listed for Marysville, WA. The nearest, Sea Mar Community Health Centers, is about 0.9 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.
Sea Mar Community Health Centers in Marysville tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis A, B, and C, and TB, with fees on a sliding scale accepted by Medicaid, Medicare, and most insurance. Appointments are required, and bacterial STIs can be treated the same visit. With care available in Spanish.
Sea Mar conducts STI care in Spanish, which means clinical conversations (about symptoms, treatment, follow-up) happen in the same language used to make sense of them. That continuity shapes how clearly a patient can engage with their own results and next steps.
Sea Mar's testing panel includes hepatitis A, B, and C alongside the bacterial and viral STIs: infections with different transmission routes, vaccines, and treatment paths. Hepatitis C, in particular, has curative oral treatment, and identifying it here means that care can begin without routing through a separate provider.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Planned Parenthood Great Northwest Hawaii Alaska Indiana Kentucky in Marysville tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding-scale fee open to everyone; same-visit treatment is available for bacterial infections. Appointments are required.
Many clinics leave non-English speakers to navigate care with whatever they can manage in the exam room. At Planned Parenthood Great Northwest Hawaii Alaska Indiana Kentucky in Marysville, live interpretation services are available for non-English languages, so the clinical conversation happens in full. Not in shorthand.
Most sexual-health clinics don't carry the federal Title X designation that legally protects confidential family planning services for minors. This clinic does, meaning younger patients can access the full range of care without parental disclosure required by law.
Planned Parenthood Great Northwest Hawaii Alaska Indiana Kentucky in Marysville prescribes PrEP, PEP, and DoxyPEP, which means a patient building a prevention strategy, whether ongoing HIV protection or post-exposure bacterial coverage, can get every relevant prescription managed through a single provider relationship.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Sea Mar CHC - Marysville Grove St. NE, in Marysville, carries federal qualification that ties its STI screening fees directly to patient income. No flat price, no fixed barrier. Walk-ins can pursue sliding-scale syphilis, gonorrhea, and chlamydia testing without scheduling ahead.
Tests offered
Fees & payment
Skagit Regional Health in Arlington tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C on a sliding-scale fee that applies to all patients. Bacterial infections are treated the same visit; appointments are required.
Skagit Regional Health prescribes PrEP, PEP, and DoxyPEP. Three distinct drugs covering different prevention windows and exposure types. Having all three available through the same provider means monitoring labs, prescription renewals, and any protocol adjustments stay coordinated in a single chart rather than fragmented across separate referrals.
A positive hepatitis C test that ends in a referral packet often means weeks of delay before treatment begins, and, for many people, treatment that never starts at all. Skagit Regional Health carries hepatitis C treatment on-site, closing the gap between a reactive result and the antiviral course that clears the infection.
Clinics built around the four-infection panel (HIV, syphilis, gonorrhea, chlamydia) leave herpes and hepatitis A, B, and C for patients to chase elsewhere. Skagit Regional Health tests for all eight, so infections that routinely go undetected at a narrower clinic get caught in the same appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Everett-College Clinic in Everett welcomes walk-in patients without an appointment, making same-day STI screening straightforward to fit into any schedule. Federal qualification backs its sliding-scale fees, so a single visit covering syphilis, gonorrhea, and chlamydia testing is priced according to each patient's income.
Tests offered
Fees & payment
Community Health Center of Snohomish County in Everett runs on sliding-scale fees with Medicaid, Medicare, and private insurance accepted, covering gonorrhea, chlamydia, syphilis, HIV, and hepatitis A, B, and C. With same-visit treatment for bacterial infections and appointments required. Prevention includes PrEP, PEP, and DoxyPEP.
A hepatitis C diagnosis that lands without a treatment plan attached means a separate specialist, a separate intake, and weeks of delay in which the virus keeps working. Community Health Center of Snohomish County closes that gap, treatment is staffed and delivered on-site in Everett, so a confirmed diagnosis moves directly into a management plan.
The four-infection panel (gonorrhea, chlamydia, syphilis, HIV) leaves hepatitis A, B, and C unexamined, meaning someone with real exposure risk walks out with an incomplete picture. Community Health Center of Snohomish County tests all three hepatitis strains alongside the standard infections, so the result you leave with reflects the full scope of what you came in to know.
PrEP at this clinic means ongoing prescriptions paired with the regular HIV and kidney-function monitoring the regimen requires. PEP is dispensed and tracked through completion. DoxyPEP, the post-exposure doxycycline protocol for bacterial STI prevention, is also prescribed here, with medication adherence counseling built into the care rather than handed off.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Providence in Everett operates within an integrated health system, anchoring STI care (gonorrhea, chlamydia, syphilis, HIV, hepatitis B and C, and TB) in a clinical environment that pairs same-visit bacterial treatment with sliding-scale fees. Appointments are required. PrEP and PEP are available.
Providence prescribes Truvada and Descovy for PrEP, along with PEP, and handles the follow-up lab work, HIV and kidney function monitoring at 90-day intervals, that keeping someone safely on either regimen requires. Staying within one system means those results inform the prescribing clinician directly.
Providence's standing capability includes hepatitis C treatment, not only diagnosis. The antiviral prescribing and follow-up that clears the infection happen at the same site as the initial test. For anyone without a regular specialist or primary care relationship, that continuity is the practical difference between a result and a cure.
Providence tests for hepatitis B, hepatitis C, and TB in addition to gonorrhea, chlamydia, syphilis, and HIV. A panel that serves anyone whose exposure history or clinical picture goes beyond what a basic sexual-health screen covers. People managing chronic liver disease risk, needle-sharing history, or immigration health requirements will find the relevant tests in one appointment.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Snohomish County Health Department in Everett runs appointments-only visits that cover rapid and conventional HIV, hepatitis C, syphilis, gonorrhea, and chlamydia testing alongside STI treatment and DoxyPEP. With every service provided at no fee, on a sliding scale for all.
Snohomish County Health Department carries the full testing and treatment slate, bacterial STI treatment included, at no charge for every patient. For anyone navigating care without a primary provider or paying entirely out of pocket, that means nothing is gated behind a bill at the end of the visit.
Spanish-speaking patients can work through their visit, questions, and counseling directly in Spanish, and interpretation services extend that access to other languages as well. For someone whose clearest thinking happens outside of English, the conversation doesn't lose anything in translation.
Snohomish County Health Department prescribes DoxyPEP, the post-exposure antibiotic regimen that reduces bacterial STI acquisition, directly at the clinic, which means a patient who qualifies can leave with the medication rather than chasing a separate prescription.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Marysville, 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 Snohomish 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.
7520 Totem Beach Road, Tulalip, WA 98271
CMS-certified lab
4420 76th Street Northeast, Marysville, WA 98270
CMS-certified lab
2901 174th Street Northeast, Marysville, WA 98271
CMS-certified lab
8923 Soper Hill Road, Marysville, WA 98270
CMS-certified lab
Showing the nearest 4 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Marysville. 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, 1,117 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Marysville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 432 offer telehealth.
Ben Winkes, MD
Family medicine · 9710 State Avenue, Marysville
Tuyen Nguyen, MD
Family medicine · 4404 80th Street Northeast, Marysville
Christopher Beard, MD
Family medicine · 4420 76th Street Northeast, Marysville
Stanley Ling, MD
Internal medicine · 11603 State Avenue, Marysville
Jeffrey Thomas, MD
Internal medicine · 912 State Avenue, Marysville
Robert Malinak, DO
Internal medicine · 3823 172nd Street Northeast, Arlington
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 Marysville, WA 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.
Fred Meyer Pharmacy
0.8 miArlington Pharmacy
0.8 miHaggen Pharmacy
1.2 miOptum Care Washington
1.3 mi
1.5 mi Tulalip Clinical Pharmacy
1.5 miShowing the 6 closest pharmacies to Marysville, WA.
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 Marysville, 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 $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 Snohomish County, the county that includes Marysville, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#24 of 39 Washington counties for chlamydia, a higher rate than 38% of the state
| Infection | Snohomish County | Washington | United States |
|---|---|---|---|
| Chlamydia | 252.7 2,135 cases ▼ 29% | 354.4 | 492.2 |
| Gonorrhea | 74.7 631 cases ▼ 42% | 129.6 | 179.5 |
| Syphilis (P&S) | 8 68 cases ▼ 62% | 21.3 | 15.8 |
| Syphilis (early) | 8.2 69 cases ▼ 34% | 12.5 | 16 |
| Syphilis (late/unknown) | 10.7 90 cases ▼ 53% | 22.9 | 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 Snohomish County, chlamydia has fallen from 321.6 to 252.7 per 100,000 (21%), gonorrhea has fallen from 98 to 74.7 per 100,000 (24%), and P&S syphilis has risen from 7.5 to 8 per 100,000 (7%).
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 Snohomish County.
Local HIV snapshot
Snohomish County HIV care continuum (2023)
Snohomish County recorded 3.8 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Snohomish County residents living with HIV, 85.2% 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 Snohomish County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Kruse sits on Marysville's eastern edge, where larger households and a strong share of working couples mean most adults are managing multiple schedules, not just one. With roughly two-thirds of residents in the labor force, the day fills fast, and a medical appointment that requires driving out of the way often gets postponed rather than rescheduled. That schedule pressure matters most for young adults in their late teens and twenties, the years when STI rates run highest and when people are least likely to have a long-standing relationship with a primary-care provider.
Marysville skews toward homeowners, which signals some residential stability, but nearly a third of households rent at costs that leave less room for appointments that feel optional until they aren't. Larger household sizes also mean that one person's health decision tends to ripple outward, making routine screening a practical question for the whole home, not just the individual. That spread is what moves screening from an intention into a confirmed time on the calendar for Kruse families and everyone else in Marysville's zip codes.
Getting there
At 8.25/20 on the EPA walkability index, day-to-day errands in Marysville 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 98270 snapshot
ZIP-level Census figures for the wider 98270 area around Marysville: a single ZIP can span several communities, so they describe the area, not Marysville alone.
Marysville sits in Snohomish County, ZIP 98270. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Marysville? 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 Snohomish County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington 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 Marysville-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 Marysville 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 Washington 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 Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington 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 WashingtonSource: 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.
Possibly, Lake Stevens, WA is close; compare it by distance against Sea Mar Community Health Centers.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 253 cases per 100,000 residents (2023), below the Washington average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, rapid finger-stick tests are very accurate after the window period; any reactive result is confirmed with a lab test.
HPV is checked through cervical screening (often with a Pap test); there's no routine HPV test for men.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.