There are 62% fewer chlamydia cases in Mathews County than in the US generally, yet STI testing is important before starting a new relationship, or as part of ongoing care in Mathews County, Virginia. Community and public clinics often provide low-cost or free testing, whereas private labs usually give faster results with more flexible scheduling. See the options below.
Available testing centers
7 testing options are listed for Mathews, VA. The nearest, Virginia Department of Health, is about 10.9 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.
Virginia Department of Health in Gloucester tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and TB on a sliding-scale fee open to all, with same-visit treatment for bacterial STIs; appointments are required. Care is delivered in Spanish.
Virginia Department of Health in Gloucester conducts clinical services (including STI counseling, HIV testing, and PrEP education) in Spanish without relay or intermediary. That means clinical nuance, dosing instructions, and adherence guidance reach Spanish-speaking patients in the same room, in the same visit, from the provider.
Without Ryan White support at this clinic, a patient managing HIV faces a broken chain: testing at one address, medication at another, and adherence counseling somewhere else entirely. Virginia Department of Health in Gloucester holds that entire continuum (HIV testing, medical treatment, and medication adherence education) under Ryan White funding, so care doesn't fracture between providers.
Plenty of clinics prescribe PrEP and stop there. Virginia Department of Health in Gloucester also carries DoxyPEP, doxycycline post-exposure prophylaxis for bacterial STI prevention, alongside both PrEP and PEP, giving patients access to a fuller modern prevention toolkit rather than a single-tool approach.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Northern Neck Middlesex Free Health Clinic in Topping bases fees on income, so cost adjusts to what each patient can actually pay. STI screening covers syphilis, gonorrhea, chlamydia, and HIV testing. Appointments required to get started.
Languages
English
Tests offered
Serves
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Gloucester Mathews Care Clinic, a community care clinic in Gloucester, pairs STI testing (gonorrhea, chlamydia, syphilis, and rapid HIV) with family planning and treatment, all on a no-fee, donations-accepted basis. Appointments are required.
When cost is the reason someone delays getting tested or skips treatment after a diagnosis, an untreated infection continues, and spreads. Gloucester Mathews Care Clinic charges nothing for any service it provides, so that calculation never gets in the way of care that should have happened sooner.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · 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 11 miles away; if you'd rather skip the trip, an at-home kit ships to Mathews, 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 for simplicity & support
$89 & up
Best range: couples & full panels
$79 & 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.
Local clinicians
Beyond dedicated clinics, 368 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Mathews. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 169 offer telehealth.
Christian Wathen, MD Telehealth
Internal medicine · 9184 Buckley Hall Road, Mathews
Sterling Ransone Telehealth
Family medicine · 16681 Puller Highway, Deltaville
Jerrid Neeley
OB-GYN · 6750 Main Street, Gloucester
Brigitte Wolf-Small, MD
Family medicine · 9891 General Puller Highway, Hartfield
Ronald Haggerty, MD Telehealth
Internal medicine · 6609 Main Street, Gloucester
Sebastian Prokop, MD
Family medicine · 5659 Pkwy Drive, Gloucester
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 Mathews, 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.
Lynette R Glockner
0.2 mi
11 mi Middlesex Pharmacy
11 mi
11 mi Upper Mattaponi Indian Tribe
12 miWest Point Acquisition
12 miShowing the 6 closest pharmacies to Mathews, 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 Mathews, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$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
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 Mathews County, the county that includes Mathews, compare with Virginia 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.
#105 of 133 Virginia counties for chlamydia, a higher rate than 21% of the state
| Infection | Mathews County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 187.9 16 cases ▼ 60% | 472.8 | 492.2 |
| Gonorrhea | 35.2 3 cases ▼ 78% | 158.3 | 179.5 |
| Syphilis (P&S) | — no data | 10.7 | 15.8 |
| Syphilis (early) | — no data | 9.5 | 16 |
| Syphilis (late/unknown) | — no data | 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 Mathews County, chlamydia has risen from 187.5 to 187.9 per 100,000 (0%), and gonorrhea has risen from 23.4 to 35.2 per 100,000 (50%).
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 Mathews County.
Local HIV snapshot
Mathews County HIV care continuum (2023)
Mathews County recorded 0 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Mathews County residents living with HIV, 93.3% are in care · 93.3% 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 Mathews County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Route 14 threads through Mathews past the Mathews Maritime Museum and out toward the water, connecting a community where more than half of adults are married and most households are small: two or three people making shared decisions about health, schedules, and what gets prioritized in a given month. That household character matters when it comes to screening: in a place where labor-force participation is strikingly low, daily rhythms don't follow a conventional nine-to-five, which can cut both ways. More flexibility in theory, but also fewer employer-nudged health benefits keeping routine care on anyone's radar. With close to half of residents renting rather than owning, some households are navigating cost pressures that quietly shape what feels affordable.
Testing fees, even modest ones, can weigh differently here when no household in the data earns into the higher brackets. Younger adults in Mathews represent a smaller slice of the population than in most Virginia localities, but STI rates in Mathews County are still a present reality rather than an abstract statistic. For someone living along these back roads, knowing those county figures and having had a recent test means the numbers describe someone else's situation. Not an open question.
Getting there
At 5.35/20 on the EPA walkability index, day-to-day errands in Mathews 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 23109 snapshot
ZIP-level Census figures for the wider 23109 area around Mathews: a single ZIP can span several communities, so they describe the area, not Mathews alone.
Mathews sits in Mathews County, ZIP 23109. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Mathews? 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 Mathews 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 Mathews-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 Mathews 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Mathews County reported ~188 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.
At-home kits mail to 23109: self-collect, send to the lab, results in ~2–5 days.
Yes, the HPV vaccine prevents the types most linked to cancer and genital warts; it's recommended through age 26 (and some adults to 45).
It checks for the p24 antigen plus antibodies, detecting HIV a week or two sooner than older tests.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.