Gonorrhea reports in Hillsborough are about 60% lower than the overall US average. If you live in Merrimack, New Hampshire, and are considering STI testing whether you have symptoms or just want peace of mind, weigh the cost and convenience of community or public clinics against the faster results and scheduling flexibility of private labs. See the options below.
Available testing centers
11 testing options are listed for Merrimack, NH. The nearest, Convenient MD Urgent Care, is about 1.7 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.
Convenient MD Urgent Care in Merrimack runs gonorrhea, chlamydia, and syphilis testing alongside STI treatment and the mpox vaccine through a walk-in urgent-care model, with sliding-scale fees and no appointment needed to be seen.
Convenient MD Urgent Care in Merrimack charges nothing for any of its services: testing, treatment, and the mpox vaccine included. For anyone paying out of pocket or without a regular provider to bill through, that standing policy means care without a cost calculation attached to every decision.
Languages
English
Tests offered
Care services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Harbor Care Health and Wellness Center in Nashua welcomes walk-ins for STI screening, no appointment needed. Federally qualified status anchors its sliding-scale fees, adjusting costs to income so anyone can afford a visit covering syphilis, gonorrhea, and chlamydia testing in one stop.
Tests offered
Fees & payment
Dartmouth Health in Nashua charges nothing for any service it provides: HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B and C, and TB testing are all free, as are same-visit bacterial treatments, HPV and hepatitis A vaccines, and PrEP. Appointments are required.
The zero-cost structure at Dartmouth Health isn't a discount tier or income-screened program: it's operationally baked into Ryan White and public-health funding that covers staffing, labs, and medications alike. PrEP prescriptions, hepatitis C treatment, and HIV medical management are all included under that same funding umbrella, with no separate billing pathway.
Spanish is available as a direct-service language at Dartmouth Health in Nashua, meaning clinical conversations (risk counseling, medication adherence education, TB treatment protocols) happen in Spanish without routing through an intermediary. For other languages, interpretation services are operationally in place across the full range of appointments.
Many testing sites hand off a positive result to a separate HIV care provider, leaving a gap between diagnosis and ongoing management. Dartmouth Health's Ryan White funding closes that gap: rapid and conventional HIV testing, medical treatment, and medication adherence counseling all run continuously within the same clinic.
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
Harbor Care in Nashua covers gonorrhea, chlamydia, syphilis, hepatitis A, B, and C, TB, and HIV testing, treating bacterial infections the same visit on a sliding-scale fee that runs down to no charge at all. Appointments required.
Harbor Care's sliding scale is staffed and structured to absorb the full cost: the clinic carries a no-fee tier built into its fee schedule, so the panel, treatment, vaccines, and PrEP prescriptions are all invoiced at zero when income qualifies. No separate application, no secondary program enrollment.
Harbor Care provides services directly in Spanish, with interpretation available for additional languages beyond that: meaning clinical conversations about medication adherence, hepatitis C treatment protocols, and PrEP dosing happen in the language a patient uses naturally, not through a secondary layer.
For anyone without a regular prescriber, paying cash or navigating gaps in coverage, Harbor Care holds the full PrEP capability in one place: initial evaluation, prescription, and the ongoing medication adherence counseling that keeps the regimen effective over time.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
Lamprey Health Care - Nashua Soup Kitchen & Shelter - Spring Street, in Nashua, carries federally qualified health center designation, which ties its STI screening fees directly to patient income on a sliding scale. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing without an appointment.
Tests offered
Fees & payment
Nashua Division of Public Health and Community Services requires an appointment, and that single visit covers HIV (rapid and conventional), hepatitis B and C, syphilis, gonorrhea, chlamydia, herpes, and TB: with same-visit treatment for bacterial STIs, HPV and hepatitis A vaccines, and all services at no fee.
When cost is part of the equation, a fee at any point in care (testing, treatment, counseling) can be the reason something goes untreated. At the Nashua Division of Public Health and Community Services, every service, from the initial test through STI treatment and PrEP, carries no charge, so cost never becomes the reason a visit doesn't happen or a prescription goes unfilled.
The Nashua Division of Public Health and Community Services delivers care directly in American Sign Language, Chinese, French, and Haitian Creole: meaning the clinical conversation, not just check-in, happens in a language the patient uses fluently, which matters when the topic is a treatment plan, a prevention medication, or a TB protocol.
The Nashua Division of Public Health and Community Services prescribes both PrEP and PEP, which means a patient leaving with a prevention plan leaves with an actual prescription, not a referral to sort out elsewhere, keeping the gap between decision and medication as short as possible.
Languages
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Lamprey Health Care in Nashua runs by appointment and covers gonorrhea, chlamydia, syphilis, rapid and conventional HIV, and TB testing on a sliding-scale fee accepted by Medicaid, Medicare, and most insurers: bacterial STIs treated same visit, HPV and hepatitis A and B vaccines available, with care delivered in Portuguese and Spanish.
Lamprey Health Care maintains substance-use treatment as a named clinical service, not a separate referral track. A patient managing both an STI and a substance-use condition is seen within the same practice, where providers can coordinate prescribing, monitor treatment progress, and schedule follow-up together rather than across disconnected programs.
As a Title X-funded site, Lamprey Health Care is legally required to keep family planning services for minors confidential: meaning the visit, testing, and any resulting care are not disclosed to a parent or guardian without the patient's consent. That protection is built into Title X's federal framework and governs how records are handled operationally.
Portuguese and Spanish are staffed languages at Lamprey Health Care in Nashua: used in the exam room, during counseling, and across the care visit itself. That means prescriptions are explained, symptoms are discussed, and follow-up instructions are given directly in the language the provider and patient share.
Languages
English, Portuguese, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Merrimack, 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 Hillsborough, 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.
452 Old Street Road, Peterborough, NH 03458
CMS-certified lab Accredited · College of American Pathologists
135 Hooksett Road, Manchester, NH 03104
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 Merrimack. 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, 1,306 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Merrimack. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 522 offer telehealth.
Corey Gittleman, MD Telehealth
Family medicine · 4 Dobson Way, Merrimack
Debra Garlin, DO Telehealth
Family medicine · 399 Daniel Webster Highwy, Merrimack
Mark Timmerman, MD
Family medicine · 454 Daniel Webster Highway, Manchester
Mary Merkel, DO Telehealth
Family medicine · 294 Daniel Webster Highway, Merrimack
Andrew Wuu Telehealth
Family medicine · 294 Daniel Webster Highway, Merrimack
Geetika Sharma, MD Telehealth
Infectious disease · 29 Northwest Boulevard, Nashua
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 Merrimack, NH 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.
3.0 mi 
3.7 mi Hannaford Supermarket & Pharmacy
4.6 miShowing the 3 closest pharmacies to Merrimack, NH.
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 Merrimack, 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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Hillsborough, the county that includes Merrimack, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data.
#1 of 10 New Hampshire counties for chlamydia, among the very highest in the state
| Infection | Hillsborough | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 277.5 1,186 cases ▲ 41% | 196.6 | 492.2 |
| Gonorrhea | 71.8 307 cases ▲ 71% | 41.9 | 179.5 |
| Syphilis (P&S) | 4.2 18 cases ▲ 8% | 3.9 | 15.8 |
| Syphilis (early) | 3.7 16 cases ▲ 95% | 1.9 | 16 |
| Syphilis (late/unknown) | 6.3 27 cases ▲ 57% | 4 | 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 Hillsborough, chlamydia has risen from 267.7 to 277.5 per 100,000 (4%), gonorrhea has risen from 57.7 to 71.8 per 100,000 (24%), and P&S syphilis has fallen from 4.7 to 4.2 per 100,000 (11%).
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 Hillsborough.
Local HIV snapshot
Hillsborough HIV care continuum (2023)
Hillsborough recorded 4.6 new HIV diagnoses per 100,000 (2023), against 2.8 statewide and 13.7 nationally. Among Hillsborough residents living with HIV, 78.6% are in care · 72.6% 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 Hillsborough tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Merrimack's rhythm turns on work and family: the kind of place where people buy a house and stay, where weekday mornings move fast and weekends belong to the people you live with. That stability, though, can make health questions feel harder to ask, especially the ones you'd rather keep private. Confidential STI testing in and around Merrimack lets you get screened without announcement or delay, on your own timeline, whether you're establishing a new relationship or simply keeping routine care current. The testing sites listed on this page sit within reach of most residents.
Walk-in appointments and online scheduling both exist; same-day results are common at several locations. Because many people here work full schedules or manage household responsibilities, clinics near Everett Turnpike and Daniel Webster Highway stay open into evening hours and offer weekend slots. Practical scheduling for lives that don't pause. Young adults especially benefit from straightforward, judgment-free screening.
Merrimack's strong sense of community can make privacy feel precious, which is why knowing that test results stay confidential (not shared with employers, family, or neighbors) matters so much here. Testing is a private choice, and the process is built to keep it that way.
Getting there
At 7.3/20 on the EPA walkability index, day-to-day errands in Merrimack 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.
Merrimack sits in Hillsborough, ZIP 3054. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Merrimack? 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 Hillsborough: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Hampshire 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 Merrimack-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 Merrimack 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 New Hampshire 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 New Hampshire, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Hampshire 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 New HampshireSource: 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 11 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
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.
Hillsborough reported ~278 chlamydia cases per 100,000 in 2023, above the New Hampshire average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Herpes isn't in standard panels unless you have symptoms, a sore can be swabbed, or a blood test discussed with a provider.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.