Syphilis in Loudoun County is 81% lower than in the U.S. overall. Whether you are looking for STI testing in Middleburg, Virginia before starting a new relationship or as part of ongoing care, you have options. Middleburg residents can see a provider in a clinic to ask questions and start treatment, or use an at-home kit for sample collection on your own schedule.
Available testing centers
7 testing options are listed for Middleburg, VA. The nearest, Sunrise Mid Atlantic Laboratories, is about 9.3 miles away. Compare community and public clinics, private labs, and at-home kits below.
Night Watch Urgent Care in Aldie charges on a fee basis and accepts Medicaid and private insurance; walk-ins are welcome for gonorrhea, chlamydia, syphilis, rapid and conventional HIV, herpes, hepatitis A, B, and C, and TB, with same-visit treatment for bacterial STIs, in American Sign Language, Chinese, French, and Haitian Creole.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Night Watch Urgent Care draws and processes herpes and hepatitis A, B, and C testing on-site, with TB testing and treatment folded in as well: meaning the ordering, specimen collection, and follow-up care all run through the same clinical team.
Night Watch Urgent Care holds the prescribing and management of both PrEP and PEP in-house, a practical fit for someone who lacks a primary-care provider or needs prevention medication sourced quickly without coordinating across multiple practices.
Night Watch Urgent Care provides care directly in American Sign Language, Chinese, French, and Haitian Creole, which means that for speakers of those languages, clinical history-taking, test explanation, and treatment discussion happen in the same language. No relay through a third service.
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 Apr 2026 · Source: CDC NPIN
Inova-GoHealth Urgent Care in Chantilly tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C on a sliding-scale fee that applies to everyone. No appointment is required, and bacterial STIs can be treated the same visit.
The panel at Inova-GoHealth runs to eight infections: gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C. Hepatitis typing matters: A, B, and C have different transmission routes, treatment paths, and vaccine implications, and distinguishing among them requires separate tests that are all available here.
Inova-GoHealth has interpretation services available for non-English languages, meaning a clinician can take a full history, explain test results, and walk through a treatment plan in the language a patient uses. Not reduced to gestures or a follow-up call.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
UVA Health in Haymarket accepts Medicaid and most private insurance for STI care, covering gonorrhea, chlamydia, and HIV testing alongside PrEP, DoxyPEP, and HPV and hepatitis vaccines. Appointments are required, and interpretation services are available for non-English speakers.
UVA Health Haymarket offers interpretation services for non-English languages at the point of care, not as an add-on arranged separately. That means clinical conversations about medication regimens, vaccine schedules, and test results happen in the language the patient uses, without a separate coordination step.
UVA Health carries PrEP for ongoing HIV prevention, PEP for post-exposure management, and DoxyPEP, the antibiotic regimen that reduces bacterial STI transmission, all prescribable from a single clinical relationship. For anyone without a regular primary care provider, having all three prevention options available through one appointment-based practice removes the need to coordinate across multiple providers.
Languages
English, Interpretation Services Available for Non-English Languages
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 about 9 miles away; if you'd rather skip the trip, an at-home kit ships to Middleburg, 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 Loudoun 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.
24440 Stone Springs Boulevard, Dulles, VA 20166
CMS-certified lab Accredited · Joint Commission
22505 Landmark Court, Ashburn, VA 20148
CMS-certified lab Accredited · College of American Pathologists
45745 Nokes Boulevard - Suite 160, Sterling, VA 20166
CMS-certified lab Accredited · AABB
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Middleburg. 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, 1,672 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Middleburg. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 802 offer telehealth.
Frederick Griffith, MD
Family medicine · 204 East Federal Street, Middleburg
Norris Royston, MD
Family medicine · 8255 East Main Street, Marshall
Kevin Olson, MD Telehealth
Family medicine · 4197 C Winchester Road, Marshall
Darya Beheshtin, MD Telehealth
Family medicine · 41816 Fenway Circle, Ashburn
Celeste Harnden, MD
Family medicine · 24440 Stone Springs Boulevard, Dulles
Christopher Young, MD
OB-GYN · 24440 Stone Springs Boulevard, Dulles
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 Middleburg, 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.
0.4 mi Middleburg Pharmacy
0.4 miVirginia Pharmacies
9.6 miFifth Sanitary Food Store
9.7 miGiant Pharmacy
10 mi
11 mi Showing the 6 closest pharmacies to Middleburg, 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 Middleburg, 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 Loudoun County, the county that includes Middleburg, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#101 of 133 Virginia counties for chlamydia, a higher rate than 24% of the state
| Infection | Loudoun County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 206.3 900 cases ▼ 56% | 472.8 | 492.2 |
| Gonorrhea | 43.8 191 cases ▼ 72% | 158.3 | 179.5 |
| Syphilis (P&S) | 3 13 cases ▼ 72% | 10.7 | 15.8 |
| Syphilis (early) | 2.3 10 cases ▼ 76% | 9.5 | 16 |
| Syphilis (late/unknown) | 6.2 27 cases ▼ 61% | 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 Loudoun County, chlamydia has fallen from 210.2 to 206.3 per 100,000 (2%), gonorrhea has risen from 24.9 to 43.8 per 100,000 (76%), and P&S syphilis has risen from 2.6 to 3 per 100,000 (15%).
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 Loudoun County.
Local HIV snapshot
Loudoun County HIV care continuum (2023)
Loudoun County recorded 4.7 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Loudoun County residents living with HIV, 73.6% are in care · 66.9% 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 Loudoun County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Middleburg's name reflects its founding geography, a settlement positioned between eastern and western Virginia, and that middling spirit still shapes the town today. The National Sporting Library & Museum and the Middleburg Historic District anchor a community where equestrian heritage and tradition run deep, yet the town draws a steady population of young adults in their late teens through thirties who move here for work, school, or simply to settle. For this younger demographic, access to confidential STI testing without fanfare or social friction becomes a practical necessity. Testing services in and around Middleburg are listed on this page, available through local providers and regional clinics within reach.
Confidentiality here isn't theoretical, it's operational. Results are yours alone; no automatic alerts go to employers, family, or social circles. The town's comfortable, established character sometimes makes people hesitant to seek care locally, yet privacy protections are built into how testing works everywhere. Getting screened early and regularly, whether you're partnered, single, or exploring, catches infections before symptoms appear and before transmission occurs.
Middleburg's healthcare infrastructure supports that straightforward approach. Whether you visit a clinic listed on this page or seek care nearby, the process is direct: find a time that works, get tested, and receive results confidentially.
Getting there
At 7.92/20 on the EPA walkability index, day-to-day errands in Middleburg 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 20117 snapshot
ZIP-level Census figures for the wider 20117 area around Middleburg: a single ZIP can span several communities, so they describe the area, not Middleburg alone.
Middleburg sits in Loudoun County, ZIP 20117. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Middleburg? 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 Loudoun 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 Middleburg-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 Middleburg 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.
Nearest is Sunrise Mid Atlantic Laboratories, about 9.3 mi away; 7 are within 30 miles. An at-home kit shipped to 20117 also works.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Loudoun County reported ~206 chlamydia cases per 100,000 in 2023, below the Virginia average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Herpes isn't curable, but daily or as-needed antiviral medicine controls outbreaks and lowers the chance of passing it on.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
It can: too soon and a real infection may not show yet. Retest after the window to be sure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.