Syphilis rates in Strafford County are 81% below the US average. If you're in Middleton, New Hampshire preparing for a new relationship or managing ongoing care, consider your options: community clinics often provide low-cost or free testing, while private labs may deliver faster results and more scheduling flexibility. Review your options below.
Available testing centers
7 testing options are listed for Middleton, NH. The nearest, Clearchoicemd, is about 7.4 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.
A public safety-net rural health clinic about 7 miles from Middleton. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Nasson Healthcare in Springvale runs STI care by appointment, so scheduling ahead means you arrive to a visit that can cover gonorrhea, chlamydia, and syphilis testing alongside treatment and family planning: fees slide with income, and Medicaid and insurance are both accepted.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Planned Parenthood of Northern New England in Sanford runs by appointment and covers gonorrhea, chlamydia, syphilis, herpes, HIV, hepatitis B, hepatitis C, and TB testing on a sliding-scale fee, with same-visit treatment for bacterial infections and interpretation services available for non-English speakers.
For someone navigating sexual health decisions without English as a primary language, interpretation services at Planned Parenthood of Northern New England mean every clinical exchange (risk counseling, treatment options, PrEP eligibility) happens in a language that carries full meaning. That's the difference between understood care and guessed-at instructions.
Many reproductive health providers treat confidentiality for minors as a courtesy rather than a guarantee. As a Title X clinic, Planned Parenthood of Northern New England is legally bound to provide confidential family planning services to minors: a statutory protection, not a policy that can shift with staff or circumstance.
Planned Parenthood of Northern New England prescribes both PrEP and PEP directly, meaning the medications that prevent HIV acquisition, including the ongoing monitoring labs that PrEP requires to stay effective, are managed within the same clinic rather than handed off elsewhere.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 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 7 miles away; if you'd rather skip the trip, an at-home kit ships to Middleton, 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 value: single tests
$49 & 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Strafford 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.
200 Route 108, Somersworth, NH 03878
CMS-certified lab
789 Central Avenue, Dover, NH 03820
CMS-certified lab Accredited · College of American Pathologists
784 Central Avenue, Dover, NH 03820
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Middleton. 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, 241 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Middleton. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 84 offer telehealth.
Dayna Ferguson, MD
Family medicine · 240 South Main Street, Wolfeboro, NH
Brian Irwin, MD
Family medicine · 240 South Main Street, Wolfeboro, NH
Jolene Shuman, MD
Family medicine · 150 Marketplace Boulevard, Rochester, NH
Susan Paul, MD
Internal medicine · 51 Main Street, Springvale, ME
Toller Wilson, DO Telehealth
Internal medicine · 40 Winter Street, Rochester, NH
Ray Wilt, DO Telehealth
Family medicine · 21 Whitehall Road, Rochester, NH
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 Middleton, 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.
6.8 mi Hannaford Food and Drug
7.5 miCare Pharmacy
10 mi
10 mi 
10 mi 
11 mi Showing the 6 closest pharmacies to Middleton, 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 Middleton, 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 $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
$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
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 Strafford County, the county that includes Middleton, compare with New Hampshire and U.S. averages, based on the most recent 2023 surveillance data.
#2 of 10 New Hampshire counties for chlamydia, among the very highest in the state
| Infection | Strafford County | New Hampshire | United States |
|---|---|---|---|
| Chlamydia | 228.9 305 cases ▲ 16% | 196.6 | 492.2 |
| Gonorrhea | 36 48 cases ▼ 14% | 41.9 | 179.5 |
| Syphilis (P&S) | 3 4 cases ▼ 23% | 3.9 | 15.8 |
| Syphilis (early) | — no data | 1.9 | 16 |
| Syphilis (late/unknown) | 2.3 3 cases ▼ 43% | 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 Strafford County, chlamydia has fallen from 285 to 228.9 per 100,000 (20%), gonorrhea has risen from 28.3 to 36 per 100,000 (27%), and P&S syphilis has fallen from 9.2 to 3 per 100,000 (67%).
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 Strafford County.
Local HIV snapshot
Strafford County HIV care continuum (2021)
Strafford County recorded 6.1 new HIV diagnoses per 100,000 (2021), against 2.8 statewide and 13.7 nationally. Among Strafford County residents living with HIV, 77.6% are in care · 62.4% 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 Strafford County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Around Perkins Mountain and Phoebes Nable Mountain, life in Middleton has the settled rhythm of a place where most people own their homes and stay put, raising families in households that run larger than the regional norm. That kind of stability is real, but it also means the nearest clinic isn't a quick walk from anywhere; getting tested usually means a drive down NH 16 or NH 125, the White Mountain Highway corridors that connect this stretch of Strafford County to anything resembling a medical office.
For the younger adults in town, people in their twenties still figuring out relationships and routines, that drive matters more than it would somewhere denser. A trip that eats up part of an afternoon competes directly with work hours, especially with most of the local workforce actually employed and stretched thin between shifts. Scheduling something during a lunch break isn't really an option when the nearest provider is towns away.
Cost complicates it further, but unevenly. Middleton isn't a place where six figures is the norm; roughly three in ten households clear that mark, and the rest are budgeting around a mortgage or the area's rent levels. For someone renting near $1,184 a month rather than owning outright, an uninsured office visit tacked onto that budget is the real obstacle, not the distance itself.
Getting there
At 7.14/20 on the EPA walkability index, day-to-day errands in Middleton 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.
Middleton sits in Strafford County, ZIP 3887. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Middleton? 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 Strafford County: 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 Middleton-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 Middleton 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.
7 testing options are within 30 miles of Middleton, NH.
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 229 cases per 100,000 residents (2023), above the New Hampshire average.
Lab results typically come back in 1–2 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In New Hampshire, people under 18 can consent to confidential STD testing and treatment on their own.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Yes, partners should test and be treated together to avoid passing it back and forth.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.