Syphilis occurs in Lake County, California at a rate about 22% higher than the US average. Whether it's your first STI test or a routine screening in Middletown, California, the choice between clinics and private labs depends on your preference for billing insurance or paying a flat self-pay price. Our list below offers some testing options.
Available testing centers
7 testing options are listed for Middletown, CA. The nearest, Adventist Health Clearlake Hospital, is about 0.3 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 in Middletown. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
OLE Health - Calistoga, serving Calistoga as a federally qualified health center, welcomes walk-in patients for STI screening without an appointment. A single visit can cover syphilis, gonorrhea, and chlamydia testing, with fees set on a sliding scale tied to household income.
Tests offered
Fees & payment
Planned Parenthood Northern California in Clearlake requires an appointment and covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, hepatitis B and C, herpes, and rapid HIV) on a sliding-scale fee, with same-visit treatment for bacterial infections and Spanish spoken on-site.
Most clinics route non-English speakers through on-call interpretation, introducing lag and awkwardness into sensitive conversations. At Planned Parenthood Northern California in Clearlake, Spanish is spoken directly by staff, and interpretation services extend to other languages, so the exchange is direct, not mediated.
Many family planning providers require parental consent or notification for patients under 18, which stops younger people from seeking care at all. As a Title X clinic, Planned Parenthood Northern California in Clearlake provides legally confidential services to minors. The record stays between patient and provider.
Planned Parenthood Northern California in Clearlake prescribes both PrEP and PEP directly, meaning ongoing HIV prevention medication is managed at the same clinic handling your testing. No separate infectious disease referral needed to get started or stay on treatment.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Middletown, 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 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 Lake 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.
15145 Lakeshore Drive, Clearlake, CA 95422
CMS-certified lab
15630 18th Avenue, Clearlake, CA 95422
CMS-certified lab Accredited · Joint Commission
14709 Lakeshore Drive, Clearlake, CA 95422
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Middletown. 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, 440 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Middletown. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 140 offer telehealth.
Paolo Andreassi, MD Telehealth
Urology · 18990 Coyote Valley Road, Hidden Valley Lake
Elias Banuelos, MD Telehealth
Family medicine · 913 Washington Street, Calistoga
Cara Eberhardt, MD
Family medicine · 15322 Lakeshore Drive, Clearlake
Estrelania Williams, MD
OB-GYN · 15630 18th Avenue, Clearlake
Cassandra Heller, DO
Family medicine · 1381 University Street, Healdsburg
Judy Widger, MD
Family medicine · 1375 University Street, Healdsburg
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 Middletown, CA 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.
Lake Pharmacy
4.6 miHidden Valley Pharmacy
5.4 miSilverado Pharmacy
12 mi
12 mi Moran's Pharmacy
14 miShowing the 5 closest pharmacies to Middletown, CA.
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 Middletown, 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
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
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 Lake County, the county that includes Middletown, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#28 of 58 California counties for chlamydia, a higher rate than 52% of the state
| Infection | Lake County | California | United States |
|---|---|---|---|
| Chlamydia | 340.3 231 cases ▼ 31% | 491.1 | 492.2 |
| Gonorrhea | 123.8 84 cases ▼ 35% | 190.2 | 179.5 |
| Syphilis (P&S) | 19.2 13 cases ▲ 18% | 16.3 | 15.8 |
| Syphilis (early) | 4.4 3 cases ▼ 77% | 19.1 | 16 |
| Syphilis (late/unknown) | 36.8 25 cases ▼ 21% | 46.7 | 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 Lake County, chlamydia has fallen from 359.4 to 340.3 per 100,000 (5%), gonorrhea has fallen from 164.3 to 123.8 per 100,000 (25%), and P&S syphilis has fallen from 36.7 to 19.2 per 100,000 (48%).
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 Lake County.
Local HIV snapshot
Lake County HIV care continuum (2023)
Lake County recorded 12.2 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Lake County residents living with HIV, 87.7% are in care · 81.2% 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 Lake County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Middletown's economy has long turned on vineyards and orchards, work that brings people together seasonally and keeps the town connected to the land and to each other. That closeness, while a defining strength, is also why routine STI screening here carries quiet weight. Young adults moving through their late teens and into their thirties often weigh privacy carefully in a place where familiarity runs deep. Testing available in and around Middletown listed on this page offers the confidentiality that allows screening to happen without second-guessing.
The clinics and providers serving Middletown understand that regular testing is simply preventive care, as ordinary as any other health check. Confidentiality isn't negotiable; it's how the process works. Results stay sealed, and no one learns about your visit unless you choose to tell them. Whether you're new to the area or rooted here, screening for STIs is accessible and straightforward.
Testing takes minutes, results arrive quickly, and the path forward is always yours to set. Middletown residents can schedule an appointment with the same ease they'd use for any other health need.
Getting there
At 4.34/20 on the EPA walkability index, day-to-day errands in Middletown 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 95461 snapshot
ZIP-level Census figures for the wider 95461 area around Middletown: a single ZIP can span several communities, so they describe the area, not Middletown alone.
Middletown sits in Lake County, ZIP 95461. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Middletown? 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 Lake County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California 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 Middletown-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 Middletown 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 California 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 California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
California 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 CaliforniaSource: 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.
The closest is Adventist Health Clearlake Hospital (0.3 mi); 7 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 340 cases per 100,000 residents (2023), below the California average.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
Yes, from a reputable lab, confirm any positive with a clinician for treatment.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.