With syphilis reports in Snohomish County 49% lower than the US average, testing is important whether it's your first STI test or a routine screening in Mill Creek East, Washington. Clinics may bill insurance or offer sliding-scale fees, while private labs often let you pay a flat self-pay price. Check the list of options below.
Available testing centers
9 testing options are listed for Mill Creek East, WA. The nearest, Pacific Medical Centers, is about 2.4 miles away. Compare community and public clinics, private labs, and at-home kits below.
Pacific Medical Centers in Bothell integrates STI care into a multispecialty medical practice, meaning gonorrhea, chlamydia, syphilis, HIV, hepatitis B, and hepatitis C testing share infrastructure with primary care. The sliding-scale fee applies to all, same-visit treatment is available for bacterial infections, and appointments are required. PrEP and PEP are prescribed on-site.
Tracking down a separate prescriber for PrEP or PEP costs time and, often, an additional specialist copay. Pacific Medical Centers holds both prescriptions in-house, so neither prevention tool requires a second appointment at a different practice to become active.
Direct-acting antiviral therapy for hepatitis C, the treatment class that achieves sustained virologic response in most patients, is managed at Pacific Medical Centers in Bothell rather than handed off to a specialist elsewhere, keeping sustained viral suppression within the same clinical relationship as the initial diagnosis.
Pacific Medical Centers tests for hepatitis B and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, which means a single visit can surface chronic viral infections that a shorter panel would miss and that require distinct treatment pathways.
Languages
English
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Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Optum Care Washington in Everett tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and both hepatitis B and C on a sliding-scale fee structure, with Medicare and insurance accepted. Appointments are required, and bacterial STIs can be treated the same visit.
Plenty of clinics cap their testing at the four-infection core (HIV, syphilis, gonorrhea, chlamydia) and send you elsewhere for everything else. Optum Care Washington runs herpes testing and full hepatitis B and C diagnostics on-site, so a single appointment covers the infections a shorter panel would leave undetected.
An untreated hepatitis C diagnosis, handed off to a specialist who isn't immediately available, can mean weeks or months of gap between knowing and treating. Optum Care Washington carries hepatitis C treatment directly, so a positive result doesn't stall out while a separate care relationship gets established.
Optum Care Washington prescribes both PrEP and PEP, and PrEP is specifically available for uninsured patients. Meaning the absence of a plan doesn't put a daily prevention regimen out of reach.
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English
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Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
ZoomCare in Lynnwood tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C, with fees billed to insurance or charged directly. Appointments required. Bacterial infections are treated same visit; PrEP and PEP are both available on-site.
ZoomCare runs serology for herpes alongside hepatitis A, B, and C antibody and antigen testing. Results interpreted by clinic staff who can initiate treatment or management within the same appointment rather than routing those findings to a separate provider.
For anyone without an established primary care relationship, or who simply wants STI prevention handled in one clinical setting, ZoomCare holds standing capacity to prescribe and monitor both PrEP and PEP, covering the medications, the baseline labs, and the follow-up visits that ongoing prevention requires.
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English
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Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Virginia Mason Franciscan Health in Lynnwood brings STI testing through a major integrated health system, pairing gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing with sliding-scale fees, same-visit bacterial treatment, and appointments for structured, coordinated care. With PrEP and PEP available on-site.
Chasing a PrEP or PEP prescription across two providers means delays, duplicate intake forms, and gaps where nothing is being done. Virginia Mason Franciscan Health in Lynnwood writes both prescriptions directly, and covers uninsured patients for PrEP, so prevention starts here, not after a second appointment.
Virginia Mason Franciscan Health tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV, which means a single visit can surface bloodborne infections that a narrower panel would leave undetected, keeping management options in front of you sooner.
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Listing verified Dec 2025 · Source: CDC NPIN
Inclusive Health in Lynnwood runs by appointment, so every visit is structured around your actual needs: rapid and conventional HIV testing, the full bacterial panel, herpes, hepatitis A, B, and C, TB, sliding-scale fees, and same-visit treatment for bacterial STIs.
Inclusive Health prescribes PrEP for ongoing HIV prevention, PEP for post-exposure management, and DoxyPEP. The doxycycline regimen that reduces bacterial STI risk after potential exposure. Having all three available at one practice means prevention strategy isn't fragmented across multiple providers.
Plenty of testing sites confirm a hepatitis C antibody result and leave the treatment question for someone else to answer. Inclusive Health carries that care forward: hepatitis C treatment is delivered on-site, alongside hepatitis B treatment, so a positive result doesn't open a gap between diagnosis and a care plan.
Many STI clinics test for gonorrhea, chlamydia, syphilis, and HIV, and that's the full list. Inclusive Health adds herpes, hepatitis A, hepatitis B, hepatitis C, and TB, covering infections that a narrower panel would leave undetected and untreated.
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English
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Listing verified Mar 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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Mill Creek East, 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 Snohomish 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.
18323 Bothell Everett Highway Suite 110, Bothell, WA 98012
CMS-certified lab Accredited · College of American Pathologists
15906 Mill Creek Blvd Suite 105, Mill Creek, WA 98012
CMS-certified lab
15418 Main St Unit 200, Mill Creek, WA 98012
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Mill Creek East. 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, 2,387 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Mill Creek East. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,027 offer telehealth.
Ying Liu, MD
OB-GYN · 16708 Bothell Everett Highway, Mill Creek
Virginia Yip, MD
Family medicine · 15418 Main Street, Mill Creek
Alicia Stone-Zipse Jones, DO
OB-GYN · 1909 214th Street Southeast, Bothell
Alexander Cantrell, MD Telehealth
Urology · 1909 214th Street Southeast, Bothell
David Dunnington, MD
Family medicine · 16523 7th Place West, Lynnwood
Philip Hassrick, MD
Family medicine · 4220 132nd Street Southeast, Mill Creek
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 Mill Creek East, WA 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.
QFC Pharmacy
1.8 mi
2.0 mi Optum Care Washington
2.1 mi
2.1 mi Fred Meyer Pharmacy
2.2 miHCT RX
2.2 miShowing the 6 closest pharmacies to Mill Creek East, WA.
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 Mill Creek East, 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
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
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 Snohomish County, the county that includes Mill Creek East, compare with Washington 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.
#24 of 39 Washington counties for chlamydia, a higher rate than 38% of the state
| Infection | Snohomish County | Washington | United States |
|---|---|---|---|
| Chlamydia | 252.7 2,135 cases ▼ 29% | 354.4 | 492.2 |
| Gonorrhea | 74.7 631 cases ▼ 42% | 129.6 | 179.5 |
| Syphilis (P&S) | 8 68 cases ▼ 62% | 21.3 | 15.8 |
| Syphilis (early) | 8.2 69 cases ▼ 34% | 12.5 | 16 |
| Syphilis (late/unknown) | 10.7 90 cases ▼ 53% | 22.9 | 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 Snohomish County, chlamydia has fallen from 321.6 to 252.7 per 100,000 (21%), gonorrhea has fallen from 98 to 74.7 per 100,000 (24%), and P&S syphilis has risen from 7.5 to 8 per 100,000 (7%).
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 Snohomish County.
Local HIV snapshot
Snohomish County HIV care continuum (2023)
Snohomish County recorded 3.8 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Snohomish County residents living with HIV, 85.2% are in care · 77.9% 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 Snohomish County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Silver Firs feels like a neighborhood that runs on routine: school drop-offs along WA 527, weekend mornings at Tambark Creek Park, and a household calendar that rarely has a blank square. That density of commitment, shared across large family units and a high rate of married couples, shapes how people here approach anything that requires carving out a solo appointment midweek. Two-thirds of households clear six figures, which sounds like a health-care story with a comfortable ending, but strong income and tight schedules can coexist in ways that quietly delay routine screening. With four or five people per household on average, and nearly three in four adults in the workforce, the logistics of a personal health errand often compete with everyone else's needs first.
Young adults in their late teens and twenties, the years when STI rates climb highest, are navigating that same crowded calendar, sometimes without the established-provider relationships that prompt a reminder. For them, knowing which options listed on this page carry same-day or walk-in availability is the practical difference between acting this week and postponing indefinitely. Cedar Grove Community Park sits near enough to several of them that combining a visit with an errand on that route keeps the threshold low enough that it actually happens.
Getting there
Mill Creek East scores 10.69/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 98012 snapshot
ZIP-level Census figures for the wider 98012 area around Mill Creek East: a single ZIP can span several communities, so they describe the area, not Mill Creek East alone.
Mill Creek East sits in Snohomish County, ZIP 98012. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Mill Creek East? 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 Snohomish County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington 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 Mill Creek East-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 Mill Creek East 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 Washington 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 Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington 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 WashingtonSource: 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 9 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.
Snohomish County reported ~253 chlamydia cases per 100,000 in 2023, below the Washington average.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 98012: self-collect, send to the lab, results in ~2–5 days.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.