Syphilis reports in Snohomish County are about 49% lower than the US average. If you've had a recent risk, or simply test on a regular schedule in Monroe North, Washington, consider the trade-offs between public clinics, private labs, and at-home kits. Clinics cost less, labs bring speedy results, and kits are convenient without leaving home. See the list below.
Available testing centers
7 testing options are listed for Monroe North, WA. The nearest, Sea Mar CHC - Monroe Fryelands Blvd. SE, is about 1.3 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.
Sea Mar CHC - Monroe Fryelands Blvd. SE, in Monroe, anchors its STI care in a sliding-scale fee model tied to income. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening without an appointment needed.
Tests offered
Fees & payment
Sea Mar Community Health Centers in Monroe tests for gonorrhea, chlamydia, syphilis, HIV, and hepatitis A, B, and C on a sliding-scale fee schedule accepted by Medicaid, Medicare, and most insurance. Appointments are required, and bacterial STIs can be treated the same visit. Care is delivered in Spanish.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Sea Mar Monroe runs hepatitis A, B, and C testing, and pairs A and B vaccination with treatment for any positive hepatitis finding. That combination means the panel addresses both acute and chronic viral liver disease, not just bacterial and retroviral infection.
Sea Mar Monroe staffs substance-use treatment as a clinical service, not a separate referral track. A patient managing an active addiction can be enrolled in treatment by the same center handling STI diagnosis and follow-up, the two programs coordinate within the same health record and provider team.
Sea Mar Monroe carries Spanish-language capacity as a staffed clinical function: providers and support staff conduct exams, explain test results, and document treatment plans directly in Spanish. The care itself happens in the language, which means clinical nuance isn't filtered through a secondary channel.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
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.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Nov 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 about 1 mile away; if you'd rather skip the trip, an at-home kit ships to Monroe North, 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.
14701 179th Avenue Southeast, Monroe, WA 98272
CMS-certified lab
17707 West Main St Flr 1, Monroe, WA 98272
CMS-certified lab
401 2nd Street, Snohomish, WA 98290
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Monroe North. 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, 2,095 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Monroe North. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 935 offer telehealth.
Philip Hassrick, MD
Family medicine · 14841 179th Avenue Southeast, Monroe
Jessica Yang, DO Telehealth
Family medicine · 14841 179th Avenue Southeast, Monroe
Evan Teplow, MD
Family medicine · 17707 West Main Street, Monroe
Yirgalem Tiruneh, MD
Internal medicine · 401 2nd Street, Snohomish
Loren Ihle, MD
Family medicine · 401 2nd Street, Snohomish
Brittany Buescher, MD Telehealth
Family medicine · 17432 State Route 9 Southeast, Snohomish
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 Monroe North, 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.
Fred Meyer Pharmacy
1.3 mi
1.6 mi 
1.9 mi Monroe Pharmacy
2.1 mi
5.0 mi Showing the 5 closest pharmacies to Monroe North, 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 Monroe North, 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.
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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 Snohomish County, the county that includes Monroe North, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% 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
Monroe North, in Snohomish County, Washington, is a mid-size, suburban community, where it's a comparatively well-off area, and roughly 42.2% are college graduates. Homeownership is the norm. Provider load runs high, so many residents pair a clinic visit with at-home kits or telehealth.
Getting there
At 7.73/20 on the EPA walkability index, day-to-day errands in Monroe North 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 98290 snapshot
ZIP-level Census figures for the wider 98290 area around Monroe North: a single ZIP can span several communities, so they describe the area, not Monroe North alone.
Monroe North sits in Snohomish County, ZIP 98290. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Monroe North? 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 Monroe North-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 Monroe North 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 7 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
No, most STIs have no visible signs, so the only way to know is to test.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.