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STD Testing in Naalehu, HI: Free, Same-Day & Confidential

Naalehu residents see about 71% fewer new HIV diagnoses than the US average. If you've had a recent risk or simply test regularly in Naalehu, Hawaii, your options include community and public clinics, which are often low-cost or free, and private labs, which typically offer faster results and more flexible scheduling. The list below can help you decide what suits you best.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Naalehu, HI

6 testing options are listed for Naalehu, HI. The nearest, Hawaii Island Community Health Center, is about 0.8 miles away. Compare community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Community health center 0.8 miles

Hawaii Island Community Health Center

Where these reviews come from

Review sources

  • Google24
  • EasySTD3
Rated 3.2 out of 5 from 27 reviews

Hawaii Island Community Health Center in Naalehu is a community health center where STI testing pairs directly with same-visit treatment for bacterial infections like gonorrhea and chlamydia. Fees run on a sliding scale accepted alongside Medicaid, Medicare, and private insurance; an appointment is required.

Read full overview Show less

Prevention Prescriptions Come From This Clinic

Hawaii Island Community Health Center carries both PrEP and PEP as standing services, meaning ongoing prevention medication is something the clinic initiates and manages directly. For patients in Naalehu, that means a prescription relationship, and the follow-up labs that sustain it, without leaving the community health system.

Herpes and Hepatitis Testing Alongside the Core Panel

For anyone without a regular specialist or managing care largely out-of-pocket, Hawaii Island Community Health Center's expanded panel (covering herpes, hepatitis B, and hepatitis C in addition to HIV, syphilis, gonorrhea, and chlamydia) means a single appointment surfaces a fuller picture of what needs attention and what doesn't.

Tests & treats Sliding-scale PrEP
Address
95-5583 Mamalahoa Highway, Naalehu, HI 96772
Booking
Appointment required
Opening hours
  • Monday 7:00 AM – 5:30 PM
  • Tuesday 7:00 AM – 5:30 PM
  • Wednesday 7:00 AM – 5:30 PM
  • Thursday 7:00 AM – 5:30 PM
  • Friday 7:00 AM – 5:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 11.2 miles

Kau Hospital

No ratings yet

A safety-net rural health clinic about 11 miles from Naalehu. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
1 Kamani Street, Pahala, HI 96777
Premium Partner

Clinical Laboratories of Hawaii

Results in 1–2 days
No ratings yet
Address
1 Kamani Street, Pahala, HI 96777 11.2 miles away
Opening hours
  • Monday 8:00 AM – 4:00 PM
  • Tuesday 8:00 AM – 4:00 PM
  • Wednesday 8:00 AM – 4:00 PM
  • Thursday 8:00 AM – 4:00 PM
  • Friday 8:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Diagnostic Laboratory Services

Results in 1–2 days
No ratings yet
Address
79-1019 Haukapila Street, Kealakekua, HI 96750 38.3 miles away
Opening hours
  • Monday 6:00 AM – 3:00 PM
  • Tuesday 6:00 AM – 3:00 PM
  • Wednesday 6:00 AM – 3:00 PM
  • Thursday 6:00 AM – 3:00 PM
  • Friday 6:00 AM – 3:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Clinical Laboratories of Hawaii

Highest rated Results in 1–2 days
Where these reviews come from

Review sources

  • Google5
  • EasySTD1
Rated 5 out of 5 from 6 reviews
Address
81-980 Halekii Street, Kealakekua, HI 96750 38.3 miles away
Opening hours
  • Monday 6:00 AM – 3:00 PM
  • Tuesday 6:00 AM – 3:00 PM
  • Wednesday 6:00 AM – 3:00 PM
  • Thursday 6:00 AM – 3:00 PM
  • Friday 6:00 AM – 3:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Clinical Laboratories of Hawaii

Most reviewed Results in 1–2 days
Where these reviews come from

Review sources

  • Google38
  • EasySTD3
Rated 3.9 out of 5 from 41 reviews
Address
75-5905 Walua Road, Suite 1, Kailua-Kona, HI 96740 47.0 miles away
Opening hours
  • Monday 7:00 AM – 4:00 PM
  • Tuesday 7:00 AM – 4:00 PM
  • Wednesday 7:00 AM – 4:00 PM
  • Thursday 7:00 AM – 4:00 PM
  • Friday 7:00 AM – 4:00 PM
  • Saturday 7:00 AM – 11:00 AM
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Rate what mattered to you, no account needed. Reviews are moderated before publishing.

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Every other option

More ways to get tested in Naalehu, HI

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

At-home STD testing in Naalehu, HI

The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to Naalehu, 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.

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

Other CLIA-certified labs near Naalehu, HI

Beyond the public testing sites above, these federally certified (CLIA) labs serve Hawaii 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.

  • Clinical Labs of Hawaii-Hilo Benioff Medical CNTR

    1190 Waianuenue Avenue, Hilo, HI 96720

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
    Call Directions

  • Clinical Labs of Hawaii-Kealakekua

    81-980 Halekii Place, Unit 2, Kealakekua, HI 96750

    CMS-certified lab

    • STD testing
    Call Directions

Showing the nearest 2 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Naalehu. 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.

Nearby pharmacies

Pharmacies near Naalehu, HI

No pharmacy near Naalehu, HI 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.

Showing the 4 closest pharmacies to Naalehu, HI.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

Prevention & treatment

PrEP, prevention & online treatment

Testing is one step. For residents of Naalehu, 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.

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

STDs & HIV in Hawaii County: the local picture

How reported STI rates in Hawaii County, the county that includes Naalehu, compare with Hawaii 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.

#2 of 5 Hawaii counties for chlamydia, among the very highest in the state

Reported STD rates per 100,000, Hawaii County vs Hawaii vs U.S.

Hawaii County Hawaii U.S. ▲▼ = Hawaii County vs the state average
Infection Hawaii County Hawaii United States
Chlamydia
333.8 693 cases ▼ 23%
435.6 492.2
Gonorrhea
77.1 160 cases ▼ 39%
126.7 179.5
Syphilis (P&S)
9.6 20 cases ▼ 24%
12.7 15.8
Syphilis (early)
3.4 7 cases ▼ 51%
7 16
Syphilis (late/unknown)
10.1 21 cases ▼ 48%
19.6 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.

Reported STD rates in Hawaii County over time (per 100,000)

Chlamydia ▲ 11% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 175 350 2020202120222023

Between 2020 and 2023 in Hawaii County, chlamydia has fallen from 341.4 to 333.8 per 100,000 (2%), gonorrhea has risen from 60.8 to 77.1 per 100,000 (27%), and P&S syphilis has risen from 4 to 9.6 per 100,000 (140%).

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

What shapes testing access in and around Naalehu, HI

Adults uninsured
6.7%
No routine checkup
22.8%
No transportation
9.6%
Binge drinking
16%
Frequent mental distress
15.2%
Depression
20%
Below poverty line
14%
Primary-care ratio
1,301 : 1
Hawaii County
  • Primary-care shortage score 17 / 26
  • Medically Underserved Area · IMU 61.2
  • Social Vulnerability Index · 64th percentile nationally

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 Hawaii County.

Local HIV snapshot

HIV in Hawaii County (2023)

People living with HIV
251 / 100k
New diagnoses (2023)
7cases countywide
On PrEP (coverage)
14.8%

Hawaii County HIV care continuum (2023)

Hawaii County recorded 4 new HIV diagnoses per 100,000 (2023), against 4.8 statewide and 13.7 nationally. Among Hawaii County residents living with HIV, 87.9% are in care · 81% 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Hawaii County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines → (opens in a new tab)

17 Sources

Local resources & officials

Data & references

Local context

About Naalehu, HI

Kahua Olohu sits at the quieter end of Ka'ū, where Naalehu's neighborhoods settle into large, owner-occupied households and the kind of unhurried pace that comes with deep roots in a place. Most residents here own their homes, and household size runs well above the national average. Extended families spread across properties tucked off Mamalahoa Highway. That stability is real, but the labor-force picture tells another side: a meaningful share of working-age adults are outside formal employment, and unemployment runs high enough that scheduling anything during a narrow clinic window involves genuine tradeoffs. For the younger adults in this community, people in their late teens and twenties who are in the years when STI transmission is most common, the logistics are especially unforgiving.

Getting tested means committing to a drive along HI 11, not a quick errand. That drive calculus lands differently depending on income. With fewer than one in six households clearing a six-figure income and a significant portion of renters paying close to $900 a month, cost-free or sliding-scale services matter in a concrete way. Particularly for a renter in a single-income household stretching a modest budget across nearly four people.

Getting there

How residents reach STD testing in Naalehu, HI

Walkability 5.46 / 20 · Least walkable

At 5.46/20 on the EPA walkability index, day-to-day errands in Naalehu 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.

Map of 6 STD & STI testing locations in Naalehu, Hawaii, EasySTD

ZIP 96772 snapshot

Residents
2,556
Median age
48.4
Median income
$61,250

ZIP-level Census figures for the wider 96772 area around Naalehu: a single ZIP can span several communities, so they describe the area, not Naalehu alone.

Naalehu sits in Hawaii County, ZIP 96772. Local context that shapes where residents test:

Local landmarks

  • Kahua Olohu
  • Puu Hoomaha
  • Kapuna
  • Puu Haao
  • Kaluapuhi
  • Na'alehu

Major routes

  • HI 11 (Mamalahoa Highway)

Reference

STD testing in Naalehu, HI: screening, costs & privacy

Everything to know before you test in Hawaii County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Hawaii law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Naalehu-area provider.

InfectionEarliest reliable testSample
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
Browse all STD & STI guides

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Naalehu 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.

TestReference priceCPT / 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.

Confidentiality & consent in Hawaii

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on Hawaii 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).

Can a minor consent on their own?

In Hawaii, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

Hawaii 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 Hawaii

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Naalehu, HI

Answers to the questions people ask most before getting tested.

Where can I get tested for STDs in Naalehu, HI?

The closest is Hawaii Island Community Health Center (0.8 mi); 3 options are within 30 miles.

Does insurance cover STD testing near Naalehu, HI?

Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.

Can I get tested in Naalehu, HI without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Naalehu, HI?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Hawaii County?

About 334 cases per 100,000 residents (2023), below the Hawaii average.

Can someone under 18 get tested in Hawaii without a parent?

In Hawaii, people under 18 can consent to confidential STD testing and treatment on their own.

Can I get PrEP near Naalehu, HI?

PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.

How long do results take near Naalehu, HI?

Lab results typically come back in 1–2 days.

When will an HIV test turn positive?

Roughly 2–6 weeks by test type; a 3-month retest gives full confidence in a negative.

Can HPV cause cancer?

Some HPV types can lead to cervical and other cancers over time, which is why screening and the HPV vaccine matter.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.