Syphilis reports in Northampton County run about 47% lower than the national average. If you're starting a new relationship or managing ongoing care in Nassawadox, Virginia, consider your priorities for cost and speed. Community and public clinics often provide low-cost or free testing, while private labs may offer faster results and more scheduling flexibility.
Available testing centers
7 testing options are listed for Nassawadox, VA. The nearest, Virginia Department of Health, is about 0.5 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.
Virginia Department of Health in Nassawadox tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding scale accepted by Medicaid, Medicare, and most insurers; bacterial infections are treated the same visit, and appointments are required. Spanish-language care is available directly through the clinic.
When care at Virginia Department of Health in Nassawadox happens in Spanish, a diagnosis doesn't stall between appointments waiting on a separate arrangement: treatment, counseling, and prevention planning move forward at the same pace as any other visit.
Virginia Department of Health in Nassawadox holds Ryan White funding, which means HIV care doesn't end at a positive result. Ongoing treatment and management are supported through the same program, keeping a patient's care continuous rather than fragmented.
Virginia Department of Health in Nassawadox prescribes PrEP, PEP, and DoxyPEP, so a patient building a prevention strategy, whether daily HIV prophylaxis or post-exposure bacterial protection, leaves with an actual prescription rather than directions to find one elsewhere.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Franktown Community Health CTR in Franktown welcomes walk-ins for STI screening, no appointment needed. Federal FQHC certification anchors its sliding-scale fee structure, letting cost adjust to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
Tests offered
Fees & payment
Eastern Shore Rural Health System is a rural health clinic in Eastville where STI care runs by appointment: gonorrhea, chlamydia, and syphilis testing alongside treatment, family planning, and hepatitis A and B vaccines, all on a sliding-scale fee accepted alongside Medicaid, Medicare, and private insurance.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 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 Nassawadox, 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 for simplicity & support
$89 & up
Best value: single tests
$49 & 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.
Local clinicians
Beyond dedicated clinics, 20 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nassawadox. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 4 offer telehealth.
Jeniffer Naitore, MD
Internal medicine · 10085 William F Bernart Circle, Nassawadox
Frances Williams, MD Telehealth
Family medicine · 10243 Rogers Road, Nassawadox
John Cothern, DO
Family medicine · 17068 Lankford Highway, Eastville
Albert Halls, MD
Family medicine · 20306 Badger Lane, Onley
Hamilton Bice, DO
Family medicine · 216 Mason Avenue, Cape Charles
Jeremy Grant, MD
OB-GYN · 20486 Market Street, Onancock
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 Nassawadox, VA 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.
Rayfield's Pharmacy
0.2 miShore Health SVC
0.2 miShore Pharmacy
4.4 miExpress RX
11 mi
16 mi Showing the 5 closest pharmacies to Nassawadox, VA.
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 Nassawadox, 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 $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
$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
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 Northampton County, the county that includes Nassawadox, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#49 of 133 Virginia counties for chlamydia, a higher rate than 63% of the state
| Infection | Northampton County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 391 47 cases ▼ 17% | 472.8 | 492.2 |
| Gonorrhea | 116.5 14 cases ▼ 26% | 158.3 | 179.5 |
| Syphilis (P&S) | 8.3 1 cases ▼ 22% | 10.7 | 15.8 |
| Syphilis (early) | — no data | 9.5 | 16 |
| Syphilis (late/unknown) | — no data | 15.8 | 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 Northampton County, chlamydia has fallen from 569.9 to 391 per 100,000 (31%), gonorrhea has fallen from 203.5 to 116.5 per 100,000 (43%), and P&S syphilis has fallen from 24.4 to 8.3 per 100,000 (66%).
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 Northampton County.
Local HIV snapshot
Northampton County HIV care continuum (2022)
Northampton County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Northampton County residents living with HIV, 73.7% are in care · 68.4% 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 Northampton County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 13, Lankford Highway cutting straight through the Eastern Shore, is the road most Nassawadox residents depend on to reach any clinic listed on this page, and that drive is the first real consideration for anyone thinking about getting tested. With nearly half the town renting at rates that leave little room for unexpected costs, the fee structure and hours of the options listed here matter as much as the distance. Low-cost or sliding-scale availability isn't a bonus feature; for a community where homeownership and renting sit almost evenly balanced, it can determine whether a visit actually gets scheduled. The labor-force picture adds another layer. A participation rate well below national norms means a significant share of residents are outside traditional employment schedules (caring for family, managing seasonal work, or navigating gaps) which shapes when a clinic visit is even possible.
Younger adults in their late teens and twenties benefit most from options that don't demand a cleared calendar or a co-pay that stings. Nassawadox households tend to be multi-person, with average sizes running close to three, and only about one in four adults is married. Meaning a lot of people are managing health decisions independently, without a partner prompting follow-through. For someone in Collins Estates or Cardinal Estates, a routine screening is simply one more errand on Lankford Highway.
Getting there
At 6.87/20 on the EPA walkability index, day-to-day errands in Nassawadox 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 23413 snapshot
ZIP-level Census figures for the wider 23413 area around Nassawadox: a single ZIP can span several communities, so they describe the area, not Nassawadox alone.
Nassawadox sits in Northampton County, ZIP 23413. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Nassawadox? 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 Northampton County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia 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 Nassawadox-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 Nassawadox 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 Virginia 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 Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia 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 VirginiaSource: 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 3 options within a 30-mile drive.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Northampton County reported ~391 chlamydia cases per 100,000 in 2023, below the Virginia average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 23413: self-collect, send to the lab, results in ~2–5 days.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.