Syphilis cases in Clark County are 50% more common than the US average. Whether you have symptoms or just want peace of mind in Nelson, Nevada, those seeking a test can choose between immediate walk-in clinics and flexible at-home kits or labs.
Available testing centers
4 testing options are listed for Nelson, NV. The nearest, Quest Diagnostics, is about 23.4 miles away. Compare private labs and at-home kits below.
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 23 miles away; if you'd rather skip the trip, an at-home kit ships to Nelson, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Clark 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.
1155 Raiders Way, Henderson, NV 89052
CMS-certified lab Accredited · College of American Pathologists
4230 Burnham Avenue, Las Vegas, NV 89119
CMS-certified lab Accredited · College of American Pathologists
8280 West Warm Springs Road, Las Vegas, NV 89113
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Nelson. 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, 225 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nelson. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 73 offer telehealth.
Loretta Metzger, MD Telehealth
Internal medicine · 1317 Boulder City Parkway, Boulder City
Brian Earley, DO
Family medicine · 1297 Boulder City Parkway, Boulder City
Charles Bibby, MD
Family medicine · 901 Adams Boulevard, Boulder City
Craig Jorgenson, MD
Internal medicine · 901 Adams Boulevard, Boulder City
Herve Bezard, MD
Family medicine · 895 Adams Boulevard, Boulder City
Gurinderpal Khaira, MD
Family medicine · 771 East Horizon Drive, Henderson
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 Nelson, NV 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.
18 mi 
18 mi 
22 mi Showing the 3 closest pharmacies to Nelson, NV.
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 Nelson, 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
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
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 Clark County, the county that includes Nelson, compare with Nevada and U.S. averages, based on the most recent 2023 surveillance data.
#1 of 17 Nevada counties for chlamydia, among the very highest in the state
| Infection | Clark County | Nevada | United States |
|---|---|---|---|
| Chlamydia | 537.7 12,563 cases ▲ 9% | 493.6 | 492.2 |
| Gonorrhea | 246.9 5,768 cases ▲ 21% | 204.7 | 179.5 |
| Syphilis (P&S) | 23.7 554 cases ▲ 4% | 22.7 | 15.8 |
| Syphilis (early) | 27 631 cases ▲ 24% | 21.8 | 16 |
| Syphilis (late/unknown) | 65.9 1,539 cases ▲ 16% | 56.9 | 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 Clark County, chlamydia has risen from 498.1 to 537.7 per 100,000 (8%), gonorrhea has risen from 218.5 to 246.9 per 100,000 (13%), and P&S syphilis has fallen from 27.1 to 23.7 per 100,000 (13%).
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 Clark County.
Local HIV snapshot
Federal priority area: Clark County is one of 48 U.S. counties prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Clark County HIV care continuum (2023)
Clark County recorded 25.7 new HIV diagnoses per 100,000 (2023), against 21.1 statewide and 13.7 nationally. Among Clark County residents living with HIV, 82.5% know their status · 72.6% are in care · 62.6% 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 Clark County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Nelson draws people who want to work the mines, explore the canyons, or simply disappear into the desert's quieter corners. A transient mix that means the town sees a steady flow of young adults passing through or putting down roots. That mobility, and the very real desire for privacy in a small place, makes confidential STI testing a practical necessity rather than an afterthought. Clinics and health services in and around Nelson listed on this page offer screening without fanfare; your results are your own, and the testing process moves forward with no gossip attached.
The nearest reliable testing happens through providers who understand that discretion isn't paranoia, it's just how things work when you know your neighbors' trucks. Whether you're between jobs, between towns, or settling in longer, getting screened early and regularly protects you and anyone you're with. Most facilities here handle results electronically or by phone, so you're not waiting in a lobby or explaining yourself to a receptionist you'll see at the market. Nelson's young adult population knows the value of clarity: know your status, move forward informed, and keep the details quiet.
Routine screening fits that ethic. Testing is available without judgment and without delay.
Getting there
At 3.47/20 on the EPA walkability index, day-to-day errands in Nelson 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 89046 snapshot
ZIP-level Census figures for the wider 89046 area around Nelson: a single ZIP can span several communities, so they describe the area, not Nelson alone.
Nelson sits in Clark County, ZIP 89046. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Nelson? 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 Clark County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Nevada 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 Nelson-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 Nelson 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 Nevada 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 Nevada, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Nevada 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 NevadaSource: 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 Quest Diagnostics (23.4 mi); 4 options are within 30 miles.
Medicaid generally covers STD 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 538 cases per 100,000 residents (2023), above the Nevada average.
In Nevada, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Yes, at-home kits ship to 89046; you collect a sample, mail it back, and get results in about 2–5 days.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.