Gonorrhea in Nevada County is about 60% less common than the US average. If you are in Nevada City, California, and considering testing before starting a new relationship or as part of ongoing care, there are several options. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. See your options listed below.
Available testing centers
9 testing options are listed for Nevada City, CA. The nearest, Searls Avenue, is about 0.6 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.
Searls Avenue in Nevada City structures its fees on a sliding income scale, so cost doesn't keep anyone from care. As a federally qualified health center, it offers STI screening for syphilis, gonorrhea, and chlamydia. No appointment needed to get tested.
Tests offered
Fees & payment
Providence Mine, serving Nevada City, earned its federal health center designation by tying fees to income on a sliding scale: walk in without an appointment and leave having addressed syphilis, gonorrhea, and chlamydia screening in a single visit.
Tests offered
Fees & payment
Western Sierra Medical Clinic in Grass Valley requires an appointment, and that scheduled visit covers gonorrhea, chlamydia, syphilis, and HIV testing alongside TB screening, family planning, and hepatitis A and B vaccines: all on a sliding-scale fee accepted alongside Medicaid, Medicare, and insurance.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
Nevada County Citizens for Choice in Grass Valley charges nothing for STI and HIV testing: free across the board, with Medicaid and private insurance also accepted. The clinic tests for gonorrhea, chlamydia, herpes, and HIV, treats bacterial infections and hepatitis B on-site, and offers walk-in appointments.
Every service at Nevada County Citizens for Choice (testing, treatment, education, condoms) carries no charge, and Medicaid or private insurance can be billed if you have it. That means the fee structure never becomes a reason to skip a follow-up or leave a service on the table.
Spanish is available as a direct mode of care at Nevada County Citizens for Choice in Grass Valley, not as an add-on. Patients whose primary language is Spanish can ask questions, understand results, and make decisions in the same conversation. Without switching registers mid-visit.
The clinic runs herpes testing through the same visit as gonorrhea, chlamydia, and HIV. A single blood draw or swab collected and processed on-site rather than through a separate referral order. Clinicians interpret results in the context of the full panel, so herpes findings are addressed alongside everything else.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Chapa-de Indian Health in Grass Valley tests for HIV, gonorrhea, chlamydia, syphilis, and TB, treating bacterial infections the same visit. All on a sliding-scale fee structure that accepts Medicare and most insurance. Appointments are required, and care is delivered in Spanish.
Many clinics handle Spanish through workarounds, a call-in service, a borrowed phone, a voice on speaker. At Chapa-de Indian Health in Grass Valley, Spanish is a working language of the clinic itself, so conversations about symptoms, treatment, and follow-up happen directly, without an intermediary filtering what gets said.
For someone managing both substance use and sexual health, especially without a regular primary care provider, Chapa-de Indian Health in Grass Valley holds both programs in one place. Substance-use treatment and STI care coordinate under the same roof, so neither concern gets deferred while the other is addressed.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
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 Nevada City, 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 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 Nevada 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.
10121 Pine Avenue, Truckee, CA 96161
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 1 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Nevada City. 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, 109 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nevada City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 69 offer telehealth.
Jessica Hamilton, MD
Family medicine · 844 Old Tunnel Road, Grass Valley
Erin Macdonald, MD
OB-GYN · 280 Sierra College Drive, Grass Valley
Phillip Kintner, MD
OB-GYN · 280 Sierra College Drive, Grass Valley
Glenn Gookin, MD
Family medicine · 280 Sierra College Drive, Grass Valley
Jon Pritchett, MD Telehealth
Family medicine · 280 Sierra College Drive, Grass Valley
Mehwish Khan, MD Telehealth
Internal medicine · 300 Sierra College Drive, Grass Valley
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 Nevada City, CA 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.
Dokimos Nevada City Pharmacy
0.5 mi
1.8 mi Western Sierra Pharmacy
1.8 mi
1.8 mi 
1.9 mi Showing the 5 closest pharmacies to Nevada City, CA.
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 Nevada City, 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 Nevada County, the county that includes Nevada City, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~14% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#49 of 58 California counties for chlamydia, a higher rate than 16% of the state
| Infection | Nevada County | California | United States |
|---|---|---|---|
| Chlamydia | 170.5 174 cases ▼ 65% | 491.1 | 492.2 |
| Gonorrhea | 71.5 73 cases ▼ 62% | 190.2 | 179.5 |
| Syphilis (P&S) | 9.8 10 cases ▼ 40% | 16.3 | 15.8 |
| Syphilis (early) | 2 2 cases ▼ 90% | 19.1 | 16 |
| Syphilis (late/unknown) | 3.9 4 cases ▼ 92% | 46.7 | 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 Nevada County, chlamydia has fallen from 192.7 to 170.5 per 100,000 (12%), gonorrhea has risen from 55.8 to 71.5 per 100,000 (28%), and P&S syphilis has risen from 4.9 to 9.8 per 100,000 (100%).
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 Nevada County.
Local HIV snapshot
Nevada County HIV care continuum (2023)
Among Nevada County residents living with HIV, 81.5% are in care · 71.5% 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 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 Nevada County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Walking toward the Nevada Theatre or browsing the shops around it, you'll pass people at every life stage: many of them single, unattached, or building lives on their own terms. That mix means STD testing in and around Nevada City serves a distinctly individual clientele, where a clinic visit is nobody's business but yours. Young adults moving through their twenties and thirties often have the most straightforward approach to screening: they get tested because it's the right move, not because circumstances forced the question. Nevada City's testing clinics, listed on this page, understand that confidentiality isn't theater.
Results don't travel through family networks or workplace gossip the way they might elsewhere. A screening here is between you and the provider, a straightforward health step, not an event that reshapes your standing in town. The area's character as a place where people live independently, without the weight of constant social overlap, makes routine testing feel accessible. Whether you're established locally or newer to the region, getting tested fits into ordinary healthcare, not crisis management.
Getting there
At 6.8/20 on the EPA walkability index, day-to-day errands in Nevada City 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 95959 snapshot
ZIP-level Census figures for the wider 95959 area around Nevada City: a single ZIP can span several communities, so they describe the area, not Nevada City alone.
Nevada City sits in Nevada County, ZIP 95959. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Nevada City? 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 Nevada County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California 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 Nevada City-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 Nevada City 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 California 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 California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
California 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 CaliforniaSource: 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.
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.
Nevada County reported ~171 chlamydia cases per 100,000 in 2023, below the California average.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Yes, when FDA-approved and used correctly, follow up any positive with a confirmatory lab test.
For people with a cervix, HPV is screened via Pap/HPV testing; no standard screening test exists for men.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.