Chlamydia reports in Craig County run about 79% lower than the US average. If you've had a recent risk or just test regularly in New Castle, Virginia, you can choose between immediate care at clinics that take walk-ins or the flexibility of lab or at-home tests that fit your schedule. Check your options below.
Available testing centers
7 testing options are listed for New Castle, VA. The nearest, Virginia Department of Health, is about 0.2 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 New Castle requires an appointment, and that scheduled visit covers HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis C testing alongside same-visit bacterial treatment, sliding-scale fees, and care available in Spanish.
Beyond the standard four, Virginia Department of Health in New Castle runs serology for herpes and a hepatitis C antibody test, with results reviewed by staff who can act on them directly. No separate order, no separate visit to add those to the same appointment.
Chasing PrEP at one office and DoxyPEP at another means gaps: delays between exposure, prescription, and follow-up that cost real protection. Virginia Department of Health in New Castle prescribes and manages PrEP, PEP, and DoxyPEP from a single provider, so prevention doesn't stall between referrals.
Staff at Virginia Department of Health in New Castle deliver care in Spanish, which means a patient's history, test results, and treatment instructions are communicated directly, not summarized after the fact, keeping clinical accuracy intact from the first question to the last prescription.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Monroe Health Center in New Castle covers gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, TB, and HIV, treating bacterial infections the same visit and billing on a sliding scale accepted by Medicaid, Medicare, and most insurance. An appointment is required.
Monroe Health Center tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV: meaning liver-affecting infections are identified at the same visit, so follow-up care and vaccination decisions can start without a separate appointment elsewhere.
Spanish is a complete clinical language at Monroe Health Center, not a supplemental accommodation, so counseling, exposure history, and treatment decisions are conducted directly in Spanish, without a layered communication step between clinician and patient.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Carilion Clinic in Daleville requires an appointment for STI testing, which means visits run on a schedule that covers gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B and C, and TB. With bacterial infections treated the same day and fees adjusted on a sliding scale.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 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 New Castle, 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.
Local clinicians
Beyond dedicated clinics, 392 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of New Castle. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 73 offer telehealth.
John Hansbarger, MD
Family medicine · 226 Market Street, New Castle
Bassel Moughrabi, MD
Internal medicine · 65 Shenandoah Avenue, Daleville
Kimberly Orr, DO
Family medicine · 150 Market Ridge Lane, Daleville
Nancy Misicko, MD
Family medicine · 150 Market Ridge Lane, Daleville
Robert Dums, MD
Family medicine · 46 Wesley Road, Daleville
Michael Szilagyi, MD
Family medicine · 46 Wesley Road, Daleville
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 New Castle, 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.
Market Street Pharmacy
0.1 mi
14 mi Brooks Byrd Pharmacy
15 mi
15 mi 
15 mi Showing the 5 closest pharmacies to New Castle, 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 New Castle, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Craig County, the county that includes New Castle, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~35% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#131 of 133 Virginia counties for chlamydia, among the lowest in the state
| Infection | Craig County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 103.2 5 cases ▼ 78% | 472.8 | 492.2 |
| Gonorrhea | — no data | 158.3 | 179.5 |
| Syphilis (P&S) | — no data | 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 Craig County, chlamydia has fallen from 224.9 to 103.2 per 100,000 (54%), and gonorrhea has fallen from 81.8 to 20.6 per 100,000 (75%).
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 Craig County.
Local HIV snapshot
Craig County HIV care continuum (2023)
Craig County recorded 0 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Craig County residents living with HIV, 100% are in care · 83.3% 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 Craig County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The New Castle Historic District sits quietly along VA 42, its courthouse and storefronts carrying the unhurried feel of a county seat that hasn't grown too fast, but the logistics underneath that calm are genuinely demanding. Nearly three-quarters of residents here rent rather than own, and with most households well below the $100k-a-year threshold, a testing visit that costs real money or requires half a day off work isn't a small ask. Those realities fall hardest on younger adults, people in their late teens and twenties who make up a substantial share of New Castle's population and account for the years when STI transmission runs highest. With labor-force participation sitting below 60 percent and unemployment low, many working residents are juggling jobs that don't offer flexible midweek hours.
Not a quick errand. For the roughly seven-in-ten households renting at typical Craig County rates, cost structures matter more than most. The options listed here include sliding-scale and low-cost visits, which can make a meaningful difference for a renter whose monthly budget leaves little room for an unplanned medical expense.
Getting there
At 4.79/20 on the EPA walkability index, day-to-day errands in New Castle 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 24127 snapshot
ZIP-level Census figures for the wider 24127 area around New Castle: a single ZIP can span several communities, so they describe the area, not New Castle alone.
New Castle sits in Craig County, ZIP 24127. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside New Castle? 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 Craig 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 New Castle-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 New Castle 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 7 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
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.
Craig County reported ~103 chlamydia cases per 100,000 in 2023, below the Virginia average.
In Virginia, 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.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.