Lewis County, Idaho, has a reported rate of gonorrhea roughly 70% lower than the US average. If it's your first STD test or a routine screening in Nezperce, Idaho, you can choose between visiting a clinic for immediate answers and potential treatment or using an at-home kit for convenience and scheduling flexibility. See the list below for local options.
Available testing centers
4 testing options are listed for Nezperce, ID. The nearest, Syringa General Hospital District C I F, is about 14.2 miles away. Compare 1 community and public clinic, 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.
A safety-net rural health clinic about 14 miles from Nezperce. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 14 miles away; if you'd rather skip the trip, an at-home kit ships to Nezperce, 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 value: single tests
$49 & up
Best range: couples & full panels
$79 & 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, 30 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nezperce. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 9 offer telehealth.
Andrew Schweitzer, MD
Family medicine · 501 Oak Street, Nezperce
Jane Fore, MD
Internal medicine · 301 Cedar Street, Orofino
Austin Voigt, MD
Internal medicine · 1055 Riverside Avenue, Orofino
Thanh Danae Vu, MD
OB-GYN · 111 Bever Grade Road, Lapwai
Hailey Wilson, MD
Family medicine · PO Drawer, Lapwai
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 Nezperce, ID 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.
Arnzen Drug
14 miSt. Mary's Health Pharmacy Cottonwood
14 miArnzen's Kamiah Drug
14 miKamiah Drug
14 miSt. Mary's Health Pharmacy Kamiah
14 miShopko Pharmacy
17 miShowing the 6 closest pharmacies to Nezperce, ID.
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 Nezperce, 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
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
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 Lewis County, the county that includes Nezperce, compare with Idaho and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~17% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 44 Idaho counties for chlamydia, a higher rate than 77% of the state
| Infection | Lewis County | Idaho | United States |
|---|---|---|---|
| Chlamydia | 294.2 11 cases ≈ the state average | 294.9 | 492.2 |
| Gonorrhea | 53.5 2 cases ▲ 35% | 39.6 | 179.5 |
| Syphilis (P&S) | — no data | 3.8 | 15.8 |
| Syphilis (early) | — no data | 3.1 | 16 |
| Syphilis (late/unknown) | — no data | 6.3 | 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 Lewis County, chlamydia has fallen from 311.4 to 294.2 per 100,000 (6%), gonorrhea has fallen from 56.6 to 53.5 per 100,000 (5%), and P&S syphilis has fallen from 53.8 to 53.1 per 100,000 (1%).
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 Lewis County.
Local HIV snapshot
Lewis County HIV care continuum (2022)
Lewis County recorded 0 new HIV diagnoses per 100,000 (2022), against 3 statewide and 13.7 nationally. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · 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 Lewis County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
For young adults navigating new relationships or shifting circumstances, that distance is the first practical obstacle: a testing appointment means arranging a vehicle, clearing time from a work schedule, and committing to a trip that a denser place would reduce to a lunch break. The town's household profile adds texture. With most residents owning their homes and a majority of adults married, Nezperce skews toward settled, longer-term arrangements, but the share of the population in the peak STI-incidence years still represents real people forming partnerships, and their access challenges are the same as everywhere rural: distance, limited hours, and the friction of a half-day errand. A labor-force participation rate hovering just above half the adult population also means some residents are working non-standard hours or caregiving full-time, which makes clinic scheduling a genuine constraint rather than a minor inconvenience.
Cost is the other layer. Typical rents here are low by any regional standard, but with fewer than one in seven households reaching higher income tiers, out-of-pocket screening fees can still land hard. Making the sliding-scale and low-cost options among those listed on this page more than a footnote for a significant portion of Lewis County residents.
Getting there
At 6.6/20 on the EPA walkability index, day-to-day errands in Nezperce 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 83543 snapshot
ZIP-level Census figures for the wider 83543 area around Nezperce: a single ZIP can span several communities, so they describe the area, not Nezperce alone.
Nearby cities & towns
Just outside Nezperce? 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 Lewis County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Idaho 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 Nezperce-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 Nezperce 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 Idaho 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 Idaho, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Idaho 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 IdahoSource: 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.
Some clinics and labs take walk-ins for same-day testing; call ahead to confirm hours.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 294 cases per 100,000 residents (2023), above the Idaho average.
In Idaho, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
That's a myth; STIs need sexual contact to spread, not surfaces.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
Rapid antibody tests, 4th-generation antigen/antibody lab tests, and NAT, which detects HIV soonest after exposure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.