In Scott County, Virginia, the reported chlamydia rate runs about 63% lower than the US average. Whether you need STI testing in Nickelsville, Virginia for a one-time concern or regular check-ups, you can find public clinics that keep costs down, private labs that prioritize speed, and at-home kits that trade a clinic visit for convenience. Learn more with the options listed below.
Available testing centers
7 testing options are listed for Nickelsville, VA. The nearest, Clinch River Health Services, is about 6.2 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.
Clinch River Health Services in Dungannon carries federal qualification as a community health center, which means STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to your income, making that care reachable regardless of what you earn.
Tests offered
Fees & payment
Virginia Department of Health in Gate City tests for HIV, syphilis, chlamydia, gonorrhea, hepatitis A, B, and C, and TB on a sliding-scale fee open to everyone. Appointments are required; bacterial STIs are treated same visit, and interpretation services are available for non-English languages.
For anyone whose primary language isn't English (whether navigating a new diagnosis, discussing PrEP eligibility, or understanding a hepatitis C treatment plan) this clinic has interpretation services in place at the time of the visit, not arranged afterward. That standing capability means no detail gets lost when the conversation matters most.
The clinic prescribes and manages all three prevention medications: daily oral PrEP for ongoing HIV risk reduction with the required HIV testing and renal monitoring built into the follow-up schedule, PEP for post-exposure HIV prevention, and DoxyPEP, the doxycycline regimen taken after condomless sex to reduce bacterial STI acquisition, each with the clinical oversight each protocol requires.
For anyone without a specialist or a regular provider, the Virginia Department of Health in Gate City carries hepatitis C care through to treatment. Not just antibody detection. Antiviral therapy is managed on-site, which means the person who comes in for a test doesn't have to locate a separate prescriber to act on what the test finds.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN + HRSA
A safety-net rural health clinic about 14 miles from Nickelsville. 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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Nickelsville, 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 for simplicity & support
$89 & 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 Scott 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.
1754 U South Hwy - 23 North, Weber City, VA 24290
CMS-certified lab
121 Advanced Technology Drive, Duffield, VA 24244
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Nickelsville. 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, 427 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nickelsville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 80 offer telehealth.
Todd Cassel, MD
Family medicine · 17285 Veterans Memorial Highway, Dungannon
Joseph Richardson, DO
Family medicine · 390 Kane Street, Gate City
Nicole Long, DO
OB-GYN · 1754 US Hwy 23 North, Weber City
Thomas Renfro, MD
Internal medicine · 515 Front Street West, Coeburn
Paulina Rios, MD
Family medicine · 1389 Dante Road, St Paul
Dennis Starr, MD
Internal medicine · 1300 Bloomingdale Pike, Kingsport
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 Nickelsville, 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.
Nickelsville Pharmacy
0.1 miBlue Devil Drug
11 miK VA T Food Stores
11 mi
12 mi Hamilton Pharmacy
12 miShowing the 5 closest pharmacies to Nickelsville, 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 Nickelsville, 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 Scott County, the county that includes Nickelsville, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#108 of 133 Virginia counties for chlamydia, a higher rate than 19% of the state
| Infection | Scott County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 182 39 cases ▼ 62% | 472.8 | 492.2 |
| Gonorrhea | 37.3 8 cases ▼ 76% | 158.3 | 179.5 |
| Syphilis (P&S) | 4.7 1 cases ▼ 56% | 10.7 | 15.8 |
| Syphilis (early) | 4.7 1 cases ▼ 51% | 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 Scott County, chlamydia has fallen from 203.9 to 182 per 100,000 (11%), gonorrhea has fallen from 97.3 to 37.3 per 100,000 (62%), and P&S syphilis has held roughly steady from 4.7 to 4.7 per 100,000.
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 Scott County.
Local HIV snapshot
Scott County HIV care continuum (2022)
Scott County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Scott County residents living with HIV, 80% are in care · 80% 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 Scott County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
VA 71 cuts through a town where most households have deep roots: nearly three in four residents own their homes, and at an average size of more than three people per household, health decisions here rarely happen in isolation. When someone in Nickelsville schedules a screening, there's often a partner, a parent, or a shared insurance card in the picture, and that communal texture shapes whether testing feels like a private errand or a coordinated event. What complicates the picture is that a significant share of working-age adults are currently outside the labor force, and unemployment runs well above typical small-town levels.
When household income is uncertain, a $525 monthly rent still represents real pressure, and anything that costs time or money, including a clinic visit, gets weighed carefully. Keith Memorial Park sits at the center of a community that is genuinely tight-knit, but tight-knit doesn't mean well-resourced, and the options listed on this page serve people who may be weighing fuel costs and lost wages before they ever pick up a phone. Scott County's STI figures reflect rates that fall hardest on younger adults, people in their late teens and twenties who are most often forming new relationships, and staying current with routine screening is what keeps those county numbers from quietly compounding across households like the ones that define this town.
Getting there
At 3.37/20 on the EPA walkability index, day-to-day errands in Nickelsville 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 24271 snapshot
ZIP-level Census figures for the wider 24271 area around Nickelsville: a single ZIP can span several communities, so they describe the area, not Nickelsville alone.
Nickelsville sits in Scott County, ZIP 24271. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Nickelsville? 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 Scott 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 Nickelsville-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 Nickelsville 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.
Possibly, Bristol, VA is close; compare it by distance against Clinch River Health Services.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 182 cases per 100,000 residents (2023), below the Virginia average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.