Yukon-Koyukuk Census Area reports about 1072 chlamydia cases per 100,000 residents, well above the US average. If you've had a recent risk or just test on a regular schedule in Nulato, Alaska, you can decide between convenience and immediate service. Some places take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time.
Available testing centers
3 testing options are listed for Nulato, AK. The nearest, Tanana Chiefs Conference, is about 4.2 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.
A community safety-net federally qualified health center in Nulato. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Koyukuk Health Clinic in Nulato meets patients where they are (whether uninsured, cash-paying, or far from other providers) through federally qualified status that ties fees to income. Walk-ins can access sliding-scale STI screening covering syphilis, gonorrhea, and chlamydia without an appointment.
Tests offered
Fees & payment
Tanana Chiefs Conference in Nulato tests for gonorrhea, chlamydia, syphilis, herpes, and HIV, treats bacterial STIs at the same visit, and covers every service (testing, treatment, counseling, and vaccines) at no charge to patients. An appointment is required.
The no-fee structure here runs through the entire encounter: not just the HIV test but the full panel, same-visit bacterial treatment, herpes testing, hepatitis A and B vaccines, and HIV/AIDS medical management. Every service is staffed and dispensed on-site without a bill generated at any point.
Alongside gonorrhea, chlamydia, syphilis, and HIV, Tanana Chiefs Conference tests for herpes: meaning a single appointment produces a more complete picture of sexual health status, which shapes treatment and counseling decisions before a patient leaves.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 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 about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Nulato, 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.
Nearby pharmacies
No pharmacy near Nulato, AK 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.
Sunshine Community Health Center Pharmacy - Talkeetna
306 mi
307 mi Fred Meyer Pharmacy
307 mi
307 mi Showing the 4 closest pharmacies to Nulato, AK.
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 Nulato, 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 $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
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 Yukon-Koyukuk Census Area, the census area that includes Nulato, compare with Alaska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~15% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#5 of 30 Alaska counties for chlamydia, a higher rate than 83% of the state
| Infection | Yukon-Koyukuk Census Area | Alaska | United States |
|---|---|---|---|
| Chlamydia | 1072.3 55 cases ▲ 54% | 697.7 | 492.2 |
| Gonorrhea | 526.4 27 cases ▲ 69% | 310.9 | 179.5 |
| Syphilis (P&S) | 19.5 1 cases ▼ 13% | 22.5 | 15.8 |
| Syphilis (early) | 39 2 cases ▲ 258% | 10.9 | 16 |
| Syphilis (late/unknown) | 58.5 3 cases ▲ 192% | 20 | 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 Yukon-Koyukuk Census Area, chlamydia has risen from 992 to 1072.3 per 100,000 (8%), gonorrhea has risen from 318.2 to 526.4 per 100,000 (65%), and P&S syphilis has risen from 18.7 to 19.5 per 100,000 (4%).
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 Yukon-Koyukuk Census Area.
Local HIV snapshot
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD. 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 Yukon-Koyukuk Census Area tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Nulato's residents often find themselves traveling long distances for essential services. With many homeowners and a high percentage of married adults with large families, the practicalities of daily life can be a challenge.
The area's rural character and low labor-force participation rate mean that many people have limited time for non-essential activities. For those still forming relationships and building their lives, getting tested for STIs might not be top priority. However, with a significant proportion of young adults in the population, it's essential that they have access to low-friction screening.
In this context, the testing options listed here can play a vital role in supporting the health and wellbeing of Nulato's residents, particularly those in their late teens and twenties who are still forming relationships and building their lives. As people navigate work, family, and community responsibilities, convenient testing can help them prioritize their health.
Getting there
At 4.72/20 on the EPA walkability index, day-to-day errands in Nulato 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 99765 snapshot
ZIP-level Census figures for the wider 99765 area around Nulato: a single ZIP can span several communities, so they describe the area, not Nulato alone.
Nearby cities & towns
Just outside Nulato? 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 Yukon-Koyukuk Census Area: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alaska 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 Nulato-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 Nulato 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 Alaska 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 Alaska, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Alaska 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 AlaskaSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Yes, Medicaid typically covers it, and public clinics are free either way.
Tanana Chiefs Conference, about 4.2 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Yukon-Koyukuk Census Area reported ~1,072 chlamydia cases per 100,000 in 2023, above the Alaska average.
In Alaska, people under 18 can consent to confidential STD testing and treatment on their own.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
No, most STIs have no visible signs, so the only way to know is to test.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
Lab-based 4th-generation and NAT tests are most sensitive early on; rapid tests are also very reliable after the window.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.