Syphilis cases in Volusia County run about 42% higher than the national average. If you've had a recent risk or simply test on a regular schedule in Orange City, Florida, you can visit a clinic for personalized care or use an at-home kit for convenience.
Available testing centers
9 testing options are listed for Orange City, FL. The nearest, Florida Department of Health in Volusia County, is about 1.2 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.
Florida Department of Health in Volusia County, Orange City, requires an appointment, so scheduling ahead unlocks the full visit: gonorrhea, chlamydia, syphilis, and HIV testing, same-visit bacterial treatment, and HPV and hepatitis A and B vaccines. All provided at no fee on a sliding scale.
The no-fee model here is operationally baked into the department's funding structure: staff are budgeted to deliver services without billing patients at the point of care, so Medicaid, Medicare, sliding scale, and a direct free HIV test collectively ensure the fee column reads zero regardless of what the visit includes.
Spanish is a working clinical language at this location, which means a patient discussing PrEP dosing, a treatment plan, or a positive syphilis result gets that conversation conducted directly, and the clinical detail stays intact, not compressed in translation.
Without on-site PrEP and PEP, someone leaving an STI visit still needs a prescriber willing to initiate HIV prevention. A second appointment, a separate practice, another wait. Florida Department of Health in Volusia County carries both, prescribing and monitoring PrEP and dispensing PEP directly through the same clinical visit.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
A public safety-net rural health clinic about 2 miles from Orange City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Family Health Source in Deltona takes walk-in visits, so testing for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C fits into a day without scheduling ahead: bacterial infections treated the same visit, fees on a sliding scale, and HPV, hepatitis A, and hepatitis B vaccines available on-site.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Central Florida Primary Physicians in Deltona delivers STI care through a primary care practice, meaning gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis testing sit alongside same-visit bacterial treatment, sliding-scale fees, and walk-in access. With services available in Spanish.
Without Spanish-language capacity at Central Florida Primary Physicians in Deltona, a patient navigating STI results, treatment decisions, or PrEP eligibility faces a gap between what was said and what was understood, and that gap can mean a delayed prescription or a missed follow-up. Here, that conversation happens in Spanish, inside the same visit.
PrEP, whether Truvada or Descovy, requires the HIV testing, kidney function checks, and STI screening that federal guidelines mandate every three months. Central Florida Primary Physicians in Deltona runs that monitoring internally, so the prescription and the ongoing lab work stay with one provider rather than split across separate appointments.
Adults paying out of pocket who lack a primary care relationship often find that herpes and hepatitis screening requires a separate specialist visit. Central Florida Primary Physicians in Deltona tests for herpes simplex, hepatitis A, B, and C alongside the standard bacterial and HIV panel, giving a complete picture in one practice rather than a piecemeal one.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
True Health in Enterprise tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C on a sliding-scale fee structure accepted by Medicaid and most insurers. Appointments are required, and bacterial infections caught here are treated the same visit.
True Health treats hepatitis C on-site, which means a confirmed diagnosis moves into a managed treatment plan without sending a patient elsewhere to find a prescriber. That continuity keeps the care relationship (monitoring, adherence support, follow-up) inside the same clinic.
True Health carries PrEP as a standing service (prescribed, monitored, and refilled on-site) which makes it a practical home base for someone paying cash through the sliding scale or anyone without a regular prescriber already writing HIV prevention medication. PEP is also available for prevention.
True Health operates with staff or on-site capacity in American Sign Language, Chinese, French, and Haitian Creole, not routed through a remote service, so clinical conversations about medication adherence, test results, and treatment plans happen in the language the clinician is actually working in.
Languages
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · 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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Orange 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 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 Volusia 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.
1055 Saxon Boulevard, Orange City, FL 32763
CMS-certified lab Accredited · College of American Pathologists
865 Saxon Boulevard, Orange City, FL 32763
CMS-certified lab
921 Town Center Drive # 200, Orange City, FL 32763
CMS-certified lab
258 Treemonte Dr Suite 258, Orange City, FL 32763
CMS-certified lab
2555 South Volusia Avenue, Orange City, FL 32763
CMS-certified lab Accredited · COLA
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Orange 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, 1,828 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Orange City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 549 offer telehealth.
Richard Medina Perez, MD
Internal medicine · 915 Harley Strickland Boulevard, Orange City
Sobiah Mallick, MD
OB-GYN · 2425 South Volusia Avenue, Orange City
Shazia Ahmed, MD Telehealth
Family medicine · 2555 South Volusia Avenue, Orange City
Jose Gutierrez-Holguin, MD Telehealth
Internal medicine · 926 Saxon Boulevard, Orange City
Dhrumil Patel, MD
Internal medicine · 1055 Saxon Boulevard, Orange City
Nancy Ortiz, MD
Family medicine · 876 Saxon Boulevard, Orange City
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 Orange City, FL 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.
Oak Park Pharmacy
0.8 miLegacy Pharmacy
1.0 mi
1.0 mi Carenow Pharmacy
1.3 miShowing the 4 closest pharmacies to Orange City, FL.
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 Orange 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.
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Volusia County, the county that includes Orange City, compare with Florida and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#37 of 67 Florida counties for chlamydia, a higher rate than 45% of the state
| Infection | Volusia County | Florida | United States |
|---|---|---|---|
| Chlamydia | 378.6 2,235 cases ▼ 24% | 498.9 | 492.2 |
| Gonorrhea | 159.4 941 cases ▼ 23% | 206.7 | 179.5 |
| Syphilis (P&S) | 22.4 132 cases ▲ 16% | 19.3 | 15.8 |
| Syphilis (early) | 6.6 39 cases ▼ 74% | 25.1 | 16 |
| Syphilis (late/unknown) | 23.2 137 cases ▼ 38% | 37.7 | 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 Volusia County, chlamydia has risen from 324.3 to 378.6 per 100,000 (17%), gonorrhea has risen from 150.7 to 159.4 per 100,000 (6%), and P&S syphilis has risen from 13.7 to 22.4 per 100,000 (64%).
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 Volusia County.
Local HIV snapshot
Volusia County HIV care continuum (2023)
Volusia County recorded 13.3 new HIV diagnoses per 100,000 (2023), against 22.7 statewide and 13.7 nationally. Among Volusia County residents living with HIV, 82.1% are in care · 73.7% 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 Volusia County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
DeBary's quiet streets and the live-oak canopy along Charles Richard Beall Boulevard give Orange City a settled, small-town feel, but the numbers underneath that calm tell a more layered story. Just over half of residents own their homes while nearly half rent, and with typical rent running over a thousand dollars a month against home values that remain modest, a meaningful share of households are watching every outgoing dollar. Add to that a labor-force participation rate below fifty percent and a six-figure household share that is comparatively thin, and discretionary spending on health visits competes with a lot of other line items. That kind of cost pressure is exactly why the fee structures and sliding-scale options visible in the clinic cards on this page matter more than they might in a wealthier market.
Volusia County's STI rate tables reflect patterns seen across Florida, and Orange City's population of young adults in their late teens and twenties, though a smaller slice of this community than in college towns nearby, still represents the years when relationship networks shift fastest and routine screening catches the most. For this group especially, a clinic that fits between work shifts and family obligations is the one that actually gets used.
Blue Spring State Park draws visitors along SR 472 year-round, anchoring a corridor where several of the options listed here are reachable without a long detour. Pull up the clinic cards, confirm same-day availability, and go.
Getting there
Orange City scores 11.27/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 32763 snapshot
ZIP-level Census figures for the wider 32763 area around Orange City: a single ZIP can span several communities, so they describe the area, not Orange City alone.
Orange City sits in Volusia County, ZIP 32763. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Orange 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 Volusia County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Florida 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 an Orange 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 Orange 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 Florida 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 Florida, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Florida 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 FloridaSource: 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.
The closest is Florida Department of Health in Volusia County (1.2 mi); 9 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, Florida Department of Health in Volusia County (1.2 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 379 cases per 100,000 residents (2023), below the Florida average.
Yes, at-home kits ship to 32763; you collect a sample, mail it back, and get results in about 2–5 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Florida, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.