Gonorrhea in Orange County runs about 61% lower than the US average. If you've had a recent risk or test regularly in Orange County, Virginia, consider whether you would prefer to have a provider answer questions and start treatment, or to collect a sample on your own schedule and mail it in. Options are listed below.
Available testing centers
9 testing options are listed for Orange, VA. The nearest, Virginia Department of Health, is about 0.4 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 Orange tests for HIV, gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, and TB. With same-visit treatment for bacterial STIs on a sliding-scale fee that, for most, lands at nothing.
Sliding-scale clinics typically still send patients to the register for something, a lab draw, a vaccine dose, an office visit charge. At Virginia Department of Health in Orange, every service on the menu, from the TB test to the mpox vaccine, is provided at no fee.
When language access fails at a clinic, the gap isn't abstract. A misunderstood prevention plan or a missed follow-up instruction means care doesn't stick. Virginia Department of Health in Orange carries Spanish-language services and broader interpretation on-site, so counseling, treatment instructions, and PrEP conversations land accurately the first time.
Virginia Department of Health in Orange prescribes and monitors all three prevention regimens directly: PrEP requires regular HIV and kidney-function labs plus prescription renewals, PEP requires a full 28-day course with adherence support, and DoxyPEP is dispensed with counseling on timing and dosing. Each managed by staff at the clinic, not coordinated off-site.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Living Water Community Clinic in Locust Grove tests for gonorrhea, chlamydia, syphilis, and HIV, treating bacterial infections the same visit when results call for it. Every service runs on a no-fee, donations-accepted basis, and an appointment is required to be seen.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Central Virginia Health Services in Louisa runs on a sliding-scale fee structure open to everyone: Medicaid, Medicare, and most insurance accepted, with HIV and hepatitis C testing free outright. Appointments are required for the full panel: gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, TB, and rapid or conventional HIV, with same-visit treatment for bacterial infections. Every service carries no fee barrier.
When a clinic charges even a modest co-pay, some people weigh whether to return for follow-up, and that gap is where an untreated infection lingers. At Central Virginia Health Services, every service is provided at no fee, so a second visit for treatment, counseling, or lab review costs exactly what the first one did.
Many clinics handle Spanish-speaking patients through workarounds that leave critical clinical detail to chance. Central Virginia Health Services delivers care directly in Spanish, so conversations about diagnosis, treatment, and prevention happen in full, without anything lost in the relay.
Central Virginia Health Services prescribes and monitors both PrEP, the daily oral regimen that suppresses HIV acquisition, and PEP, tracking adherence and running the labs required to keep those medications safe and effective over time. That clinical oversight happens within the same practice, not handed off elsewhere.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Greene Care Clinic in Stanardsville runs entirely on donations, so every service (gonorrhea, chlamydia, syphilis, and HIV testing plus STI treatment and prevention education) carries no fee for anyone who walks through the door. Appointments are required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Planned Parenthood South Atlantic in Charlottesville runs appointments for gonorrhea, chlamydia, syphilis, herpes, hepatitis B, and HIV testing, bacterial infections treated the same visit, on a sliding-scale fee accepted alongside Medicaid and most insurance, with Title X confidentiality protections for minors.
Gonorrhea, chlamydia, syphilis, and HIV form the baseline nearly every clinic covers. Planned Parenthood South Atlantic adds herpes and hepatitis B to that lineup, so infections that frequently go undetected for lack of routine testing can actually be named and addressed in the same visit.
Both PrEP and PEP are prescribed and followed here, not coordinated elsewhere. PrEP requires ongoing lab monitoring and prescription renewals, all handled by the clinic's own staff, so the medication regimen stays intact without bouncing between providers.
Many practices route minor patients through parental consent requirements that create real barriers to care. As a Title X provider, Planned Parenthood South Atlantic in Charlottesville is legally bound to offer confidential family planning services to minors. A protection built into the funding, not a policy choice that can be walked back.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 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 Orange, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Orange 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.
307 A North Madison Road, Orange, VA 22960
CMS-certified lab
71 Jefferson Court, Zion Crossroads, VA 22942
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Orange. 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, 370 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Orange. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 148 offer telehealth.
Christopher Vonelten, MD Telehealth
Family medicine · 120 Dogwood Lane, Orange
Anthony Marino, MD Telehealth
Internal medicine · 661 University Lane, Orange
Julia Den Hartog, MD
Internal medicine · 661 University Lane, Orange
Maria Badaracco, MD Telehealth
Internal medicine · 661 University Lane, Orange
Andrea Courtney, MD Telehealth
Family medicine · 13198 James Madison Highway, Orange
Vincent Ly, DO
Family medicine · 179 London Court, Ruckersville
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, 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.
Your Pharmacy
8.7 mi
16 mi The Pharmacy of Culpeper
16 mi
17 mi Golden Horseshoe Health Services
18 miShowing the 5 closest pharmacies to Orange, 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 Orange, 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
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
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 Orange County, the county that includes Orange, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#62 of 133 Virginia counties for chlamydia, a higher rate than 53% of the state
| Infection | Orange County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 337 130 cases ▼ 29% | 472.8 | 492.2 |
| Gonorrhea | 70 27 cases ▼ 56% | 158.3 | 179.5 |
| Syphilis (P&S) | 15.6 6 cases ▲ 46% | 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 Orange County, chlamydia has risen from 242.7 to 337 per 100,000 (39%), gonorrhea has risen from 52.4 to 70 per 100,000 (34%), and P&S syphilis has risen from 8.3 to 15.6 per 100,000 (88%).
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 Orange County.
Local HIV snapshot
Orange County HIV care continuum (2022)
Orange County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Orange County residents living with HIV, 76.7% are in care · 71.7% 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 Orange County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Orange owes its name to the House of Orange-Nassau, a Dutch royal line that once held the Virginia patents; the town's deep colonial roots show in landmarks like the James Madison Museum and Cemetery, reminders of the region's founding era. Today's Orange draws a steady mix of residents, renters between jobs, young adults establishing themselves, single households alongside extended families under one roof. That demographic churn means health services need to meet people where they are, without the assumption of long-term community visibility that smaller towns sometimes carry. STI testing in and around Orange reflects this reality. Confidentiality here isn't abstract; it's practical.
Young adults navigating early careers, people in transition, and those living in close quarters with relatives all benefit from straightforward, judgment-free screening. The clinics and providers listed on this page understand that routine testing, whether you're settling in or passing through, deserves the same privacy and professionalism as any other health visit. Larmond and Madison Run neighborhoods anchor much of daily life, and access to testing across the area means you needn't travel far or worry about running into someone you know at an appointment. Whether you're due for a routine screen or have a specific concern, the services available in and around Orange are designed to fit the lives people actually live here.
Getting there
At 7.85/20 on the EPA walkability index, day-to-day errands in Orange 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 22960 snapshot
ZIP-level Census figures for the wider 22960 area around Orange: a single ZIP can span several communities, so they describe the area, not Orange alone.
Orange sits in Orange County, ZIP 22960. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Orange? 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 Orange 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 an Orange-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 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, Culpeper, VA is close; compare it by distance against Virginia Department of Health.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, Virginia Department of Health (0.4 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 337 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 means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.
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.