In Orchard City, Delta Colorado's syphilis rate runs about 80% lower than the US average. If you're considering testing in Orchard City after a possible exposure or as part of routine care, weigh the pros and cons of public clinics, private labs, and at-home kits.
Available testing centers
8 testing options are listed for Orchard City, CO. The nearest, River Valley Family Health Centers, is about 6.4 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.
River Valley Family Health Centers, a family practice in Delta, weaves STI testing (gonorrhea, chlamydia, syphilis, herpes, hepatitis C, and HIV) into the same appointment-based care model used for ongoing health, with sliding-scale fees and every service available at no cost.
When cost sits between a patient and treatment, bacterial infections go untreated and viral conditions go unmanaged. Gaps that compound over time. River Valley Family Health Centers charges nothing for its full range of services, so the conversation after a result stays clinical, not financial.
River Valley Family Health Centers prescribes both PrEP and PEP directly through its clinical staff, with the follow-up lab monitoring (regular HIV tests, kidney function checks, and medication counseling) handled in-house rather than delegated elsewhere. That continuity keeps the regimen on track.
Confirming a hepatitis C infection and then sending someone elsewhere for treatment is the norm at many testing sites. River Valley Family Health Centers closes that gap by treating hepatitis C on-site, moving from diagnosis through antiviral therapy within the same practice.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
A public safety-net rural health clinic about 6 miles from Orchard City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 7 miles from Orchard City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Delta County Health Department in Delta runs on a sliding-scale fee structure and tests for HIV, gonorrhea, chlamydia, hepatitis C, and TB: with same-visit treatment for bacterial STIs, HPV and hepatitis A and B vaccines, and appointments required. Staff see patients in Spanish.
Spanish-language care is delivered by staff, not routed around them, which means the nuances of a patient's history, symptoms, and follow-up plan arrive and leave in the same language, without compression or delay between speaker and clinician.
Delta County Health Department operates under the Title X federal family planning program, which carries a legal confidentiality guarantee for minors: meaning young patients can access STI testing, treatment, and family planning services without parental disclosure required by law.
The clinic tests for hepatitis C in addition to gonorrhea, chlamydia, and HIV, so a single appointment surfaces bloodborne infection status that a narrower panel would leave unaddressed. Keeping more clinical decisions in one place.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Axis Health System - Delta, in Delta, welcomes walk-in patients without an appointment for STI screening. Federally qualified status backs a sliding-scale fee tied to income, covering syphilis, gonorrhea, and chlamydia testing in a single visit. No scheduling barrier between you and results.
Tests offered
Fees & payment
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 Orchard 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 for simplicity & support
$89 & 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 Delta 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.
1501 East 3rd Street, Delta, CO 81416
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Orchard 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, 61 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Orchard City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 24 offer telehealth.
Michelle Purvis, MD
Family medicine · 1722 Hillcrest Drive, Delta
Jesus Ochoa, MD
Family medicine · 296 Stafford Lane, Delta
John Marlin, MD
Family medicine · 255 South Grand Mesa Drive, Cedaredge
Susan Bright, MD
Family medicine · 1250 Valley View Drive, Delta
Jonathan Richman, MD
Family medicine · 1501 East 3rd Street, Delta
Robert Dillon, MD
Family medicine · 1501 East 3rd Street, Delta
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 Orchard City, CO 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.
6.1 mi 
6.3 mi River Valley Pharmacy- Delta
6.3 miCedaredge Pharmacy
6.4 miCity Market Pharmacy
7.1 miShowing the 5 closest pharmacies to Orchard City, CO.
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 Orchard 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 $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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Delta County, the county that includes Orchard City, compare with Colorado and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#47 of 64 Colorado counties for chlamydia, a higher rate than 27% of the state
| Infection | Delta County | Colorado | United States |
|---|---|---|---|
| Chlamydia | 157.5 50 cases ▼ 64% | 435.1 | 492.2 |
| Gonorrhea | 28.4 9 cases ▼ 78% | 128.7 | 179.5 |
| Syphilis (P&S) | 3.2 1 cases ▼ 80% | 16 | 15.8 |
| Syphilis (early) | — no data | 10.4 | 16 |
| Syphilis (late/unknown) | 9.5 3 cases ▼ 67% | 28.4 | 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 Delta County, chlamydia has fallen from 240.4 to 157.5 per 100,000 (34%), gonorrhea has fallen from 83.3 to 28.4 per 100,000 (66%), and P&S syphilis has held roughly steady from 3.2 to 3.2 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 Delta County.
Local HIV snapshot
Delta County HIV care continuum (2023)
Among Delta County residents living with HIV, 80.8% are in care · 76.9% 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 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 Delta County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
A Saturday morning in Orchard City often means a trip to run errands near Antelope Hill or catching a glimpse of the adobe-colored landscape that defines this corner of Delta County. For residents who've built lives here (families tending land, couples raising children, young adults finding their footing) health decisions happen quietly, without fanfare. STI testing available in and around Orchard City carries the same straightforward character as the community itself: it's practical, accessible, and handled with the discretion that matters when you're someone whose presence is known locally. Young adults in their late teens through thirties often have particular reason to seek routine screening, whether they're settling into new relationships or simply staying informed about their health.
Clinics and providers listed on this page understand that confidentiality isn't merely a checkbox, it's foundational to how care works in a place where people recognize faces at the grocery store and long-term residents form the backbone of neighborhood life. Testing happens without judgment and without unnecessary delay. Whether you're seeking peace of mind, following up on a concern, or keeping health maintenance current, the services available here respect both your privacy and your time.
Getting there
At 4.88/20 on the EPA walkability index, day-to-day errands in Orchard City 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 81418 snapshot
ZIP-level Census figures for the wider 81418 area around Orchard City: a single ZIP can span several communities, so they describe the area, not Orchard City alone.
Orchard City sits in Delta County, ZIP 81418. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Orchard 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 Delta County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Colorado 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 Orchard 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 Orchard 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 Colorado 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 Colorado, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Colorado 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 ColoradoSource: 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, Delta, CO is close; compare it by distance against River Valley Family Health Centers.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 158 cases per 100,000 residents (2023), below the Colorado average.
In Colorado, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
It's curable with antibiotics; catching it early avoids serious complications.
Checking for sexually transmitted infections with a urine sample, a swab, or a blood draw, often before any symptoms appear.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.