The reported syphilis rate in Contra Costa County is about 16% lower than the US average. If you're in Orinda, California, and looking for a test whether it's your first STI test or a routine screening, you'll find that some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. We list your options below.
Available testing centers
9 testing options are listed for Orinda, CA. The nearest, Labcorp, 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.
Carbon Health in Berkeley tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, HIV, and TB, bacterial infections treated the same visit, with fees charged on a sliding scale and no appointment required. Spanish-language care is available throughout.
Carbon Health runs herpes and hepatitis B and C testing alongside the standard gonorrhea, chlamydia, syphilis, and HIV screen. Catching hepatitis C or herpes at the same visit means treatment or management starts without scheduling a separate appointment at a separate facility.
Without a clinic that prescribes and monitors PrEP directly, patients face delays that leave prevention genuinely uncovered. Carbon Health closes that gap: PrEP is initiated and followed here, and PEP is available, so neither medication requires a hand-off to another provider.
Spanish at Carbon Health means clinical conversations (history-taking, test results, treatment instructions) happen in Spanish with staff, not patched through an outside service. That distinction shapes how accurately a patient's full history gets captured and how clearly a treatment plan lands.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Berkeley Primary Care, serving Berkeley with federally qualified health center standing, ties STI screening fees to each patient's income. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, with costs scaled to what you actually earn.
Tests offered
Fees & payment
Children's Hospital Oakland Primary Care, serving Oakland residents regardless of insurance status or ability to pay, anchors its STI care in a federally qualified framework that ties fees to income. Syphilis, gonorrhea, and chlamydia screening are available on a sliding scale, welcoming cash-paying and uninsured patients alike.
Tests offered
Fees & payment
UCSF Benioff Children's Hospital in Oakland runs STI testing (gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, TB, and both rapid and conventional HIV) alongside same-visit treatment for bacterial infections, with every service delivered at no charge. Appointments are required.
HIV testing, PrEP prescriptions, STI treatment, hepatitis vaccines, TB testing. Each one is provided at no cost at UCSF Benioff Children's Hospital in Oakland. That zero-fee structure applies across the full menu, not selectively, so cost is removed as a variable before an appointment is ever scheduled.
UCSF Benioff Children's Hospital in Oakland has interpretation services integrated into the clinical visit for non-English languages: meaning the communication happens within the appointment itself, not as a patched-on workaround, so counseling, medication instructions, and follow-up guidance land with full fidelity.
For someone without a regular prescriber, UCSF Benioff Children's Hospital in Oakland holds both PrEP and PEP in-house: meaning the evaluation, prescription, and medication adherence counseling happen at a single location, with uninsured patients covered for PrEP costs specifically.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
UCSF Health-GoHealth Urgent Care in Oakland takes walk-ins for a full STI panel (HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C) with same-visit treatment for bacterial infections; fees run on a sliding scale with Medicaid and most insurance accepted, with interpretation services on-site.
The testing menu here runs to ten infections, adding herpes simplex and hepatitis A, B, and C to the standard HIV, syphilis, gonorrhea, and chlamydia screen. A single visit can capture that full picture, results from each test feeding directly into any treatment or follow-up managed at the same location.
For someone without an established primary care relationship, or paying out of pocket and wanting to consolidate visits, UCSF Health-GoHealth carries both PrEP and PEP on-site. The clinic can initiate or continue either medication directly, without routing through a separate prescriber.
Interpretation services are available for non-English languages, which means the conversation about symptoms, test results, and treatment options happens with full comprehension. The kind of exchange that affects whether a patient leaves with a plan they actually understand and can follow.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 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 Orinda, 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 Contra Costa 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.
89 Davis Road, Suite 180, Orinda, CA 94563
CMS-certified lab
934 Marina Way South, Richmond, CA 94804
CMS-certified lab Accredited · College of American Pathologists
2401 Shadelands Drive, Walnut Creek, CA 94598
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 Orinda. 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, 4,763 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Orinda. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2,039 offer telehealth.
Yenjean Hwang, MD Telehealth
Infectious disease · 1 Country Club Plaza, Orinda
Melvin Huie, MD Telehealth
Internal medicine · 15 Altarinda Road, Orinda
Ingrid Larsson, MD Telehealth
Internal medicine · 12 Camino Encinas, Orinda
Karine Hajyan, DO Telehealth
OB-GYN · 3 Altarinda Road, Orinda
Tiffany Mcclure, MD Telehealth
Family medicine · 140 Brookwood Road, Orinda
Louis Verre, DO
Internal medicine · 8210 Skyline Boulevard, Oakland
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 Orinda, CA 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.
0.2 mi 
0.6 mi 
3.1 mi Showing the 3 closest pharmacies to Orinda, CA.
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 Orinda, 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.
$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
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 Contra Costa County, the county that includes Orinda, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~13% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#19 of 58 California counties for chlamydia, a higher rate than 67% of the state
| Infection | Contra Costa County | California | United States |
|---|---|---|---|
| Chlamydia | 427.7 4,940 cases ▼ 13% | 491.1 | 492.2 |
| Gonorrhea | 127.9 1,477 cases ▼ 33% | 190.2 | 179.5 |
| Syphilis (P&S) | 13.2 153 cases ▼ 19% | 16.3 | 15.8 |
| Syphilis (early) | 9 104 cases ▼ 53% | 19.1 | 16 |
| Syphilis (late/unknown) | 22.3 257 cases ▼ 52% | 46.7 | 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 Contra Costa County, chlamydia has risen from 386.3 to 427.7 per 100,000 (11%), gonorrhea has fallen from 177.7 to 127.9 per 100,000 (28%), and P&S syphilis has fallen from 15.5 to 13.2 per 100,000 (15%).
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 Contra Costa County.
Local HIV snapshot
Contra Costa County HIV care continuum (2023)
Contra Costa County recorded 12.7 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Contra Costa County residents living with HIV, 80.2% are in care · 73.4% 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 Contra Costa County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Wilder's newer streets attract some of Orinda's younger households: people still figuring out whether to stay in the hills long-term, sharing a place with a partner or roommate while the rest of the city skews firmly toward established families in owned homes. That ownership picture tells you something real: with nearly nine in ten residents holding property and two-thirds of adults married, Orinda's social fabric is unusually settled, which can make younger adults in transitional relationships feel less visible in conversations about sexual health, and less likely to seek out screening without a clear, low-effort path to do it. The financial profile here is comfortable by most measures, but $2,800-a-month rent still shapes choices for the fraction of residents who lease, particularly those in their late teens and twenties who are most likely to be navigating new relationships.
Testing options listed on this page (ranging in hours, cost, and distance) mean that planning doesn't have to be complicated. Finding one that lines up with a work schedule on the CA 24 corridor is genuinely easier than most Orinda residents assume.
Getting there
At 8.93/20 on the EPA walkability index, day-to-day errands in Orinda 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 94563 snapshot
ZIP-level Census figures for the wider 94563 area around Orinda: a single ZIP can span several communities, so they describe the area, not Orinda alone.
Orinda sits in Contra Costa County, ZIP 94563. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Orinda? 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 Contra Costa County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California 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 Orinda-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 Orinda 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 California 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 California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
California 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 CaliforniaSource: 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, Berkeley, CA is close; compare it by distance against Labcorp.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 428 cases per 100,000 residents (2023), below the California average.
In California, 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.
Syphilis is found with a simple blood test; a reactive screen is confirmed with a second blood test.
An exam can spot some signs, but most STIs are invisible without a lab test, an exam alone can't rule them out.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.