In Clearwater County, Idaho, reported chlamydia runs about 65% lower than the US average. Whether you have symptoms or just want peace of mind, Orofino, Idaho has options: clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Compare these options below.
Available testing centers
8 testing options are listed for Orofino, ID. The nearest, Clearwater Valley Hospital & Clinics, is about 0.2 miles away. Compare 5 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 public safety-net rural health clinic in Orofino. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Idaho North Central District Health Department in Orofino schedules testing for gonorrhea, chlamydia, syphilis, herpes, hepatitis, and HIV, bacterial infections treated the same visit, with fees set on a sliding scale tied to income.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
A public safety-net rural health clinic about 21 miles from Orofino. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Nimiipuu Health in Lapwai tests for HIV, gonorrhea, chlamydia, syphilis, and TB: all at no cost, with Medicaid and insurance also accepted alongside a sliding scale. Bacterial STIs are treated the same visit; appointments are required.
Every service at Nimiipuu Health is provided at no charge, which means the full scope of care (testing, treatment, vaccines) stays within reach without financial planning before you walk in.
Substance-use treatment is available alongside STI care at Nimiipuu Health, so a patient managing both concerns can address them through a single provider relationship rather than coordinating across separate systems.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
A safety-net rural health clinic about 28 miles from Orofino. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Orofino, 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 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.
Local clinicians
Beyond dedicated clinics, 30 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Orofino. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 9 offer telehealth.
Austin Voigt, MD
Internal medicine · 1055 Riverside Avenue, Orofino
Jane Fore, MD
Internal medicine · 301 Cedar Street, Orofino
Andrew Schweitzer, MD
Family medicine · 501 Oak Street, Nezperce
Hailey Wilson, MD
Family medicine · PO Drawer, Lapwai
Thanh Danae Vu, MD
OB-GYN · 111 Bever Grade Road, Lapwai
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 Orofino, ID 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.
Shopko Pharmacy
0.5 miArnzen's Glenwood Pharmacy
0.7 miClearwater Valley Health Pharmacy
0.7 miClearwater Canyon Pharmacy
3.2 miRed Cross Pharmacy
21 miArnzen's Kamiah Drug
28 miShowing the 6 closest pharmacies to Orofino, ID.
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 Orofino, 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
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
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 Clearwater County, the county that includes Orofino, compare with Idaho and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#26 of 44 Idaho counties for chlamydia, a higher rate than 41% of the state
| Infection | Clearwater County | Idaho | United States |
|---|---|---|---|
| Chlamydia | 173.6 16 cases ▼ 41% | 294.9 | 492.2 |
| Gonorrhea | — no data | 39.6 | 179.5 |
| Syphilis (P&S) | — no data | 3.8 | 15.8 |
| Syphilis (early) | — no data | 3.1 | 16 |
| Syphilis (late/unknown) | — no data | 6.3 | 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 Clearwater County, chlamydia has fallen from 309.1 to 173.6 per 100,000 (44%), and gonorrhea has risen from 45.8 to 55.5 per 100,000 (21%).
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 Clearwater County.
Local HIV snapshot
Clearwater County HIV care continuum (2023)
Clearwater County recorded 0 new HIV diagnoses per 100,000 (2023), against 3 statewide and 13.7 nationally. 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 Clearwater County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Winter rain drums down on Orofino's evergreen ridges, and the town's steady rhythm (retirees tending gardens, young adults launching careers or families, the fairgrounds hosting seasonal events) continues regardless of weather. That mix of life stages means STI testing threads quietly into the health habits of people at all points. A young adult starting a relationship or returning to dating, a longtime resident checking in after years, or someone between jobs with time to address health questions all find screening available in and around Orofino listed on this page. The modest cost of living here reflects itself in how residents approach care: straightforward, practical, without elaborate fuss. Testing clinics serving the area understand that confidentiality isn't theater, it's how people actually live.
A neighbor might work the front desk at the clinic; word travels in a town this size. The testing itself is straightforward and fast, results typically returned within days, and what you learn stays yours to share or keep private. Whether you're settling into Orofino or passing through, screening before a new relationship or after a potential exposure is as ordinary as any other preventive health step. The providers listed here handle questions without judgment, offer same-day or next-day appointments when possible, and keep records separate from any other part of your life in town.
Getting there
At 4.23/20 on the EPA walkability index, day-to-day errands in Orofino 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 83544 snapshot
ZIP-level Census figures for the wider 83544 area around Orofino: a single ZIP can span several communities, so they describe the area, not Orofino alone.
Orofino sits in Clearwater County, ZIP 83544. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Orofino? 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 Clearwater County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Idaho 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 Orofino-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 Orofino 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 Idaho 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 Idaho, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Idaho 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 IdahoSource: 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Nimiipuu Health, about 26.7 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Clearwater County reported ~174 chlamydia cases per 100,000 in 2023, below the Idaho average.
In Idaho, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.