STD Testing in Pagosa Springs, CO: Free, Same-Day & Confidential
Archuleta County has reported gonorrhea cases about 92% lower than the US average. In Pagosa Springs, Colorado, whether you have symptoms or just want peace of mind, community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. To evaluate the choices below, consider the trade-offs between cost and timeliness.
4 testing options are listed for Pagosa Springs, CO. The nearest, Pagosa Springs Comprehensive Primary Care, is about 2.5 miles away. Compare 3 community and public clinics, private labs, and at-home kits below.
How to read these listings
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.
Location unavailable — enter a ZIP code or city instead.
Community health center 2.5 miles
Pagosa Springs Comprehensive Primary Care
4.1(83)?Where these reviews come from
Review sources
Google78
EasySTD5
Rated 4.1 out of 5 from 83 reviews
Pagosa Springs Comprehensive Primary Care, in Pagosa Springs, meets patients where they are (uninsured, paying out of pocket, or simply between providers) through federally qualified status that ties fees to income. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment needed.
Axis Health System in Chimney Rock tests for gonorrhea, chlamydia, syphilis, herpes, and HIV, treating bacterial infections the same visit. The sliding-scale fee adjusts to income, and every service is available at no cost.
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Zero-Dollar Care Across Every Service Line
The no-fee structure at Axis Health System covers the full scope (testing, STI treatment, family planning, and the Mpox vaccine) without carving out exceptions by service type. That blanket coverage means the cost of addressing one concern never discourages addressing another at the same appointment.
Substance-Use Treatment Shares the Same Clinic
Axis Health System carries a licensed substance-use treatment program within the same system as its sexual health services. Because both are documented under one provider relationship, clinical staff can coordinate care across those conditions without fragmenting records or requiring separate intake processes.
Herpes Testing Included Beyond the Standard Four
Where many panels stop at gonorrhea, chlamydia, syphilis, and HIV, Axis Health System adds herpes testing as a fifth named infection. That single addition changes the diagnostic picture for anyone whose symptom history or exposure concerns extend beyond the bacterial infections the standard panel was built to catch.
Pagosa Springs Medical Center delivers STI care from a full medical clinic, pairing the standard panel (gonorrhea, chlamydia, syphilis, HIV) with sliding-scale fees, same-visit bacterial treatment, and appointment-based access, with PrEP and PEP available for prevention.
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PrEP and PEP Prescribed Where You're Already Seen
Pagosa Springs Medical Center prescribes both PrEP and PEP on-site, meaning prevention isn't a separate errand at a separate provider. That continuity keeps your prescribing, testing, and follow-up care in a single chart and a single relationship.
Herpes and Hepatitis Added to the Standard Panel
Many clinics cap their testing at the four-infection baseline and send patients elsewhere for anything more specific. Pagosa Springs Medical Center runs herpes, hepatitis A, hepatitis B, and hepatitis C testing alongside the standard panel, so a single appointment covers exposures that a shorter menu would miss.
Tests & treatsSliding-scalePrEP
Address
95 South Pagosa Boulevard, Pagosa Springs, CO 81147
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.
The nearest testing center is about 3 miles away; if you'd rather skip the trip, an at-home kit ships to Pagosa Springs, 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
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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
Clinicians near Pagosa Springs, CO who may help arrange STD testing
Beyond dedicated clinics, 14 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Pagosa Springs. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2 offer telehealth.
CN
Carole Nasralla, MD
Family medicine · 27 B Talisman Drive, Pagosa Springs
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
Pharmacies near Pagosa Springs, CO
No pharmacy near Pagosa Springs, 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.
Showing the 4 closest pharmacies to Pagosa Springs, CO.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Pagosa Springs, 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.
Online treatment
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
STDs & HIV in Archuleta County: the local picture
How reported STI rates in Archuleta County, the county that includes Pagosa Springs, compare with Colorado and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#56
#56 of 64 Colorado counties for chlamydia, a higher rate than 13% of the state
Reported STD rates per 100,000, Archuleta County vs Colorado vs U.S.
Archuleta CountyColoradoU.S.▲▼ = Archuleta County vs the state average
Infection
Archuleta County
Colorado
United States
Chlamydia
91.613 cases▼ 79%
435.1
492.2
Gonorrhea
14.12 cases▼ 89%
128.7
179.5
Syphilis (P&S)
— no data
16
15.8
Syphilis (early)
— no data
10.4
16
Syphilis (late/unknown)
71 cases▼ 75%
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.
Reported STD rates in Archuleta County over time (per 100,000)
Chlamydia ▼ 42% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Archuleta County, chlamydia has fallen from 217.1 to 91.6 per 100,000 (58%), gonorrhea has fallen from 59.9 to 14.1 per 100,000 (76%), and P&S syphilis has held roughly steady from 7.1 to 7.1 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
What shapes testing access in and around Pagosa Springs, CO
Adults uninsured
9.3%
No routine checkup
24.8%
Binge drinking
15.1%
Frequent mental distress
14.4%
Depression
21.3%
Below poverty line
6.8%
Primary-care ratio
1,149 : 1
Archuleta County
Primary-care shortage score 14 / 26
Medically Underserved Area · IMU 50.1
Social Vulnerability Index · 35th percentile nationally
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 Archuleta County.
Local HIV snapshot
HIV in Archuleta County (2023)
People living with HIV
159 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
87
Archuleta County HIV care continuum (2023)
Archuleta County recorded 0 new HIV diagnoses per 100,000 (2023), against 9.6 statewide and 13.7 nationally. Among Archuleta County residents living with HIV, 55% are in care · 50% 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.
Pregnant or planning to be?
Congenital syphilis is the fastest-rising STI: what to test, and when
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 Archuleta County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines → (opens in a new tab)
South Pagosa Park rising in the rearview, the drive out of Pagosa Springs to the nearest clinic means navigating Archuleta County roads that don't reward a quick errand. Getting tested is genuinely a half-day commitment for most residents, not a ten-minute detour. That reality lands differently depending on how your week is built. With just over half the adult population in the labor force, a meaningful share of Pagosa Springs households are running on schedules that aren't structured around nine-to-five availability: irregular hours, caregiving, or the kind of stretched daily logistics that come with an average household tucking more than two people under one roof.
For renters here, whose monthly costs sit well below national norms, cost is rarely the sharpest barrier to screening; time and distance are. Younger adults in their late teens and twenties, the years when STIs circulate most actively, often have the least flexibility to absorb a long round trip on a weekday, which is exactly when low-barrier appointment options on this page make the difference. Archuleta County's STI picture gives Pagosa Springs residents real reason to keep screening routine rather than reactive. The options listed here span enough variety in hours and format that residents near Pagosa Springs History Museum or anywhere along the county roads can find something that doesn't require sacrificing a full work shift just to get a straightforward answer about their health.
Getting there
How residents reach STD testing in Pagosa Springs, CO
Walkability5.86 / 20 · Below average
At 5.86/20 on the EPA walkability index, day-to-day errands in Pagosa Springs 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 81147 snapshot
Residents
12,923
Median age
52
Median income
$78,949
ZIP-level Census figures for the wider 81147 area around Pagosa Springs: a single ZIP can span several communities, so they describe the area, not Pagosa Springs alone.
Pagosa Springs sits in Archuleta County, ZIP 81147. Local context that shapes where residents test:
Local landmarks
South Pagosa Park
Pagosa Springs History Museum
Oakbrush Hill
Major routes
US 160 (San Juan Street)
Nearby cities & towns
Nearby cities and towns near Pagosa Springs, CO
Just outside Pagosa Springs? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Pagosa Springs, CO: screening, costs & privacy
Everything to know before you test in Archuleta 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.
Who should test, and when
CDC screening schedule + each infection's detection window
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Pagosa Springs-area provider.
Medicare reference prices per lab test, a benchmark before you pay out of pocket
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Pagosa Springs 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.
Confidentiality & consent in Colorado
Minor consent and partner treatment (EPT) under state law, plus how to test privately
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).
Can a minor consent on their own?
In Colorado, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
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.
