In Madera County, reported chlamydia runs about 17% higher than the US average. If you've had a recent risk or simply test on a regular schedule in Parksdale, California, you might consider clinics that may bill insurance or offer sliding-scale fees, or private labs that let you pay a flat self-pay price. See the options listed below.
Available testing centers
7 testing options are listed for Parksdale, CA. The nearest, Madera County Public Health Department, is about 1.2 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.
Madera County Public Health Department, Madera's public health agency, puts gonorrhea, chlamydia, syphilis, and rapid HIV testing on a sliding scale, with same-visit treatment for bacterial infections, by appointment, and every service is provided at no fee.
The sliding-scale structure at Madera County Public Health Department has a floor of zero: every test, every treatment, every vaccine visit is available at no charge. That applies to the full schedule of services (TB treatment, STI care, mpox and HPV vaccines) not to a selected subset.
Spanish-language services run through every point of contact at Madera County Public Health Department, which means counseling, test results, and treatment conversations happen in Spanish without routing through a separate step. For the region's Spanish-speaking population, that keeps health decisions inside the same appointment.
Without Ryan White backing, a positive HIV test at many public health sites ends with a referral and weeks of navigating insurance, specialists, and cost. Care that stalls before it starts. Madera County Public Health Department's Ryan White funding keeps that from happening: HIV care runs from initial testing through ongoing treatment in one place, with costs covered.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
A public safety-net federally qualified health center about 2 miles from Parksdale. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Camarena Health in Madera takes walk-in visits for syphilis, herpes, gonorrhea, chlamydia, and HIV testing, with same-visit treatment for bacterial infections when needed. Fees run on a sliding scale and Medicaid, Medicare, and private insurance are all accepted.
Many clinics handle non-English speakers through an after-the-fact patch, a call-in voice on a device held between two people. At Camarena Health, Spanish is a working clinical language: history, results, and treatment options are handled directly by staff, without a layer in between.
The default STI panel at most clinics stops before herpes, it tests four infections and leaves the fifth for a separate referral process. Camarena Health runs herpes testing alongside syphilis, gonorrhea, chlamydia, and HIV, so one visit accounts for all five.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Parksdale, 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 Madera 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.
451 East Almond Ave Suite 103, Madera, CA 93637
CMS-certified lab
40595 Westlake Drive, Oakhurst, CA 93644
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Parksdale. 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, 565 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Parksdale. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 166 offer telehealth.
Mohammad Ashraf, MD Telehealth
Internal medicine · 1260 East Almond Avenue, Madera
Amanjung Singh, MD
Internal medicine · 1250 East Almond Avenue, Madera
Shobha Sekhon, MD
Family medicine · 820 East Almond Avenue, Madera
Sohaila Mojadaddi, MD Telehealth
Internal medicine · 550 East Almond Avenue, Madera
Kulraj Grewal, MD
Internal medicine · 720 East Almond Avenue, Madera
Kayhan Bangash, MD
Family medicine · 924 Emily Way, Madera
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 Parksdale, 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.
Almond Avenue Pharmacy
1.6 miCleveland Pharmacy
1.7 miNew Life Pharmacy
1.7 miMadera Medical Pharmacy
2.0 miShowing the 4 closest pharmacies to Parksdale, 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 Parksdale, 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 Madera County, the county that includes Parksdale, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~36% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#7 of 58 California counties for chlamydia, a higher rate than 88% of the state
| Infection | Madera County | California | United States |
|---|---|---|---|
| Chlamydia | 574.7 936 cases ▲ 17% | 491.1 | 492.2 |
| Gonorrhea | 162.1 264 cases ▼ 15% | 190.2 | 179.5 |
| Syphilis (P&S) | 14.1 23 cases ▼ 13% | 16.3 | 15.8 |
| Syphilis (early) | 6.8 11 cases ▼ 64% | 19.1 | 16 |
| Syphilis (late/unknown) | 121 197 cases ▲ 159% | 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 Madera County, chlamydia has risen from 427.5 to 574.7 per 100,000 (34%), gonorrhea has risen from 121 to 162.1 per 100,000 (34%), and P&S syphilis has risen from 11.5 to 14.1 per 100,000 (23%).
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 Madera County.
Local HIV snapshot
Madera County HIV care continuum (2023)
Madera County recorded 17.4 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Madera County residents living with HIV, 77.7% are in care · 68.8% 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 Madera County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Parksdale is a mid-size, suburban community in Madera County, California, where incomes are on the modest side. Steady work can be harder to find, with unemployment around 15.3%, and only about 6% of adults have finished college. Busy local providers make at-home testing and telehealth a practical way to avoid the wait.
Getting there
Parksdale scores 10.79/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 93638 snapshot
ZIP-level Census figures for the wider 93638 area around Parksdale: a single ZIP can span several communities, so they describe the area, not Parksdale alone.
Parksdale sits in Madera County, ZIP 93638. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Parksdale? 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 Madera 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 a Parksdale-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 Parksdale 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, Fresno, CA is close; compare it by distance against Madera County Public Health Department.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 575 cases per 100,000 residents (2023), above the California average.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Rapid antibody tests, 4th-generation antigen/antibody lab tests, and NAT, which detects HIV soonest after exposure.
HPV is checked through cervical screening (often with a Pap test); there's no routine HPV test for men.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.