In Sierra County, reported chlamydia is about 87% lower than the US average. If you've had a recent risk or test on a regular schedule in Pike, California, you have choices. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. See the options below.
Available testing centers
7 testing options are listed for Pike, CA. The nearest, Sierra Family Medical Clinic, is about 4.7 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.
Sierra Family Medical Clinic in Nevada City brings STI testing into a family practice, where appointments connect the standard bacterial and viral panel (gonorrhea, chlamydia, syphilis, HIV, and hepatitis) with sliding-scale fees, same-visit bacterial treatment, and care available in Spanish.
Clinical staff at Sierra Family Medical Clinic conduct STI visits in Spanish, which means the conversation about symptoms, history, and next steps runs in the same language as the answers. Nothing is filtered through a secondary layer before it reaches the provider.
Sierra Family Medical Clinic offers substance-use treatment alongside its STI services, so a patient managing both concerns schedules within one practice rather than coordinating between separate systems. Reducing the friction that often causes one issue to go unaddressed.
Sierra Family Medical Clinic tests for herpes, hepatitis A, hepatitis B, and hepatitis C in addition to the core four: a seven-infection panel that surfaces conditions often missed when a clinic limits its screening to gonorrhea, chlamydia, syphilis, and HIV alone.
Languages
English, Spanish
Tests offered
Serves
Care services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Searls Avenue in Nevada City structures its fees on a sliding income scale, so cost doesn't keep anyone from care. As a federally qualified health center, it offers STI screening for syphilis, gonorrhea, and chlamydia. No appointment needed to get tested.
Tests offered
Fees & payment
Providence Mine, serving Nevada City, earned its federal health center designation by tying fees to income on a sliding scale: walk in without an appointment and leave having addressed syphilis, gonorrhea, and chlamydia screening in a single visit.
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Pike, 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 value: single tests
$49 & 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, 102 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Pike. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 47 offer telehealth.
Jessica Hamilton, MD
Family medicine · 209 Nevada Street, Downieville
Mehwish Khan, MD Telehealth
Internal medicine · 300 Sierra College Drive, Grass Valley
Byron Lake, MD Telehealth
Family medicine · 300 Sierra College Drive, Grass Valley
Neva Monigatti Lake, MD Telehealth
Family medicine · 300 Sierra College Drive, Grass Valley
Erin Macdonald, MD
OB-GYN · 280 Sierra College Drive, Grass Valley
Phillip Kintner, MD
OB-GYN · 280 Sierra College Drive, Grass Valley
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 Pike, 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.
Dokimos Nevada City Pharmacy
12 mi
13 mi Western Sierra Pharmacy
13 mi
13 mi 
14 mi Showing the 5 closest pharmacies to Pike, 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 Pike, 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.
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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 Sierra County, the county that includes Pike, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~46% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#57 of 58 California counties for chlamydia, among the lowest in the state
| Infection | Sierra County | California | United States |
|---|---|---|---|
| Chlamydia | 62.5 2 cases ▼ 87% | 491.1 | 492.2 |
| Gonorrhea | 31.2 1 cases ▼ 84% | 190.2 | 179.5 |
| Syphilis (P&S) | — no data | 16.3 | 15.8 |
| Syphilis (early) | — no data | 19.1 | 16 |
| Syphilis (late/unknown) | — no data | 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 Sierra County, chlamydia has fallen from 92.7 to 62.5 per 100,000 (33%), and gonorrhea has risen from 30.9 to 31.2 per 100,000 (1%).
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 Sierra County.
Local HIV snapshot
Sierra County HIV care continuum (2023)
Sierra County recorded 0 new HIV diagnoses per 100,000 (2023), against 14.9 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 Sierra County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
In the quiet neighborhood of Columbia Hill, daily life unfolds with a sense of stability and community. With many residents owning their homes, there's a feeling of permanence and roots being put down. This is a place where married couples and families make up a smaller part of the fabric, and the average household is compact, with just a couple of people calling it home.
The people who live here are largely hard at work, with a strong presence of employed adults contributing to the local economy. A significant portion of households have a higher earning power, which likely influences the rhythm of daily life. With most residents having a job, the pace is brisk, and the community's structure reflects this. The nearby Alaska Peak and Cape Horn offer a natural backdrop to this active lifestyle, providing a scenic escape for those who call Pike home.
As residents go about their busy lives, the reality of getting to a testing site might not be top of mind. But with so many people on the go, having easy access to health services can make all the difference. For those living on Galena Hill, or working in the area, taking care of health is a practical consideration that can be woven into daily routines. Stopping by a local health resource on the way to or from work could become a straightforward part of maintaining overall well-being.
Getting there
At 6.2/20 on the EPA walkability index, day-to-day errands in Pike 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 95960 snapshot
ZIP-level Census figures for the wider 95960 area around Pike: a single ZIP can span several communities, so they describe the area, not Pike alone.
Pike sits in Sierra County, ZIP 95960. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Pike? 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 Sierra 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 Pike-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 Pike 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.
The closest is Sierra Family Medical Clinic (4.7 mi); 7 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 63 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.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Yes if the first test was early; recheck a few weeks out for chlamydia/gonorrhea and up to ~3 months for HIV/syphilis.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
It's cured with antibiotics; treating partners together prevents reinfection.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.