In Miami County, Ohio, syphilis is reported 94% less often than the US average. If you live in Piqua, Ohio and want testing, whether you have symptoms or just want peace of mind, you’ll choose between clinics that may bill insurance and private labs that often let you pay a flat fee. See your options below.
Available testing centers
9 testing options are listed for Piqua, OH. The nearest, Quest Diagnostics, is about 4.4 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.
Miami County Public Health in Troy runs STI care through a public health department: meaning gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing on a sliding-scale fee, with same-visit treatment for bacterial infections, by appointment, and Title X family planning, including legally confidential services for minors.
Without Title X, a minor seeking STI care or family planning often faces a gap: parental involvement requirements, a referral to a separate provider, or simply no coverage. Miami County Public Health's Title X designation legally protects the confidentiality of those services, keeping care from stalling at the front desk.
Leaving herpes or hepatitis C undetected means carrying an infection that a standard four-pathogen panel would have missed entirely, and potentially a second appointment elsewhere to close that gap. Miami County Public Health tests for herpes and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, so one visit accounts for the wider picture.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Family Health Services of Darke County in Versailles runs by appointment, so walk-ins aren't the model here, but a single scheduled visit covers gonorrhea, chlamydia, syphilis, herpes, and HIV testing, same-visit bacterial treatment, HPV and hepatitis A and B vaccines, and sliding-scale fees, with Spanish-language care on staff.
The panel at Family Health Services extends to herpes alongside gonorrhea, chlamydia, syphilis, and HIV. Meaning a single appointment generates a result set that many clinics require a separate dermatology or specialist visit to complete. That fifth test closes a diagnostic gap without adding a second scheduling loop.
Without in-house PrEP and PEP prescribing, the gap between a negative HIV test and actual prevention can stretch into weeks of follow-up appointments at separate providers. Family Health Services of Darke County closes that gap, both daily PrEP and PEP are prescribed and managed here, not handed off.
Spanish-language care at Family Health Services of Darke County is built into the clinical staff itself: counseling, test results, and treatment conversations happen directly in Spanish, without routing through a third-party service mid-appointment. That operational fact keeps clinical accuracy intact when precision in language carries real medical consequence.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Health Partners of Western Ohio in New Carlisle tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C on a sliding-scale fee open to anyone; same-visit treatment is available for bacterial STIs, and appointments are required.
Plenty of clinics will run a hepatitis C antibody test and stop there, leaving patients to locate a specialist on their own. Health Partners of Western Ohio carries treatment on-site, a positive result moves into a managed care plan without stepping out the door.
When STI care and substance-use treatment are split across separate providers, one appointment often never gets made, and that gap compounds both conditions. Health Partners of Western Ohio holds substance-use treatment alongside STI services, so both concerns land in the same clinical relationship.
The standard panel at most STI clinics covers gonorrhea, chlamydia, syphilis, and HIV. Hepatitis doesn't make the cut. At Health Partners of Western hepatitis C testing is built into the panel, catching an infection that otherwise goes undetected until it's advanced.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Reid Health in Greenville tests for gonorrhea, chlamydia, syphilis, and HIV on a fee-based schedule accepted by Medicaid, Medicare, and most private insurance. Treatment for bacterial STIs is handled at the same visit, and appointments are required.
Languages
English
Tests offered
Care services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Family Health Services of Darke County - Brethren Retirement Community, in Greenville, welcomes walk-ins for STI screening. No appointment needed. Federal qualification underpins its sliding-scale fees, keeping syphilis, gonorrhea, and chlamydia testing within reach for patients across the income spectrum.
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Piqua, 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 for simplicity & support
$89 & 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 Miami 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.
855 West Market Street, Troy, OH 45373
CMS-certified lab Accredited · COLA
600 West Main Street, Troy, OH 45373
CMS-certified lab Accredited · College of American Pathologists
3130 North County Rd 25A, Troy, OH 45373
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 Piqua. 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, 635 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Piqua. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 113 offer telehealth.
Jason Faber, MD
Internal medicine · 1 Kettering Way, Piqua
Virgilio Ponferrada, MD
Urology · 9163 North County Road, Piqua
Donald Luna, MD
Family medicine · 143 North Sunset Drive, Piqua
Jon Silk, MD Telehealth
Family medicine · 1752 West High Street, Piqua
Gretchen Lorenz, MD
Family medicine · 1255 East Ash Street, Piqua
Daniel Dilworth, MD
OB-GYN · 1930 Prime Court, Troy
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 Piqua, OH 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.
Hocks Piqua Pharmacy
0.3 miMedicine Shoppe
0.3 mi
0.3 mi 
1.2 mi 
1.9 mi Premier Health Pharmacy-Uvmc
4.3 miShowing the 6 closest pharmacies to Piqua, OH.
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 Piqua, 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
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
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 Miami County, the county that includes Piqua, compare with Ohio and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#43 of 88 Ohio counties for chlamydia, a higher rate than 51% of the state
| Infection | Miami County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 237.2 263 cases ▼ 49% | 461.7 | 492.2 |
| Gonorrhea | 61.3 68 cases ▼ 64% | 168 | 179.5 |
| Syphilis (P&S) | 0.9 1 cases ▼ 94% | 16.3 | 15.8 |
| Syphilis (early) | 3.6 4 cases ▼ 61% | 9.2 | 16 |
| Syphilis (late/unknown) | 7.2 8 cases ▼ 55% | 16 | 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 Miami County, chlamydia has risen from 215.1 to 237.2 per 100,000 (10%), gonorrhea has fallen from 90.1 to 61.3 per 100,000 (32%), and P&S syphilis has fallen from 3.7 to 0.9 per 100,000 (76%).
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 Miami County.
Local HIV snapshot
Miami County HIV care continuum (2023)
Miami County recorded 8.6 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Miami County residents living with HIV, 81.2% are in care · 80% 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 Miami County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Roosevelt Park anchors a city where household life runs deep: most adults here are raising families under one roof, and with average households stretching across three or more people, health decisions rarely feel purely personal. They get weighed against schedules, budgets, and the rhythms of everyone else at the table.
That family-forward character shapes how screening fits into daily life. Homeownership is the norm in Piqua, which builds stability, but with a relatively modest typical home value and rents that leave little slack, cost is a real consideration when choosing whether and where to get tested. Only a small fraction of households clear six figures, so a sliding-scale or low-cost option listed on this page can be the deciding factor. Add a meaningful share of residents outside the labor force or navigating unemployment, and the hours a clinic keeps matter as much as what it charges. Young adults in their late teens and twenties, the years when STI exposure peaks, are balancing all of this alongside relationships still taking shape, making straightforward access to the options listed here genuinely useful rather than incidental.
Miami County's STI figures give Piqua-area residents reason to stay current, not out of alarm but because the county's numbers reflect real, ongoing transmission close to home. For someone living along North Main Street or near the Piqua-Caldwell Historic District, knowing where to go and that the visit is affordable keeps routine screening something that actually stays routine.
Getting there
At 7.22/20 on the EPA walkability index, day-to-day errands in Piqua 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 45356 snapshot
ZIP-level Census figures for the wider 45356 area around Piqua: a single ZIP can span several communities, so they describe the area, not Piqua alone.
Piqua sits in Miami County, ZIP 45356. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Piqua? 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 Miami County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Piqua-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 Piqua 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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, Troy, OH is close; compare it by distance against Quest Diagnostics.
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 237 cases per 100,000 residents (2023), below the Ohio average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 45356; you collect a sample, mail it back, and get results in about 2–5 days.
Yes, rapid finger-stick tests are very accurate after the window period; any reactive result is confirmed with a lab test.
Some HPV types can lead to cervical and other cancers over time, which is why screening and the HPV vaccine matter.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.