Syphilis reports run about 42% lower than the US average in Caroline County. If you've had a recent risk or simply test on a regular schedule near Port Royal, Virginia, clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. See your options below.
Available testing centers
7 testing options are listed for Port Royal, VA. The nearest, Virginia Department of Health, is about 7.7 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.
Virginia Department of Health in King George tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis B and C on a sliding-scale fee accepted by Medicaid, Medicare, and most insurers; appointments are required, and bacterial STIs are treated the same visit.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, requires a prescription, patient education on correct timing and dosing, and ongoing monitoring to stay effective. Virginia Department of Health in King George handles all three: the initial prescription, the counseling on how to use it correctly, and the follow-up care that keeps the regimen working.
Plenty of STI clinics run the four-infection panel (HIV, syphilis, gonorrhea, chlamydia) and stop there, leaving hepatitis to a separate appointment elsewhere. Virginia Department of Health in King George extends the panel to include both hepatitis B and hepatitis C, so a single visit covers infections that often share the same exposure routes.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Central Virginia Health Services in Bowling Green is a community health center where STI testing (gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, TB, and rapid or conventional HIV) runs on a sliding-scale fee schedule, with all services available at no cost and appointments required.
When cost becomes the reason someone delays STI treatment, the infection doesn't wait. At Central Virginia Health Services, every service (testing, treatment, PrEP, vaccines) is provided at no fee, so a positive result moves directly to care without a billing barrier in between.
When a patient can't communicate precisely about symptoms or treatment instructions, clinical gaps open fast. Central Virginia Health Services delivers care in Spanish and through interpretation services for other languages, keeping those gaps from forming during the appointment itself.
PrEP, whether Truvada or Descovy, requires regular HIV testing and prescription management to work as intended. Central Virginia Health Services handles both: the prescription and the ongoing monitoring stay within the same clinic, alongside PEP for post-exposure prevention.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Guadalupe Free Clinic in Colonial Beach charges nothing (no fee, no donation required) for its full STI panel covering HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, hepatitis A, B, and C, plus HPV, hepatitis A, and hepatitis B vaccines. An appointment is required.
Plenty of clinics advertise sliding-scale fees that still leave a number on the invoice. At Guadalupe Free Clinic, the fee for every service (testing, treatment, vaccines) is zero, full stop. Donations are welcomed but never expected or required.
When a clinic can't serve a patient in Spanish, the consequence is a second appointment somewhere else, and STIs don't wait on scheduling gaps. Guadalupe Free Clinic delivers care directly in Spanish, so diagnosis and treatment happen in one visit without that costly detour.
Many free clinics test for the four bacterial and viral STIs and stop there, leaving hepatitis exposure unexamined. Guadalupe Free Clinic tests for hepatitis A, B, and C alongside HIV, syphilis, gonorrhea, and chlamydia, and offers hepatitis A and B vaccines at the same appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
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 8 miles away; if you'd rather skip the trip, an at-home kit ships to Port Royal, 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.
Local clinicians
Beyond dedicated clinics, 390 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Port Royal. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 113 offer telehealth.
Juan Munoz-Gonzalez, MD
Internal medicine · 9305 Kings Highway, King George
Hussam Kurdi, MD Telehealth
Internal medicine · 121 Courthouse Lane, Bowling Green
Hasan Farkhani, MD
Internal medicine · 525 B Euclid Avenue, Colonial Beach
Donald Bradshaw, MD
Family medicine · 330 White Oak Road, Fredericksburg
Shahab Virani, MD
Internal medicine · 1500 Dixon Street, Fredericksburg
Daniel Temple, MD
Family medicine · 4535 Spotsylvania Parkway, Fredericksburg
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 Port Royal, VA 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.
RX
11 mi
11 mi 
17 mi Giant of Maryland
19 mi
20 mi Showing the 5 closest pharmacies to Port Royal, VA.
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 Port Royal, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 $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 Caroline County, the county that includes Port Royal, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#42 of 133 Virginia counties for chlamydia, a higher rate than 68% of the state
| Infection | Caroline County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 432 141 cases ▼ 9% | 472.8 | 492.2 |
| Gonorrhea | 122.5 40 cases ▼ 23% | 158.3 | 179.5 |
| Syphilis (P&S) | 9.2 3 cases ▼ 14% | 10.7 | 15.8 |
| Syphilis (early) | 15.3 5 cases ▲ 61% | 9.5 | 16 |
| Syphilis (late/unknown) | 24.5 8 cases ▲ 55% | 15.8 | 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 Caroline County, chlamydia has risen from 294.6 to 432 per 100,000 (47%), gonorrhea has risen from 113.3 to 122.5 per 100,000 (8%), and P&S syphilis has fallen from 16.2 to 9.2 per 100,000 (43%).
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 Caroline County.
Local HIV snapshot
Caroline County HIV care continuum (2022)
Caroline County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Caroline County residents living with HIV, 71% are in care · 66.1% 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 Caroline County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
P. That travel time is worth thinking through honestly, especially for a community where close to half of households rent at just over a thousand dollars a month, leaving limited room in a monthly budget for anything that feels optional. The households here are mostly mid-sized, with nearly half of adults married, which means a lot of people are navigating sexual health decisions as a couple rather than alone. Young adults in their late teens and twenties make up a meaningful share of Port Royal's population, and for that group, the years of forming new relationships and the years of least reliable healthcare access tend to overlap almost exactly.
A clinic visit that requires planning a route, arranging a car, and clearing time from a schedule where nearly seven in ten residents are actively in the workforce is simply less likely to happen than one that doesn't. Checking the listed options for the closest site, confirming weekend or evening availability, and knowing the fee structure before you go removes the biggest practical obstacles. For a renting household watching a tight monthly budget, that kind of preparation is the difference between a visit that gets scheduled and one that keeps getting moved.
Getting there
At 4.17/20 on the EPA walkability index, day-to-day errands in Port Royal 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 22535 snapshot
ZIP-level Census figures for the wider 22535 area around Port Royal: a single ZIP can span several communities, so they describe the area, not Port Royal alone.
Port Royal sits in Caroline County, ZIP 22535. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Port Royal? 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 Caroline County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia 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 Port Royal-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 Port Royal 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 Virginia 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 Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia 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 VirginiaSource: 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.
Some clinics and labs take walk-ins for same-day testing; call ahead to confirm hours.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 432 cases per 100,000 residents (2023), below the Virginia average.
Yes, at-home kits ship to 22535; you collect a sample, mail it back, and get results in about 2–5 days.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Lab results typically come back in 1–2 days.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.