In Giles County, the rate of reported chlamydia runs about 57% lower than the US average, so treatment remains a priority. Whether it's your first STI test or a routine screening in Rich Creek, Virginia, you can weigh cost, speed, and convenience. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience.
Available testing centers
7 testing options are listed for Rich Creek, VA. The nearest, Monroe Health Center, is about 3.9 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.
Monroe Health Center in Peterstown runs on sliding-scale fees with Medicaid, Medicare, and private insurance accepted, covering gonorrhea, chlamydia, syphilis, HIV, hepatitis B, hepatitis C, and TB, appointment required, with same-visit treatment for bacterial STIs and HPV and hepatitis A vaccines on-site. Spanish-language care is available.
Plenty of clinics accommodate Spanish speakers through workarounds that keep a layer between patient and provider. At Monroe Health Center, care is delivered in Spanish directly (the clinical conversation, the counseling, the follow-up) without a third voice in the room shaping what gets said.
Monroe Health Center tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV. A meaningful capability for anyone without a regular primary care provider who needs a single visit to cover the full picture. Hepatitis B vaccine is also available on-site.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
Giles Clinic in Pearisburg welcomes walk-in patients without an appointment, making same-day STI screening straightforward. Federally qualified status anchors a sliding-scale fee structure tied to income, and a single visit can cover syphilis, gonorrhea, and chlamydia testing together.
Tests offered
Fees & payment
Virginia Department of Health in Pearisburg requires an appointment, and that single visit covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB testing: with same-visit treatment for bacterial infections, HPV and hepatitis vaccines, and every service at no charge.
Fee structures at most clinics are layered, sliding scale for some services, insurance billed for others, out-of-pocket costs that surface only at checkout. At the Virginia Department of Health in Pearisburg, no fee attaches to any service on the menu, full stop.
The clinic's standing capacity for interpretation means that medication adherence counseling, partner notification, and prevention education, services that depend entirely on nuanced back-and-forth, are fully available regardless of the language a person speaks when they walk through the door.
PrEP requires initial bloodwork, ongoing HIV and kidney-function monitoring, and regular prescription renewals. All handled here. PEP is stocked and prescribed directly by clinic staff, and DoxyPEP, the post-exposure antibiotic regimen for bacterial STIs, is prescribed alongside counseling on correct timing and dosing.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Rich Creek, 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 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Giles 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.
363 Woodland Street, Rich Creek, VA 24147
CMS-certified lab
Showing the nearest 1 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Rich Creek. 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, 172 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Rich Creek. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 45 offer telehealth.
Michael Brackenrich, DO
Family medicine · 363 Woodland Street, Rich Creek
Mazen Madhoun, MD Telehealth
Family medicine · 120 Old Virginia Avenue, Rich Creek
Jonathan Saks
Family medicine · 159 Hartley Way, Pearisburg
Cathleen Callahan, MD
OB-GYN · 219 Buchanan Street, Pearisburg
Elliot Freed, DO
Family medicine · 133 Bostic Lane, Pembroke
Gordon Prescott, MD
Internal medicine · 401 East Vermillion Street, Athens
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 Rich Creek, 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.
Super Aid Pharmacy
0.1 mi
0.2 mi Peterstown Pharmacy
1.5 miGiles Pharmacy
7.0 mi
11 mi Hickman's Pharmacy
14 miShowing the 6 closest pharmacies to Rich Creek, 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 Rich Creek, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Giles County, the county that includes Rich Creek, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~17% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#99 of 133 Virginia counties for chlamydia, a higher rate than 26% of the state
| Infection | Giles County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 212.7 35 cases ▼ 55% | 472.8 | 492.2 |
| Gonorrhea | 18.2 3 cases ▼ 89% | 158.3 | 179.5 |
| Syphilis (P&S) | 6.1 1 cases ▼ 43% | 10.7 | 15.8 |
| Syphilis (early) | 12.2 2 cases ▲ 28% | 9.5 | 16 |
| Syphilis (late/unknown) | — no data | 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 Giles County, chlamydia has risen from 196.6 to 212.7 per 100,000 (8%), gonorrhea has fallen from 35.7 to 18.2 per 100,000 (49%), and P&S syphilis has risen from 6 to 6.1 per 100,000 (2%).
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 Giles County.
Local HIV snapshot
Giles County HIV care continuum (2022)
Giles County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Giles County residents living with HIV, 72.7% are in care · 63.6% 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 Giles County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Federal Street running through the center of town tells you a lot about Rich Creek before you look at any data: the housing stock is modest, rents stay well under most Virginians' reality, and home values reflect a community that lives close to the land and to each other. With roughly four in ten households renting at those low monthly figures, a significant share of residents are also working within tight margins, which is worth keeping in mind when the question of paying out of pocket for a health appointment comes up. Nearly half the adult population sits outside the labor force, and of those who are working, schedules in a small Appalachian town rarely follow a predictable nine-to-five rhythm. That makes the hours and cost structure of the options listed on this page genuinely relevant, not just a footnote.
Young adults in their late teens and twenties, the years when STI rates run highest and relationship networks shift most quickly, benefit most from testing that doesn't require burning a half-day of work or arranging a long drive twice over. US 460 out toward Narrows is the practical corridor for reaching any clinic listed here, and knowing which option requires the least travel time changes whether a screening appointment actually lands on the calendar. Giles County's STI landscape, combined with Rich Creek's household structure and limited local infrastructure, makes the distance question worth answering before you need to.
Getting there
At 6.02/20 on the EPA walkability index, day-to-day errands in Rich Creek 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 24147 snapshot
ZIP-level Census figures for the wider 24147 area around Rich Creek: a single ZIP can span several communities, so they describe the area, not Rich Creek alone.
Rich Creek sits in Giles County, ZIP 24147. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Rich Creek? 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 Giles 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 Rich Creek-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 Rich Creek 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Giles County reported ~213 chlamydia cases per 100,000 in 2023, below the Virginia average.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.