Oswego County, New York saw reported syphilis cases about 46% lower than the US average. In Richland, New York, whether you need testing after a possible exposure or as part of routine care, weigh your options for cost, speed, and convenience. The choices range from public clinics to private labs to at-home kits. Review your options below.
Available testing centers
9 testing options are listed for Richland, NY. The nearest, Labcorp, is about 1.5 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.
ConnextCare in Pulaski tests for gonorrhea, chlamydia, syphilis, HIV, and herpes on a sliding scale accepted by Medicaid, Medicare, and most insurers. Appointments are required, and bacterial STIs can be treated the same visit.
Clinics running a basic panel typically stop at gonorrhea, chlamydia, syphilis, and HIV. Herpes sits outside that set and goes untested. ConnextCare in Pulaski includes herpes in its panel, so a single appointment covers five infections without piecing together care elsewhere.
Sexual health clinics nearly always treat the infection and leave substance-use concerns to a separate system. ConnextCare runs substance-abuse treatment alongside STI care, so someone navigating both doesn't have to coordinate two unrelated providers.
ConnextCare in Pulaski has interpretation services available for non-English speakers: the person who needs to discuss symptoms, understand a diagnosis, or weigh treatment options in their own language can do all of that directly within the appointment itself.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Mexico Elementary SBHC, serving Mexico, welcomes walk-ins for STI screening without requiring an appointment. Fees scale to income under federal health center guidelines, keeping syphilis, gonorrhea, and chlamydia testing within reach in a single visit for patients across the income spectrum.
Tests offered
Fees & payment
Central Square Health Center, serving Central Square, carries full federally qualified status. Meaning STI screening costs scale to what patients actually earn. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing, with no fixed price standing between someone and the care they need.
Tests offered
Fees & payment
Oswego County Opportunities in Oswego folds STI care into a community-service organization where the full panel (HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis C) runs on a sliding scale, with bacterial infections treated the same visit; appointments required, all services provided at no fee.
The sliding-scale bottoms out at zero for every service Oswego County Opportunities provides (testing, treatment, counseling, family planning) none of them carry a charge. That single-rate floor means cost is never a variable in the decision to come back for follow-up or add a service.
Spanish-language services at Oswego County Opportunities are staffed, clinicians and counselors conducting appointments in Spanish rather than routing communication through an intermediary. HIV test counseling and prevention education are delivered in the same language in which questions actually arise.
Oswego County Opportunities tests for herpes and hepatitis C alongside the core bacterial and HIV panel, which means a single appointment can surface infections that a narrower screen would leave undetected and untreated.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
Oswego Health Center in Oswego welcomes walk-ins for STI screening, no appointment needed. Earning its federal qualification means fees slide with income, so a single visit can cover syphilis, gonorrhea, and chlamydia testing on a scale that adjusts to what patients actually earn.
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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Richland, 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 Oswego 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.
110 West 6th Street, Oswego, NY 13126
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Richland. 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, 142 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Richland. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 54 offer telehealth.
Jay Sullivan, MD
Family medicine · 3858 State Route 13, Pulaski
Matthew Feller, MD
Internal medicine · 3045 East Avenue, Central Square
Scott Vangorder, MD
Family medicine · 3045 East Avenue, Central Square
Alexander Filipski, DO
Family medicine · 10 George Street, Oswego
Eyal Kord, MD Telehealth
Urology · 105 County Route 45A, Oswego
Joselito Ouano, MD
Family medicine · 448 County Route 1A, Oswego
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 Richland, NY 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.
Kinney Drugs
1.2 miKPH Healthcare Services
1.2 mi
1.2 mi 
1.2 mi Showing the 4 closest pharmacies to Richland, NY.
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 Richland, 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 Oswego County, the county that includes Richland, compare with New York and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#39 of 62 New York counties for chlamydia, a higher rate than 37% of the state
| Infection | Oswego County | New York | United States |
|---|---|---|---|
| Chlamydia | 215 254 cases ▼ 61% | 558.4 | 492.2 |
| Gonorrhea | 62.6 74 cases ▼ 73% | 235.6 | 179.5 |
| Syphilis (P&S) | 8.5 10 cases ▼ 43% | 14.8 | 15.8 |
| Syphilis (early) | 2.5 3 cases ▼ 89% | 23.1 | 16 |
| Syphilis (late/unknown) | 5.9 7 cases ▼ 77% | 25.2 | 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 Oswego County, chlamydia has fallen from 218.7 to 215 per 100,000 (2%), gonorrhea has risen from 41.7 to 62.6 per 100,000 (50%), and P&S syphilis has risen from 2.6 to 8.5 per 100,000 (227%).
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 Oswego County.
Local HIV snapshot
Oswego County HIV care continuum (2023)
Oswego County recorded 4.9 new HIV diagnoses per 100,000 (2023), against 14.1 statewide and 13.7 nationally. Among Oswego County residents living with HIV, 88.9% are in care · 86.4% 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 Oswego County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along the River Walk, where US 11 cuts through town toward South Park, daily life in Richland moves at a pace shaped by cars and spread-out distances, and that same geography defines what getting tested actually takes. Richland's household picture adds useful texture here. Nearly three-quarters of residents own their homes, many with modest mortgages on properties well within reach of local wages, but the quarter who rent on around $750 a month are working with tighter margins, and when unemployment is running at the level it is locally, discretionary health spending can slip. Half of all households are married-couple arrangements with an average of nearly three people per home, meaning that one person's test result can carry real weight for a partner or family.
The options listed on this page exist precisely because no single schedule or price point fits everyone. Someone clocking limited work hours during a stretch of unemployment needs a different entry point than a dual-income household near John Ben Snow Memorial Park. That range of choices is what makes screening genuinely reachable in a spread-out community like this one.
Getting there
At 9/20 on the EPA walkability index, day-to-day errands in Richland 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 13142 snapshot
ZIP-level Census figures for the wider 13142 area around Richland: a single ZIP can span several communities, so they describe the area, not Richland alone.
Richland sits in Oswego County, ZIP 13142. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Richland? 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 Oswego County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New York 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 Richland-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 Richland 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 New York 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 New York, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New York 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 New YorkSource: 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.
Oswego County Opportunities, about 18.3 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Oswego County reported ~215 chlamydia cases per 100,000 in 2023, below the New York average.
In New York, people under 18 can consent to confidential STD testing and treatment on their own.
No; "everything" means a panel of several tests, and some need a repeat later to be conclusive.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Yes, a body or genital rash can be a sign of syphilis or HIV, so get tested and evaluated.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.