Every year, reported chlamydia cases in Contra Costa County run about 13% lower than the national average. Whether you're testing before starting a new relationship in Richmond, California or as part of ongoing care, you can choose from clinics for same-day walk-ins, or plan ahead with labs or at-home kits. See what works best for you below.
Available testing centers
12 testing options are listed for Richmond, CA. The nearest, LifeLong Medical Care, is about 0.4 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.
LifeLong Medical Care in San Pablo covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, hepatitis A, B, and C, HIV, and TB) with same-visit treatment for bacterial infections and a sliding-scale fee structure that applies to everyone, by appointment.
Fee waivers at most clinics are conditional, income cutoffs, insurance checks, program eligibility. At LifeLong Medical Care, every service is provided at no charge, full stop, with no qualifying criteria standing between a patient and care.
Many testing sites handle Spanish speakers through patchwork solutions that slow the visit and flatten the conversation. LifeLong Medical Care delivers care directly in Spanish, so clinical detail (exposure history, treatment plans, prevention options) lands with full fidelity.
LifeLong Medical Care holds prescribing authority for both tenofovir-based PrEP and post-exposure PEP, meaning ongoing HIV prevention, daily regimens and acute-exposure response alike, is managed within the same clinical relationship rather than handed off elsewhere.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Contra Costa Health Services in San Pablo requires an appointment and covers gonorrhea, chlamydia, syphilis, herpes, and rapid or conventional HIV testing on a sliding-scale fee open to anyone, with same-visit treatment for bacterial infections, HPV and hepatitis A and B vaccines, and PrEP available.
When a diagnosis or a prescription needs explaining in Laotian, Russian, Spanish, or Vietnamese and the clinic can't deliver that directly, the appointment ends with gaps. Misread dosing, a question left unasked, a follow-up that doesn't happen. Contra Costa Health Services carries clinical staff across all four languages, so nothing that matters gets lost between the visit and the treatment.
PrEP at Contra Costa Health Services means a provider evaluates your candidacy, writes the prescription, and schedules the follow-up labs. The HIV tests and kidney function panels that must recur every three months to keep the regimen going. PEP is also available, stocked and prescribed on-site rather than pieced together across separate facilities.
Contra Costa Health Services tests for herpes alongside gonorrhea, chlamydia, syphilis, and HIV. A capability that matters for anyone without a regular provider who needs a single visit to answer the full picture. That standing panel means herpes doesn't require a separate referral or a second appointment to address.
Languages
English, Laotian, Russian, Spanish, Vietnamese
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Brighter Beginnings Family Health Clinic Richmond meets patients in Richmond wherever they are in the healthcare system: uninsured, between providers, or paying out of pocket. Federal qualification backs its sliding-scale fees for STI screening covering syphilis, gonorrhea, and chlamydia, with costs tied to income.
Tests offered
Fees & payment
LifeLong Richmond earned its federally qualified health center designation by committing to serve anyone regardless of insurance status or income, a promise backed by a sliding-scale fee structure. Patients in Richmond can access syphilis, gonorrhea, and chlamydia screening, paying only what their income allows.
Tests offered
Fees & payment
North Richmond Center for Health, in Richmond, earned its federally qualified standing by tying fees to patient income: meaning STI screening for syphilis, gonorrhea, and chlamydia is priced on a sliding scale no matter what someone earns or which insurance they carry.
Tests offered
Fees & payment
Planned Parenthood Northern California in Richmond pairs rapid HIV testing, hepatitis B and C, herpes, syphilis, gonorrhea, and chlamydia with same-visit treatment for bacterial infections. All on a sliding scale, by appointment, with every service provided at no fee.
Sliding-scale clinics typically reduce costs, they rarely eliminate them entirely. Planned Parenthood Northern California in Richmond charges nothing: testing, treatment, PrEP, vaccines, and counseling all carry a zero-dollar balance, regardless of what you use.
When a language gap lives inside a medical visit, the risk isn't awkwardness. It's a missed diagnosis or a misunderstood treatment plan. At Planned Parenthood Northern California in Richmond, Spanish is spoken on-site, and interpretation is available for other languages, so nothing critical depends on a summary after the fact.
Planned Parenthood Northern California in Richmond holds Title X designation, which means minors can receive family planning and STI care, including testing and treatment, with legally protected confidentiality, no parental billing trail, and no separate hurdles to clear before care begins.
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
Sutter Health in Albany tests for HIV, gonorrhea, chlamydia, syphilis, hepatitis B and C, and TB, treats bacterial STIs at the same visit, and covers every service at no charge. Sliding-scale for all, with appointment required.
The no-cost structure at Sutter Health isn't a discount program layered onto billed services, it's the baseline. Every test, every treatment, every vaccine administered runs through a fee-free model, so nothing on the care plan gets quietly charged back through a separate billing pathway.
Sutter Health in Albany provides care directly in Spanish, which means clinical conversations about symptoms, treatment plans, and prevention stay in the hands of the clinician, and follow-up becomes easier when instructions arrive in the language a patient already uses to make decisions.
Sutter Health in Albany holds the standing capacity to prescribe, initiate, and monitor both PrEP and PEP. Making it a complete source for prevention medication for someone without a regular provider or with no insurance coverage, since PrEP for the uninsured is specifically supported.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Berkeley Free Clinic in Berkeley runs on an appointment basis and delivers gonorrhea, chlamydia, syphilis, and HIV testing alongside same-visit treatment for bacterial infections. All at zero cost, with sliding-scale fees that bottom out at nothing for everyone.
Paying out of pocket for STI care (testing, counseling, and bacterial treatment combined) can easily run into hundreds of dollars at a conventional clinic. Berkeley Free Clinic charges nothing for any of it: no fee for the test, none for the visit, none for treatment. That standing commitment holds regardless of income or insurance status.
When STI counseling and treatment get handed off to a separate Spanish-speaking provider, the gap between diagnosis and care widens, and bacterial infections don't wait. Berkeley Free Clinic delivers STI services directly in Spanish, so counseling, test results, and same-visit treatment for bacterial STIs happen in one conversation, without that gap.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Richmond, 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 for simplicity & support
$89 & 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 Contra Costa 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.
901 Nevin Avenue, Richmond, CA 94801
CMS-certified lab Accredited · College of American Pathologists
934 Marina Way South, Richmond, CA 94804
CMS-certified lab Accredited · College of American Pathologists
914 Marina Way South, Richmond, CA 94804
CMS-certified lab Accredited · College of American Pathologists
850 Marina Bay Pkwy Suite G265, Richmond, CA 94804
CMS-certified lab
850 Marina Bay Parkway, Richmond, CA 94804
CMS-certified lab
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Richmond. 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, 4,201 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Richmond. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,773 offer telehealth.
Indira Singh, MD Telehealth
Internal medicine · 100 A San Pablo Towne Ctr, San Pablo
Immanuel Asuncion, MD Telehealth
Family medicine · 2101 Vale Road, San Pablo
Ritu Singhal, MD
Family medicine · 901 Nevin Avenue, Richmond
Isabelle Cohen, MD Telehealth
OB-GYN · 2970 Hilltop Mall Road, Richmond
Sharon Jones, MD Telehealth
Internal medicine · 2970 Hilltop Mall Road, Richmond
Yin Zheng, MD
Family medicine · 2970 Hilltop Mall Road, Richmond
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 Richmond, 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.
Ahcs Vale Road Pharmacy
0.4 miVale Road Pharmacy
0.4 miSavon Pharmacy
0.6 mi
0.7 mi Longs Drug Store
0.7 miShowing the 5 closest pharmacies to Richmond, 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 Richmond, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Contra Costa County, the county that includes Richmond, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#19 of 58 California counties for chlamydia, a higher rate than 67% of the state
| Infection | Contra Costa County | California | United States |
|---|---|---|---|
| Chlamydia | 427.7 4,940 cases ▼ 13% | 491.1 | 492.2 |
| Gonorrhea | 127.9 1,477 cases ▼ 33% | 190.2 | 179.5 |
| Syphilis (P&S) | 13.2 153 cases ▼ 19% | 16.3 | 15.8 |
| Syphilis (early) | 9 104 cases ▼ 53% | 19.1 | 16 |
| Syphilis (late/unknown) | 22.3 257 cases ▼ 52% | 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 Contra Costa County, chlamydia has risen from 386.3 to 427.7 per 100,000 (11%), gonorrhea has fallen from 177.7 to 127.9 per 100,000 (28%), and P&S syphilis has fallen from 15.5 to 13.2 per 100,000 (15%).
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 Contra Costa County.
Local HIV snapshot
Contra Costa County HIV care continuum (2023)
Contra Costa County recorded 12.7 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Contra Costa County residents living with HIV, 80.2% are in care · 73.4% 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 Contra Costa County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Richmond sits at a life stage that makes sexual health easy to defer: first apartments along San Pablo Avenue, new relationships forming in Iron Triangle and Easter Hill Village, employer coverage that may not have followed someone from their last job. About half the city rents, and at typical rent levels that leaves little margin for anything that feels optional, which is exactly how a routine STI screen can get classified in a busy month. That financial pressure compounds with schedule.
Nearly two-thirds of Richmond residents are in the labor force, and an unemployment rate that remains meaningfully above the state average means many people are piecing together hours across more than one job, leaving little time to navigate a clinic that keeps standard nine-to-five windows. For the large share of households that include children, average household size here runs well above three, adding an appointment to the week takes coordination, not just intention. Younger adults navigating the early-relationship years, the stage when STI exposure tends to cluster, don't have to drive out to San Pablo Dam Road or wait for a perfect opening in the calendar.
Getting there
Richmond scores 14.99/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
Richmond sits in Contra Costa County. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Richmond? 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 Contra Costa 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 Richmond-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 Richmond 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.
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.
LifeLong Medical Care, about 0.4 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Contra Costa County reported ~428 chlamydia cases per 100,000 in 2023, below the California average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 94806: self-collect, send to the lab, results in ~2–5 days.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Yes, test even without symptoms, and tell the provider which infection so they can treat or retest appropriately.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.