In Nicholas County, syphilis cases run about 47% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Richwood, West Virginia, consider both clinics and private labs. Clinics may bill insurance or offer sliding-scale fees, while private labs usually let you pay a flat price out-of-pocket. Browse your options below.
Available testing centers
7 testing options are listed for Richwood, WV. The nearest, Camden Family Health - Richwood on Main, is about 0.2 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.
Camden Family Health - Richwood on Main meets Richwood residents wherever they land (uninsured, between providers, or paying cash) through federally qualified funding that anchors sliding-scale fees to income. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no single price locked in for anyone.
Tests offered
Fees & payment
Camden Family Health - Red Oak Drive, in Craigsville, earned its federal qualification by meeting rigorous standards to serve patients regardless of ability to pay. Including those paying cash or without coverage. Sliding-scale fees apply to syphilis, gonorrhea, and chlamydia screening, and no appointment is needed.
Tests offered
Fees & payment
Camden-on-Gauley Medical Center, in Camden On Gauley, extends federally backed sliding-scale STI screening (syphilis, gonorrhea, and chlamydia) to anyone whose income shapes what they can pay. As a Title X grantee, it also provides legally confidential family-planning services for minors, making it a practical choice for rural residents without a regular provider.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Richwood, 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 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 Nicholas 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.
400 Fairview Heights Road, Summersville, WV 26651
CMS-certified lab Accredited · COLA
400 Fairview Heights Road Suite 302, Summersville, WV 26651
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Richwood. 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, 65 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Richwood. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.
Arrettia Bush, DO
Family medicine · 16 West Main Street, Richwood
Joseph Dawson, DO
Family medicine · 46 Red Oak Drive, Craigsville
Matthew Fratczak, DO
Family medicine · 16414 Webster Road, Craigsville
Crystal Hickman Rodebaugh, MD
Family medicine · 10003 Webster Road, Camden On Gauley
Marvin Wurth, MD
Internal medicine · 400 Fairview Heighs Road, Summersville
Kathy Hamon, DO
Family medicine · 400 Fairview Heighs Road, Summersville
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 Richwood, WV 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.
Gauley River Pharmacy
9.5 mi
9.8 mi Craigsville Hometown Pharmacy
9.8 miMeadow River Health Care Associates
9.9 miSMH Pharmacy
17 miSRMC Pharmacy
17 miShowing the 6 closest pharmacies to Richwood, WV.
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 Richwood, 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
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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Nicholas County, the county that includes Richwood, compare with West 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.
#44 of 55 West Virginia counties for chlamydia, a higher rate than 20% of the state
| Infection | Nicholas County | West Virginia | United States |
|---|---|---|---|
| Chlamydia | 120 29 cases ▼ 52% | 249 | 492.2 |
| Gonorrhea | 8.3 2 cases ▼ 85% | 54.7 | 179.5 |
| Syphilis (P&S) | 8.3 2 cases ▼ 24% | 10.9 | 15.8 |
| Syphilis (early) | 8.3 2 cases ▲ 36% | 6.1 | 16 |
| Syphilis (late/unknown) | 4.1 1 cases ▼ 75% | 16.3 | 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 Nicholas County, chlamydia has fallen from 191 to 120 per 100,000 (37%), gonorrhea has fallen from 61 to 8.3 per 100,000 (86%), and P&S syphilis has risen from 4.1 to 8.3 per 100,000 (102%).
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 Nicholas County.
Local HIV snapshot
Nicholas County HIV care continuum (2022)
Nicholas County recorded 0 new HIV diagnoses per 100,000 (2022), against 6.5 statewide and 13.7 nationally. Among Nicholas County residents living with HIV, 70% are in care · 70% 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 Nicholas County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
West Main Street on a weekday afternoon moves at the unhurried pace of a town where fewer than half the working-age population holds an active job, and where unemployment runs deep enough that stretching every dollar is a practical necessity, not a lifestyle choice. With typical rents well under $600 a month and home values that would barely cover a down payment in most of the country, Richwood's cost of living reflects real economic pressure, and that pressure shapes decisions about healthcare as much as anything else. Those decisions fall hardest on younger adults, people in their late teens and twenties navigating new relationships in a community where the surrounding ridgelines of Fork Mountain and Mann Knob mark how far the nearest services can feel on a rural road. Nicholas County's STI picture is one that warrants attention, and the young adults who most need routine screening are often the same people working irregular hours or managing a household on a constrained income.
The options listed on this page span a range of fee structures precisely because out-of-pocket cost is a real obstacle here, not a hypothetical one. Nearly seven in ten Richwood residents own their homes, a stability that might suggest deep roots, but stable roots don't eliminate the need for screening; they just mean the appointment has to fit around a life that doesn't have much slack in it. Knowing which of listed options accepts walk-ins or sliding-scale fees is a practical starting point.
Getting there
At 4.41/20 on the EPA walkability index, day-to-day errands in Richwood 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 26261 snapshot
ZIP-level Census figures for the wider 26261 area around Richwood: a single ZIP can span several communities, so they describe the area, not Richwood alone.
Richwood sits in Nicholas County, ZIP 26261. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Richwood? 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 Nicholas County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under West 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 Richwood-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 Richwood 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 West 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 West Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
West 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 West 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.
There are 3 options within a 30-mile drive.
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.
Nicholas County reported ~120 chlamydia cases per 100,000 in 2023, below the West Virginia average.
At-home kits mail to 26261: self-collect, send to the lab, results in ~2–5 days.
In West Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Herpes isn't in standard panels unless you have symptoms, a sore can be swabbed, or a blood test discussed with a provider.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.