Syphilis in Franklin County reported runs about 66% lower than the US average. Whether you need STI testing in Rocky Mount, Virginia for a one-time concern or as regular check-ups, you can weigh clinics, which may bill insurance, against private labs, that often allow a flat self-pay price. Find local options below.
Available testing centers
8 testing options are listed for Rocky Mount, VA. The nearest, Quest Diagnostics, is about 0.6 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.
Carilion Clinic in Rocky Mount requires an appointment, so scheduling ahead is the move, but that single visit covers gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B and C, and TB, with bacterial STIs treated the same day on a sliding-scale fee.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
Tri-Area Community Health Centers in Ferrum tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C, with fees set on a sliding scale and accepted through Medicaid, Medicare, or private insurance. Bacterial STIs are treated the same visit; an appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
Connect Health and Wellness in Bassett tests for gonorrhea, chlamydia, syphilis, and HIV, with fees set on a sliding scale that applies to everyone and adjusted for income. Medicaid and Medicare are both accepted. Bacterial infections can be treated the same visit, and no appointment is needed.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
New Horizons Healthcare, in Roanoke earned its federal qualification by meeting rigorous standards for serving patients regardless of ability to pay. Adults and families navigating gaps in coverage or paying out of pocket can access sliding-scale STI screening (syphilis, gonorrhea, and chlamydia) without an appointment.
Tests offered
Fees & payment
Virginia Department of Health in Rocky Mount requires an appointment, so scheduling ahead means arriving to a visit that covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B and C, and TB: with same-visit treatment for bacterial infections, sliding-scale fees, and all services at no cost.
The no-fee structure at Virginia Department of Health in Rocky Mount is operational, not occasional: staff are funded and authorized to deliver testing, treatment, vaccines, and DoxyPEP counseling without generating a patient bill. No co-pay line, no balance generated at checkout.
Interpretation services are available for non-English languages at Virginia Department of Health in Rocky Mount, which means a patient can give a full symptom history and leave with a treatment plan they've actually understood. Not one reconstructed secondhand.
DoxyPEP, the antibiotic regimen taken after potential bacterial STI exposure, often falls outside what a standard clinic will prescribe on-site. Virginia Department of Health in Rocky Mount offers it directly, keeping prevention and testing under the same clinical relationship.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Rocky Mount, 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 value: single tests
$49 & 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 Franklin 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.
180 Floyd Avenue Southwest, Rocky Mount, VA 24151
CMS-certified lab Accredited · College of American Pathologists
390 South Main Street - Suite 103, Rocky Mount, VA 24151
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Rocky Mount. 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, 332 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Rocky Mount. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 67 offer telehealth.
Christopher Sullivan, MD
OB-GYN · 390 South Main Street, Rocky Mount
Jessica Sosa-Stanley Telehealth
OB-GYN · 390 South Main Street, Rocky Mountain
Lauren Nelson
OB-GYN · 390 South Main Street, Rocky Mountain
Rebekah Summey, MD Telehealth
OB-GYN · 180 Floyd Avenue, Rocky Mount
Zachary Hall, DO
Family medicine · 796 Old Franklin Turnpike, Rocky Mount
Paula Martin, DO
Family medicine · 22890 Virgil Goode Highway, Boones Mill
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 Rocky Mount, 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.
1.1 mi 
1.1 mi 
1.2 mi 
1.3 mi Pharmacy Services America
1.3 miShowing the 5 closest pharmacies to Rocky Mount, 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 Rocky Mount, 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 Franklin County, the county that includes Rocky Mount, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#95 of 133 Virginia counties for chlamydia, a higher rate than 29% of the state
| Infection | Franklin County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 225 125 cases ▼ 52% | 472.8 | 492.2 |
| Gonorrhea | 66.6 37 cases ▼ 58% | 158.3 | 179.5 |
| Syphilis (P&S) | 5.4 3 cases ▼ 50% | 10.7 | 15.8 |
| Syphilis (early) | 5.4 3 cases ▼ 43% | 9.5 | 16 |
| Syphilis (late/unknown) | 7.2 4 cases ▼ 54% | 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 Franklin County, chlamydia has fallen from 282.7 to 225 per 100,000 (20%), gonorrhea has fallen from 97.3 to 66.6 per 100,000 (32%), and P&S syphilis has risen from 3.7 to 5.4 per 100,000 (46%).
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 Franklin County.
Local HIV snapshot
Franklin County HIV care continuum (2021)
Franklin County recorded 0 new HIV diagnoses per 100,000 (2021), against 11.8 statewide and 13.7 nationally. Among Franklin County residents living with HIV, 74.2% are in care · 69.4% 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 Franklin County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
North Main Street cuts through the center of Rocky Mount at a pace that matches the town itself: unhurried, practical, and built around people who largely stay put. With more than half of residents owning their homes, this is a community with real roots, and typical rents well below most Virginia cities make it accessible to those who haven't bought in yet. That stability, though, coexists with a labor market where a meaningful share of working-age adults are either outside the workforce or between jobs: a reality that shapes how people manage time, money, and healthcare decisions alike. For younger adults in their late teens and twenties, who represent a disproportionate share of STI cases regardless of geography, the calculus around getting tested often comes down to logistics rather than intention.
Rocky Mount is not a place you walk across; without a car, the distance from Grassy Hill toward US 220 Business or out past Bald Knob means that scheduling an appointment requires actual planning. When household budgets are tight and work schedules irregular, that planning either happens or it doesn't. The options listed on this page span a range of fees and hours, so it's worth checking which one aligns with what a given week actually allows.
Getting there
At 4.75/20 on the EPA walkability index, day-to-day errands in Rocky Mount 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 24151 snapshot
ZIP-level Census figures for the wider 24151 area around Rocky Mount: a single ZIP can span several communities, so they describe the area, not Rocky Mount alone.
Rocky Mount sits in Franklin County, ZIP 24151. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Rocky Mount? 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 Franklin 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 Rocky Mount-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 Rocky Mount 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Franklin County reported ~225 chlamydia cases per 100,000 in 2023, below the Virginia average.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, syphilis is cured with antibiotics (usually penicillin), and earlier treatment prevents long-term damage.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Yes, most STIs cause no symptoms for a long time, which is exactly why routine screening matters.
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.