Skip to main content

STD Testing in Royal City, WA: Free, Same-Day & Confidential

In Royal City-Washington, reported gonorrhea in Grant County runs about 44% lower than the US average. Whether you need testing in Royal City-Washington after a potential exposure or as part of routine care, your choice of clinic or at-home kit affects convenience and support. Clinics offer provider answers and immediate treatment, while at-home kits allow self-collection and mailing.

Find a lab
  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

STD testing near Royal City, WA

5 testing options are listed for Royal City, WA. The nearest, Confluence Health, is about 0.4 miles away. Compare 1 community and public clinic, private labs, and at-home kits below.

How to read these listings

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.

Community health center 0.4 miles

Confluence Health

Where these reviews come from

Review sources

  • Google5
  • EasySTD1
Rated 3.4 out of 5 from 6 reviews

Confluence Health in Royal City folds gonorrhea, chlamydia, syphilis, and HIV testing into its broader clinical practice, so STI care sits alongside the full range of primary services rather than in a standalone specialty lane. Fees run on a sliding scale, insurance and Medicare are accepted, and bacterial infections can be treated the same visit. Appointments required.

Tests & treats Sliding-scale
Address
103 Camelia Street Northwest, Royal City, WA 99357
Booking
Appointment required
Opening hours
  • Monday 7:30 AM – 5:00 PM
  • Tuesday 7:30 AM – 5:00 PM
  • Wednesday 7:30 AM – 5:00 PM
  • Thursday 7:30 AM – 5:00 PM
  • Friday 7:30 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

Rate this clinic

Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
Wait time
Staff & comfort
Value for cost

Every other option

More ways to get tested in Royal City, WA

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.

At-home STD testing in Royal City, WA

The nearest testing center is less than a mile away; if you'd rather skip the trip, an at-home kit ships to Royal City, 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.

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.

Other CLIA-certified labs near Royal City, WA

Beyond the public testing sites above, these federally certified (CLIA) labs serve Grant 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.

  • Quincy Valley Medical Center Laboratory

    908 10th Avenue Southwest, Quincy, WA 98848

    CMS-certified lab

    • STD testing
  • Confluence Health - Moses Lake Campus

    840 East Hill Avenue, Moses Lake, WA 98837

    CMS-certified lab

    • STD testing
  • IP Mattawa 1

    601 Government Way, Mattawa, WA 99349

    CMS-certified lab

    • STD testing

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Royal City. 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.

Clinicians near Royal City, WA who may help arrange STD testing

Beyond dedicated clinics, 55 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Royal City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.

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.

Pharmacies near Royal City, WA

No pharmacy near Royal City, WA 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.

  • Southgate Pharmacy

    20 mi
    Rx pickupCondoms / EC
  • Laketown Pharmacy

    22 mi
    Rx pickupCondoms / EC
  • Walgreens 23 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • Albertsons/Safeway 23 mi
    Rx pickupHPV & Hep B vaccinesCondoms / EC
  • Rite Aid 23 mi
    Rx pickupOTC HIV self-testPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • Food Pavilion #861 Pharmacy

    23 mi
    Rx pickupCondoms / EC

Showing the 6 closest pharmacies to Royal City, WA.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Royal City, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Grant County: the local picture

How reported STI rates in Grant County, the county that includes Royal City, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#7 of 39 Washington counties for chlamydia, a higher rate than 82% of the state

Reported STD rates per 100,000, Grant County vs Washington vs U.S.

Grant County Washington U.S. ▲▼ = Grant County vs the state average
Infection Grant County Washington United States
Chlamydia
456.8 469 cases ▲ 29%
354.4 492.2
Gonorrhea
101.3 104 cases ▼ 22%
129.6 179.5
Syphilis (P&S)
21.4 22 cases ≈ the state average
21.3 15.8
Syphilis (early)
14.6 15 cases ▲ 17%
12.5 16
Syphilis (late/unknown)
22.4 23 cases ▼ 2%
22.9 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.

Reported STD rates in Grant County over time (per 100,000)

Chlamydia ▲ 9% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 250 500 2020202120222023

Between 2020 and 2023 in Grant County, chlamydia has risen from 305.7 to 456.8 per 100,000 (49%), gonorrhea has fallen from 115 to 101.3 per 100,000 (12%), and P&S syphilis has risen from 8.1 to 21.4 per 100,000 (164%).

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

What shapes testing access in and around Royal City, WA

Adults uninsured
31.8%
No routine checkup
36.2%
Binge drinking
18.4%
Frequent mental distress
18.9%
Depression
21.9%
Below poverty line
23.6%
Primary-care ratio
2,507 : 1
Grant County
  • Primary-care shortage score 18 / 26
  • Medically Underserved Area · IMU 59.9
  • Social Vulnerability Index · 93rd percentile nationally

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 Grant County.

Local HIV snapshot

HIV in Grant County (2023)

People living with HIV
89 / 100k
PrEP users / 100k
76

Grant County HIV care continuum (2022)

Grant County recorded 7.4 new HIV diagnoses per 100,000 (2022), against 6.3 statewide and 13.7 nationally. Among Grant County residents living with HIV, 75.7% are in care · 65.7% 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Grant County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

17 Sources

Local resources & officials

Data & references

About Royal City, WA

WA-26 stretches out flat and long past Royal City Lion's Park, and reaching the nearest testing option listed on this page means committing to a real stretch of that highway. This isn't a town where you duck out on a lunch break. That distance calculates differently when rent runs well under the regional average, leaving households with some financial breathing room, but most people here are working, and the labor-force participation rate reflects a community where schedules are full and personal appointments get deferred. The renter majority here, more than half of households, tends to move more often and maintain looser ties to a single primary-care provider, which makes on-demand screening through the options listed on this page more practical than waiting for an annual exam.

Young adults in their late teens and twenties make up a substantial share of Royal City, and for them specifically, having a listed clinic reachable along Road 13 Southwest or farther out on WA-26 matters more than it might somewhere with transit or denser services. What anchors daily life here is notable: households run large, and more than half of adults are married. Testing fits into that texture not as a solo errand but often as something that affects a partner or a family: a quiet, practical reason to check the listed options and plan the drive.

Getting there

How residents reach STD testing in Royal City, WA

Walkability 3.11 / 20 · Least walkable

At 3.11/20 on the EPA walkability index, day-to-day errands in Royal City 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.

Map of 5 STD & STI testing locations in Royal City, Washington, EasySTD

ZIP 99357 snapshot

Residents
3,550
Median age
27.6
Median income
$69,120

ZIP-level Census figures for the wider 99357 area around Royal City: a single ZIP can span several communities, so they describe the area, not Royal City alone.

Royal City sits in Grant County, ZIP 99357. Local context that shapes where residents test:

Local landmarks

  • Royal City Lion's Park

Major routes

  • WA 26 (State Route 26 West)

STD testing in Royal City, WA: screening, costs & privacy

Everything to know before you test in Grant County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Royal City-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Royal City 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.

TestReference priceCPT / 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.

Confidentiality & consent in Washington

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on Washington 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).

Can a minor consent on their own?

In Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

Washington 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 Washington

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Royal City, WA

Answers to the questions people ask most before getting tested.

How many places can I test near Royal City, WA?

There is 1 option within a 30-mile drive.

Does insurance cover STD testing near Royal City, WA?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Can I get tested in Royal City, WA without insurance?

Public clinics serve people without insurance, often on a sliding scale.

What's included in a full panel near Royal City, WA?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Grant County?

Grant County reported ~457 chlamydia cases per 100,000 in 2023, above the Washington average.

Can someone under 18 get tested in Washington without a parent?

In Washington, people under 18 can consent to confidential STD testing and treatment on their own.

How long do results take near Royal City, WA?

Most results are ready in about 1–2 days.

Does a negative test mean I'm safe?

Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.

Does the test site matter for gonorrhea?

Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.

What happens after a positive result?

Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.