Near the US average, Sacramento County reports about 14 new HIV diagnoses per 100,000 residents. Whether you have symptoms or just want to get tested in Sacramento County, California, you can weigh visiting a clinic for immediate support or using an at-home kit for convenience and flexibility. Find more options below.
Available testing centers
10 testing options are listed for Sacramento, CA. The nearest, Quest Diagnostics, 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.
Elica Health Centers - Midtown, Sacramento, welcomes walk-in patients for STI screening without an appointment. Federally qualified standing ties fees to a sliding income scale, so cost adjusts to what each person actually earns. A single visit covers syphilis, gonorrhea, and chlamydia testing.
Tests offered
Fees & payment
WellSpace Health in Sacramento runs on a sliding-scale fee structure and accepts Medicaid, Medicare, and private insurance, covering the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, TB, and rapid or conventional HIV) by appointment.
WellSpace Health provides care in Spanish and through interpretation services for other languages, which means counseling, medication education, and prevention conversations happen in the same session as testing. Nothing gets condensed or deferred because of a language gap.
WellSpace Health holds standing capacity to prescribe both PrEP and PEP, making it a functional option for someone paying out of pocket or without a primary care provider who handles HIV prevention medication: the prescription, counseling, and follow-up live in one place.
Hepatitis C treatment at WellSpace Health is managed on-site alongside hepatitis B treatment, so a reactive antibody result leads directly into a care pathway (viral load monitoring, antiviral therapy, and follow-up) rather than a handoff to a specialist elsewhere in Sacramento.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
A community safety-net federally qualified health center in Sacramento. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Sacramento Native American Health Center runs on a sliding scale accepted by Medicaid, Medicare, and most insurance, covering the full bacterial and viral STI panel (gonorrhea, chlamydia, syphilis, herpes, HIV, and hepatitis C) with same-visit treatment for bacterial infections; appointments required. Spanish-language care is available throughout.
For a Spanish-speaking patient managing an STI, medication adherence counseling loses its value the moment it has to pass through a second person. At Sacramento Native American Health Center, that counseling (alongside testing, treatment, and prevention education) runs directly in Spanish, so nothing in the exchange gets softened, skipped, or misread.
Without Title X coverage, a minor seeking family planning or STI care can face a separate appointment at a separate clinic. A gap where follow-through often breaks down. Sacramento Native American Health Center's Title X designation means those services, including legally confidential care for minors, happen here, without a second stop or a secondary bill.
A positive hepatitis C antibody test that ends with a referral can mean weeks before treatment begins, time the virus continues to do damage. At Sacramento Native American Health Center, treatment follows diagnosis in the same building, closing the window between knowing and acting.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
WellSpace Health - J Street Community Health Center in Sacramento earned its federally qualified designation by committing to serve anyone regardless of income or insurance status. Fees slide to match what patients actually earn, making syphilis, gonorrhea, and chlamydia screening genuinely reachable for cash-paying patients, the uninsured, and those between providers.
Tests offered
Fees & payment
Planned Parenthood Mar Monte in Sacramento pairs STI testing (gonorrhea, chlamydia, syphilis, herpes, rapid and conventional HIV, and hepatitis B) with full family planning under one Title X practice, on a sliding-scale fee with appointments required. Same-visit treatment is available for bacterial infections.
Planned Parenthood Mar Monte carries Spanish-language care and interpretation for other languages as a standing clinical capability, not a scheduled add-on. For anyone navigating a sexual health conversation with precision and accuracy, the clinic answers that directly at the appointment level.
Without Title X protections, a minor needing STI care or family planning faces costs surfacing on a guardian's insurance or disclosure through billing. Gaps that leave infections untreated. Planned Parenthood Mar Monte's Title X designation makes those services legally confidential, removing the billing trail that would otherwise create that exposure.
Planned Parenthood Mar Monte prescribes both PrEP and PEP directly, no outside provider needed to initiate or continue either medication. PrEP requires periodic HIV testing and kidney-function monitoring to stay safely on the regimen; the clinic handles that follow-up internally, keeping the prescription and the lab work aligned at the same practice.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 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 Sacramento, 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 Sacramento 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.
3301 C Street Suite 200 East, Sacramento, CA 95816
CMS-certified lab Accredited · College of American Pathologists
2801 K St Suite 235, Sacramento, CA 95816
CMS-certified lab Accredited · College of American Pathologists
4400 Duckhorn Dr Suite 200, Sacramento, CA 95834
CMS-certified lab Accredited · College of American Pathologists
2025 Morse Avenue, Sacramento, CA 95825
CMS-certified lab Accredited · College of American Pathologists
6600 Bruceville Road, Sacramento, CA 95823
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Sacramento. 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, 1,730 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Sacramento. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 895 offer telehealth.
Grace Tidwell, MD
Family medicine · 1500 21st Street, Sacramento
Jay Keystone, MD Telehealth
Internal medicine · 1500 21st Street, Sacramento
Melody Hou, MD
OB-GYN · 4868 X Street, Sacramento
Ingvild Lane, MD Telehealth
Internal medicine · 1 Scripps Drive, Sacramento
Rebecca Chinn, MD Telehealth
Family medicine · 1 Scripps Drive, Sacramento
James Moore, MD Telehealth
Family medicine · 2750 Gateway Oaks Drive, Sacramento
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 Sacramento, 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.
Pucci's Pharmacy
0.2 mi
0.3 mi Sutter Sacramento Outpatient Pharmacy
0.4 mi
0.4 mi Capsule Pharmacy
0.5 miShowing the 5 closest pharmacies to Sacramento, 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 Sacramento, 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 Sacramento County, the county that includes Sacramento, compare with California 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.
#16 of 58 California counties for chlamydia, a higher rate than 72% of the state
| Infection | Sacramento County | California | United States |
|---|---|---|---|
| Chlamydia | 461 7,303 cases ▼ 6% | 491.1 | 492.2 |
| Gonorrhea | 198.9 3,151 cases ▲ 5% | 190.2 | 179.5 |
| Syphilis (P&S) | 19.3 305 cases ▲ 18% | 16.3 | 15.8 |
| Syphilis (early) | 13.2 209 cases ▼ 31% | 19.1 | 16 |
| Syphilis (late/unknown) | 36.5 578 cases ▼ 22% | 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 Sacramento County, chlamydia has risen from 460.3 to 461 per 100,000 (0%), gonorrhea has fallen from 283.5 to 198.9 per 100,000 (30%), and P&S syphilis has fallen from 24.8 to 19.3 per 100,000 (22%).
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 Sacramento County.
Local HIV snapshot
Federal priority area: Sacramento County is one of 48 U.S. counties prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Sacramento County HIV care continuum (2023)
Sacramento County recorded 13.6 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Sacramento County residents living with HIV, 83.7% know their status · 80.5% are in care · 73% 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 Sacramento County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Midtown Sacramento hums on a Tuesday morning the way few California neighborhoods do: coffee spots filling up near the Ruhstaller Building, cyclists cutting down 30th Street, and a mix of renters and owners who chose density over a backyard. That tenure split, just over half the city renting, shapes the rhythm of daily life in ways that matter for health access. Renters move more often, negotiate leases, and stretch a rent check that the typical Sacramento household knows well, leaving less margin for anything that feels like an errand rather than a necessity. With unemployment running measurably above the state's comfortable recent norm and fewer than three in ten households earning six figures, the cost-to-effort calculation around preventive care is real for a lot of people here.
Those pressures land unevenly on young adults in their late teens and twenties, the group that consistently accounts for the largest share of new STI diagnoses across Sacramento County. When time and money are tight, a screening appointment competes against a work shift, a second job, or a transit connection. Newton Booth sits close enough to the Capitol district that a lunchtime slot near Cesar E. Chavez Plaza is a realistic option for anyone working or moving through central Sacramento, which makes pulling up the nearest listed clinic and booking a same-week slot less of a detour and more of a sensible Tuesday errand.
Getting there
Sacramento scores 14.06/20 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.
Sacramento sits in Sacramento County. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Sacramento? 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 Sacramento 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 Sacramento-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 Sacramento 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.
The closest is Quest Diagnostics (0.2 mi); 10 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 461 cases per 100,000 residents (2023), below the California average.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
That's a myth; STIs need sexual contact to spread, not surfaces.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.