Columbiana County's reported chlamydia rate is about 57% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Salem, Ohio, you can choose a clinic for in-person support and treatment or an at-home kit for flexibility and convenience. Below, we list your options.
Available testing centers
9 testing options are listed for Salem, OH. The nearest, Quest Diagnostics, is about 0.3 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.
CAA Health Center at Salem welcomes walk-ins for STI screening, no appointment needed. Federally qualified status anchors a sliding-scale fee structure tied to income, covering syphilis, gonorrhea, and chlamydia testing in a single visit for patients across the payment spectrum.
Tests offered
Fees & payment
Community Action Agency of Columbiana County in Lisbon tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee schedule that also accepts Medicaid, Medicare, and private insurance. Bacterial infections are treated the same visit, and appointments are required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Alliance City Health Department tests for gonorrhea, chlamydia, syphilis, rapid HIV, and herpes on a sliding-scale fee with donations, Medicaid, and insurance all accepted: walk-ins welcome, same-visit treatment for bacterial infections, and care available in Spanish.
Walk-in STI clinics routinely screen for the core bacterial infections and HIV, then leave herpes off the list entirely. Meaning patients either go without that answer or chase it elsewhere. Alliance City Health Department runs herpes testing alongside the standard panel, so the picture is complete before you leave.
Without Spanish-language care on-site, a visit to Alliance City Health Department could end with an incomplete conversation: a diagnosis half-understood, treatment instructions that don't quite land, and another appointment to find someone who can fill the gap. That gap doesn't open here; Spanish is part of how care is delivered, not arranged after the fact.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Meridian HealthCare – Boardman Campus in Youngstown carries federally qualified health center standing, which ties its STI screening fees directly to each patient's income on a sliding scale. Syphilis, gonorrhea, and chlamydia testing is available without an appointment.
Tests offered
Fees & payment
A community safety-net federally qualified health center about 13 miles from Salem. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
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 Salem, 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 Columbiana 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.
1995 East State Street, Salem, OH 44460
CMS-certified lab Accredited · College of American Pathologists
1330 State Route 14, Columbiana, OH 44408
CMS-certified lab Accredited · COLA
15655 State Route 170 Suite A, Calcutta, OH 43920
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Salem. 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, 583 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Salem. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 121 offer telehealth.
Jeffrey Cohen, DO
Family medicine · 564 East 2nd Street, Salem
Stephanie Raynish, MD
Family medicine · 2020 East State Street, Salem
Constantine Economus, MD
OB-GYN · 2020 East State Street, Salem
Alexander Clendenin, DO
Family medicine · 1740 Pearce Circle, Salem
Constantine Economous, MD
Family medicine · 2370 Southeast Boulevard, Salem
Richard Shivers, MD Telehealth
Family medicine · 921 Orchard Bend Drive, Salem
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 Salem, OH 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.
Freds Family Pharmacy
0.3 miSalem Drug
0.3 miJH Lease Drug Company
0.4 mi
1.0 mi 
1.1 mi Showing the 5 closest pharmacies to Salem, OH.
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 Salem, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Columbiana County, the county that includes Salem, compare with Ohio and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#57 of 88 Ohio counties for chlamydia, a higher rate than 35% of the state
| Infection | Columbiana County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 211.6 212 cases ▼ 54% | 461.7 | 492.2 |
| Gonorrhea | 37.9 38 cases ▼ 77% | 168 | 179.5 |
| Syphilis (P&S) | 4 4 cases ▼ 75% | 16.3 | 15.8 |
| Syphilis (early) | 4 4 cases ▼ 57% | 9.2 | 16 |
| Syphilis (late/unknown) | 3 3 cases ▼ 81% | 16 | 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 Columbiana County, chlamydia has fallen from 225.8 to 211.6 per 100,000 (6%), gonorrhea has fallen from 62.8 to 37.9 per 100,000 (40%), and P&S syphilis has risen from 1 to 4 per 100,000 (300%).
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 Columbiana County.
Local HIV snapshot
Columbiana County HIV care continuum (2020)
Columbiana County recorded 0 new HIV diagnoses per 100,000 (2020), against 8.8 statewide and 13.7 nationally. Among Columbiana County residents living with HIV, 61.5% are in care · 60.3% 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 Columbiana County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
In the heart of Salem's historic neighborhoods, like those surrounding the Burchfield Homestead, residents balance work and family life. Many of these households are made up of married couples with children, reflecting the area's strong family ties. With a significant portion of the population in their late teens and twenties, the community is home to young adults still forming relationships and building their careers.
The workforce here is marked by a mix of steady employment and challenges, with many residents actively working and a notable share of households earning higher incomes. However, the local economy also faces some hurdles, with a portion of the population navigating unemployment. For those with non-traditional work schedules or multiple job responsibilities, finding time for health screenings can be a challenge. The typical rent and homeownership patterns mean that many residents have a significant stake in the community, but also face practical considerations when it comes to accessing local services.
As residents go about their daily lives, traveling along East State Street and West State Street, the range of testing options available in and around Salem makes it possible for people to prioritize their health without having to make significant adjustments. For those living in neighborhoods like those near the Franklin Harris Farmstead, having local access to testing can make a big difference in staying on top of their well-being, allowing them to focus on work, family, and community.
Getting there
At 6.25/20 on the EPA walkability index, day-to-day errands in Salem 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 44460 snapshot
ZIP-level Census figures for the wider 44460 area around Salem: a single ZIP can span several communities, so they describe the area, not Salem alone.
Salem sits in Columbiana County, ZIP 44460. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Salem? 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 Columbiana County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Salem-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 Salem 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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 health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Columbiana County reported ~212 chlamydia cases per 100,000 in 2023, below the Ohio average.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 44460: self-collect, send to the lab, results in ~2–5 days.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.