Marion County reports about 473 chlamydia cases per 100,000 residents, near the US average. Whether it's your first STI test or a routine screening in Salem, Oregon, you can choose between visiting a provider or using an at-home kit to fit your needs. We offer options for both below.
Available testing centers
12 testing options are listed for Salem, OR. The nearest, Labcorp, is about 0.5 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.
Oregon Infectious Disease Specialists in Salem tests for HIV, hepatitis A, B, and C, syphilis, gonorrhea, chlamydia, herpes, and TB on a sliding-scale fee with insurance and Medicaid accepted; same-visit treatment is available for bacterial STIs, and appointments are required.
Many clinics route non-English conversations through an outside interpretation line, which breaks the clinical exchange into a relay. Oregon Infectious Disease Specialists conducts care directly in Spanish, and carries interpretation services for other languages, so the conversation between patient and clinician stays intact.
Oregon Infectious Disease Specialists prescribes PrEP for ongoing HIV prevention, PEP for post-exposure HIV management, and DoxyPEP. The doxycycline regimen shown to reduce bacterial STI acquisition. Having all three available at a single infectious disease practice means prevention strategy can be calibrated, not piecemealed across separate providers.
Leaving hepatitis C at the antibody result, diagnosed but not treated, is how chronic liver disease progresses unchecked; the gap between a positive test and a prescribing specialist is where people fall out of care entirely. Oregon Infectious Disease Specialists carries hepatitis C treatment on-site, so a confirmed diagnosis moves directly into a managed treatment course without a separate specialist referral.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Northwest Human Services in Salem earns its federally qualified health center designation by tying STI screening fees directly to each patient's income. Syphilis, gonorrhea, and chlamydia testing is available on a sliding scale, meaning no one pays a fixed rate regardless of financial situation.
Tests offered
Fees & payment
Northwest HUMAN Services-HOAP Homeless Outreach & Advocacy Project, Salem, built its sliding-scale model around people without stable coverage or a regular provider. Federal FQHC designation backs fees set to income, making syphilis, gonorrhea, and chlamydia screening reachable for patients who would otherwise go without.
Tests offered
Fees & payment
Marion County Health and Human Services in Salem covers rapid and conventional HIV testing, syphilis, gonorrhea, chlamydia, and hepatitis C on a sliding-scale fee open to everyone (with Medicaid, Medicare, and private insurance all accepted) and same-visit treatment for bacterial infections; an appointment is required.
Cash-pay patients managing care without a regular provider face the quiet math of balancing test costs against treatment costs. Marion County Health and Human Services resolves that entirely, every service on the menu, from testing through treatment, carries no charge, so nothing in the visit has to be weighed against the next bill.
When a clinic can't provide care directly in Spanish, the gap between understanding a result and acting on it widens. Appointments get delayed, follow-up gets lost. Marion County Health and Human Services delivers services in Spanish directly, so nothing critical gets filtered or postponed between the visit and the treatment.
Clinics running a basic STI panel test for HIV, syphilis, gonorrhea, and chlamydia, and hepatitis C simply doesn't appear on that list. Marion County Health and Human Services adds hepatitis C to its panel, catching an infection that standard four-test screening leaves unexamined.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Yakima Valley Farm Workers Clinic in Salem runs on sliding-scale fees with Medicaid, Medicare, and private insurance all accepted, covering gonorrhea, chlamydia, syphilis, and conventional HIV testing alongside STI treatment, TB testing and treatment, and HPV and hepatitis A and B vaccines.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Salem Free Clinics in Salem runs appointments for gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, TB, and HIV testing, with same-visit treatment for bacterial STIs. Every service (testing, treatment, vaccines) is provided at no fee, with donations accepted.
The no-fee structure at Salem Free Clinics covers the full scope of what the clinic does: not just testing, but STI treatment, HPV vaccine, hepatitis A vaccine, and adult hepatitis B vaccine. Donations are accepted, but nothing is charged regardless of what care is needed.
Salem Free Clinics tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV. Carrying hepatitis B and C screening means chronic viral infections that often go undetected aren't left outside the scope of a single appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
West Salem Clinic in Salem carries federal FQHC standing, meaning its sliding-scale fees are tied directly to income: useful whether someone is uninsured, between providers, or paying cash. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening without an appointment.
Tests offered
Fees & payment
La Clinica Guadalupe in Salem tests for gonorrhea, chlamydia, syphilis, hepatitis C, and HIV, treating bacterial infections the same visit; fees run on a sliding scale for everyone. Appointments are required, and care is delivered in Spanish.
Spanish is the operational language at La Clinica Guadalupe: not a supplemental option but the medium through which providers assess, explain findings, and discuss next steps. That means a patient's concerns reach the clinician exactly as intended, without compression or delay.
Beyond gonorrhea, chlamydia, syphilis, and HIV, La Clinica Guadalupe also tests for hepatitis C. Meaning a single appointment surfaces a chronic bloodborne infection that often carries no symptoms, giving patients a complete picture sooner.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 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 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 for simplicity & support
$89 & up
Best range: couples & full panels
$79 & 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 Marion 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.
2600 Center Street Northeast, Salem, OR 97301
CMS-certified lab Accredited · Joint Commission
3300 State Street, Salem, OR 97301
CMS-certified lab Accredited · College of American Pathologists
665 Winter Street, Salem, OR 97301
CMS-certified lab Accredited · College of American Pathologists
890 Oak Street Southeast, Salem, OR 97301
CMS-certified lab Accredited · College of American Pathologists
3300 State Street, Salem, OR 97301
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 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, 592 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 162 offer telehealth.
Jack Buchanan, MD
Family medicine · 1002 Bellevue Street Southeast, Salem
Isaac Lichtenstein, MD
Family medicine · 1610 12th Street Southeast, Salem
Melissa Asuncion, MD Telehealth
Family medicine · 966 12th Street Southeast, Salem
Blake Mcconnell, MD Telehealth
Family medicine · 2485 12th Street Southeast, Salem
Douglas Eliason, DO
Family medicine · 2525 12th Street Southeast, Salem
Cody Couperus-Mashewske, MD
Internal medicine · 801 Mission Street Southeast, 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, OR 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.
1.2 mi Quisenberry Pharmacies
1.3 miFred Meyer Pharmacy
1.5 mi
1.5 mi Lancaster Family Health Center at Lancaster
2.0 miShowing the 5 closest pharmacies to Salem, OR.
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.
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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
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 Marion County, the county that includes Salem, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~30% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#4 of 36 Oregon counties for chlamydia, a higher rate than 89% of the state
| Infection | Marion County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 472.7 1,639 cases ▲ 30% | 362.5 | 492.2 |
| Gonorrhea | 79.3 275 cases ▼ 32% | 117.2 | 179.5 |
| Syphilis (P&S) | 25.7 89 cases ▲ 34% | 19.2 | 15.8 |
| Syphilis (early) | 5.5 19 cases ▼ 43% | 9.6 | 16 |
| Syphilis (late/unknown) | 34 118 cases ▲ 73% | 19.7 | 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 Marion County, chlamydia has fallen from 474.1 to 472.7 per 100,000 (0%), gonorrhea has fallen from 165.6 to 79.3 per 100,000 (52%), and P&S syphilis has risen from 15.9 to 25.7 per 100,000 (62%).
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 Marion County.
Local HIV snapshot
Marion County HIV care continuum (2023)
Marion County recorded 8.3 new HIV diagnoses per 100,000 (2023), against 6.6 statewide and 13.7 nationally. Among Marion County residents living with HIV, 84.5% are in care · 75.6% 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 Marion County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Waller Hall anchors the quieter, older parts of Salem the way a clock tower should, but getting to an STI screening appointment here asks more of residents than the campus calm suggests. The options listed on this page serve the broader Salem area, and for anyone without a car or working split shifts, the drive along Mission Street Southeast or out toward Four Corners can be a genuine calculation, not a quick errand.
That calculation lands differently depending on where someone sits in Salem's housing picture. Just under half of residents rent, with typical monthly costs that leave limited room for out-of-pocket medical spending, and fewer than one in four households clears a six-figure income. For younger adults in their late teens and twenties, who make up a substantial share of Salem's population and account for most new STI diagnoses locally and statewide, those cost pressures make the fee structure on each clinic card worth reading carefully before booking. A labor market where a meaningful share of residents are between jobs or working reduced hours compounds that, since daytime-only appointments can genuinely conflict with gig or part-time schedules.
Several options listed here offer sliding-scale fees or accept Oregon Health Plan, which matters concretely for the renter in a Liberty or South Salem apartment whose coverage, if any, is public insurance rather than an employer plan.
Getting there
Salem scores 13.51/20 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.
Salem sits in Marion County. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
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 Marion County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon 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 Oregon 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 Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon 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 OregonSource: 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 12 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Marion County reported ~473 chlamydia cases per 100,000 in 2023, above the Oregon average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
A positive means treatment is the next step; many STIs are cured with antibiotics, and all are treatable.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
Yes, sores or ulcers can indicate herpes or syphilis and should be evaluated quickly, ideally while a sore is present.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.