In Salem city, reported chlamydia runs about 47% lower than the US average. If you've had a risk or test regularly, Salem, Virginia offers public clinics that are economical, private labs that prioritize speed, and at-home kits for convenience.
Available testing centers
11 testing options are listed for Salem, VA. The nearest, Virginia Department of Health, is about 0.4 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.
Virginia Department of Health in Salem tests for gonorrhea, chlamydia, syphilis, and HIV, treating bacterial infections the same visit when results call for it. Appointments are required, and fees run on a sliding scale with Medicaid, Medicare, and private insurance all accepted.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Carilion Clinic in Salem pairs STI testing with same-visit treatment for bacterial infections: gonorrhea, chlamydia, and syphilis resolved without a separate follow-up appointment. Fees run on a sliding scale accepted alongside Medicaid, Medicare, and private insurance; an appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
New Horizons Healthcare in Roanoke meets patients who are paying cash, between insurance gaps, or simply need affordable care without delay. Federal qualification anchors its sliding-scale fees, bringing syphilis, gonorrhea, and chlamydia screening within reach for anyone. No appointment required.
Tests offered
Fees & payment
Planned Parenthood South Atlantic in Roanoke tests for HIV, gonorrhea, chlamydia, syphilis, hepatitis B, and herpes, treating bacterial infections the same visit; sliding-scale fees apply to everyone, Medicaid and insurance accepted, and no appointment is needed. Spanish and interpretation services are on hand.
When navigating symptoms, timing, or a treatment plan, precision in language is clinical, not incidental. Planned Parenthood South Atlantic in Roanoke carries Spanish-speaking staff capacity and interpretation services so that someone who reasons and worries in a language other than English gets the same specificity of care (exposure history, medication instructions, follow-up) that anyone else does.
Plenty of sexual health providers require parental involvement or redirect younger patients elsewhere. As a Title X clinic, Planned Parenthood South Atlantic in Roanoke is legally required to offer confidential family planning services to minors: meaning testing, contraception, and STI treatment without a guardian in the loop.
PrEP requires baseline HIV and kidney-function testing, an initial prescription, and regular follow-up labs. All of which Planned Parenthood South Atlantic in Roanoke handles directly. PEP is similarly initiated and managed in-clinic, so both medications stay tied to a provider who tracks the labs and adjusts care rather than handing the prescription off without a monitoring plan.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Monroe Health Center in New Castle covers gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, TB, and HIV, treating bacterial infections the same visit and billing on a sliding scale accepted by Medicaid, Medicare, and most insurance. An appointment is required.
Monroe Health Center tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV: meaning liver-affecting infections are identified at the same visit, so follow-up care and vaccination decisions can start without a separate appointment elsewhere.
Spanish is a complete clinical language at Monroe Health Center, not a supplemental accommodation, so counseling, exposure history, and treatment decisions are conducted directly in Spanish, without a layered communication step between clinician and patient.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Montgomery Clinic in Christiansburg welcomes walk-in patients without an appointment, making same-day STI care straightforward. Federally qualified status anchors its sliding-scale fees, so a single visit covering syphilis, gonorrhea, and chlamydia screening costs what your income allows.
Tests offered
Fees & payment
Montgomery in Christiansburg meets federal qualification standards that tie its STI screening directly to an income-based sliding-scale fee structure. Walk-in patients can access testing for syphilis, gonorrhea, and chlamydia, with costs adjusted to household income so financial barriers don't determine who gets screened.
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 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 Salem city, 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.
1802 Braeburn Drive, Salem, VA 24153
CMS-certified lab Accredited · College of American Pathologists
1900 Electric Road, Salem, VA 24153
CMS-certified lab Accredited · Joint Commission
1900 Electric Road, Salem, VA 24153
CMS-certified lab Accredited · Joint Commission
1970 Boulevard, Salem, VA 24153
CMS-certified lab Accredited · College of American Pathologists
1900 Electric Road, Salem, VA 24153
CMS-certified lab Accredited · COLA
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, 355 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 72 offer telehealth.
Syed Raza, MD Telehealth
Internal medicine · 3819 Knollridge Road, Salem
Delmas Bolin, MD
Family medicine · 25 West Calhoun Street, Salem
Jaclyn Nunziato, MD
OB-GYN · 1935 West Main Street, Salem
John Harding, MD
OB-GYN · 1900 Electric Road, Salem
Christopher Keeley, MD
OB-GYN · 1900 Electric Road, Salem
Anita Register, DO
OB-GYN · 1957 West Main Street, 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, 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.
Brooks Byrd Pharmacy
0.5 mi
0.5 mi 
1.5 mi 
1.7 mi 
1.9 mi Showing the 5 closest pharmacies to Salem, 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 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Salem city, the city that includes Salem, compare with Virginia 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.
#81 of 133 Virginia counties for chlamydia, a higher rate than 39% of the state
| Infection | Salem city | Virginia | United States |
|---|---|---|---|
| Chlamydia | 261.7 67 cases ▼ 45% | 472.8 | 492.2 |
| Gonorrhea | 70.3 18 cases ▼ 56% | 158.3 | 179.5 |
| Syphilis (P&S) | 3.9 1 cases ▼ 64% | 10.7 | 15.8 |
| Syphilis (early) | 3.9 1 cases ▼ 59% | 9.5 | 16 |
| Syphilis (late/unknown) | 7.8 2 cases ▼ 51% | 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 Salem city, chlamydia has fallen from 386.6 to 261.7 per 100,000 (32%), gonorrhea has fallen from 146 to 70.3 per 100,000 (52%), and P&S syphilis has held roughly steady from 3.9 to 3.9 per 100,000.
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 Salem city.
Local HIV snapshot
Salem city HIV care continuum (2023)
Salem city recorded 0 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Salem city residents living with HIV, 88.9% are in care · 81.5% 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 Salem city tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
That's worth naming, because younger adults in their late teens and twenties are exactly who STI rates hit hardest, and in a place where most people drive everywhere, an inconvenient clinic location or a midday-only appointment window is genuinely enough to push screening off the calendar. Salem's housing picture helps explain the texture of daily life. Nearly two-thirds of residents own their homes, which speaks to longer-term stability and family roots: average households here run close to three people, and nearly half of adults are married. But the third who rent, often in or around neighborhoods like Burwell and Salem Heights, tend to be younger, more mobile, and more likely to be navigating tighter monthly budgets.
At around $900 a month in rent, there's real cost pressure, and for residents without employer-sponsored coverage, even a modest testing fee can feel like a deterrent. The clinics listed on this page, spread across routes like South College Avenue and reaching out toward Dropmore, give Salem residents more options than the city's size might suggest. Finding one whose hours actually match a work schedule, and whose fees are manageable, is the part that takes a few minutes to research. This page does that work in advance.
Getting there
At 8.81/20 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 24153 snapshot
ZIP-level Census figures for the wider 24153 area around Salem: a single ZIP can span several communities, so they describe the area, not Salem alone.
Salem sits in Salem city, ZIP 24153. 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 Salem city: 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 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 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.
The closest is Virginia Department of Health (0.4 mi); 11 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 262 cases per 100,000 residents (2023), below the Virginia average.
In Virginia, 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.
Roughly 3–6 weeks after exposure for a dependable syphilis blood test.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.