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STD Testing in San Francisco, CA: Free, Same-Day & Confidential

San Francisco County reports about 620 gonorrhea cases per 100,000 residents, well above the US average. Whether you need testing after a possible exposure or as part of routine care in San Francisco County, California, weigh the options. Public clinics keep costs down, private labs offer fast results, and at-home kits trade a clinic visit for convenience. See the list below to compare test options.

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

Available testing centers

STD testing near San Francisco, CA

12 testing options are listed for San Francisco, CA. The nearest, San Francisco AIDS Foundation, is about 0.6 miles away. Compare community and public clinics, 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.

Premium Partner
Quest Diagnostics

Quest Diagnostics

Most popular Results in 1–2 days
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Review sources

  • Google160
  • EasySTD5
Rated 2.8 out of 5 from 165 reviews

Address
2198 15th Street, San Francisco, CA 94114 0.9 miles away
Opening hours
  • Monday 8:00 AM – 4:00 PM
  • Tuesday 8:00 AM – 4:00 PM
  • Wednesday 8:00 AM – 4:00 PM
  • Thursday 8:00 AM – 4:00 PM
  • Friday 8:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner
Labcorp

Labcorp

Results in 1–2 days
?

Review sources

  • Google119
  • EasySTD5
Rated 2.7 out of 5 from 124 reviews

Address
148 Noe Street, San Francisco, CA 94114 0.9 miles away
Opening hours
  • Monday 7:00 AM – 3:00 PM
  • Tuesday 7:00 AM – 3:00 PM
  • Wednesday 7:00 AM – 3:00 PM
  • Thursday 7:00 AM – 3:00 PM
  • Friday 7:00 AM – 3:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Closest to you 0.6 miles

San Francisco AIDS Foundation

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Review sources

  • Google22
  • EasySTD2
Rated 4.1 out of 5 from 24 reviews

San Francisco AIDS Foundation tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C at no charge to anyone who walks through the door, appointment required, with same-visit treatment for bacterial infections and sliding-scale fees already set at zero.

Read full overview

Zero Cost, Every Service, Every Visit

Every service at San Francisco AIDS Foundation (testing, treatment, vaccines, PrEP, PEP, DoxyPEP, hepatitis C care) carries no fee, which means patients can pursue the full scope of their care without weighing one service against another based on what they can afford.

Spanish-Speaking Staff, Not a Callback System

Spanish is a staffed clinical language at San Francisco AIDS Foundation, meaning counseling, medication adherence education, and care conversations happen directly between patient and provider. Interpretation services extend that capacity to additional languages, so the mechanism is human and present rather than scheduled separately.

DoxyPEP Alongside PrEP and PEP

Clinics that offer PrEP and PEP often stop there, DoxyPEP, the post-exposure doxycycline protocol for bacterial STI prevention, requires a separate prescription relationship most providers haven't built. San Francisco AIDS Foundation prescribes and supports all three, making it one of the few places in San Francisco where the full prevention toolkit is available in a single appointment.

Tests & treats PrEP DoxyPEP
Address
470 Castro Street, San Francisco, CA 94114
Booking
Appointment required
Opening hours
  • Monday Closed
  • Tuesday 10:00 AM – 7:00 PM
  • Wednesday 10:00 AM – 7:00 PM
  • Thursday 10:00 AM – 7:00 PM
  • Friday 10:00 AM – 7:00 PM
  • Saturday 10:00 AM – 7:00 PM
  • Sunday Closed
Website
0.7 miles

UCSF Health-GoHealth Urgent Care

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Review sources

  • Google243
  • EasySTD5
Rated 4.5 out of 5 from 248 reviews

UCSF Health-GoHealth Urgent Care in San Francisco runs rapid and conventional HIV testing alongside gonorrhea, chlamydia, syphilis, herpes, and hepatitis panels. Bacterial infections treated the same visit. Fees operate on a sliding scale, with Medicaid and insurance accepted; no appointment required.

Read full overview

Interpretation Services Extend Care Beyond English

For anyone navigating STI care without a regular English-speaking provider, UCSF Health-GoHealth's interpretation services mean clinical conversations (symptoms, test results, treatment instructions) happen in the language that person actually uses to make decisions. That access applies whether you're paying out of pocket or through insurance.

PrEP and PEP Prescribed and Managed On-Site

UCSF Health-GoHealth providers can initiate PrEP, the daily oral medication that prevents HIV acquisition, and write PEP prescriptions directly, without routing patients to a separate specialty clinic. PrEP follow-up, including the lab monitoring required to stay on the medication, is handled within the same practice.

Herpes and Hepatitis Testing Beyond the Standard Four

For someone without a primary care doctor or who wants a single-visit look at their full exposure picture, this clinic's panel extends to herpes, hepatitis A, B, and C, and TB. Conditions a stripped-down panel would miss entirely. That breadth is particularly useful when paying out of pocket and wanting answers without scheduling multiple appointments elsewhere.

Tests & treats
Address
930 Cole Street, Suite 102 San Francisco, CA 94117
Opening hours
  • Monday 8:00 AM – 8:00 PM
  • Tuesday 8:00 AM – 8:00 PM
  • Wednesday 8:00 AM – 8:00 PM
  • Thursday 8:00 AM – 8:00 PM
  • Friday 8:00 AM – 8:00 PM
  • Saturday 9:00 AM – 5:00 PM
  • Sunday 9:00 AM – 5:00 PM
Website
Community health center 0.8 miles

Castro-Mission Health Center

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Review sources

  • Google22
  • EasySTD3
Rated 4.2 out of 5 from 25 reviews

A public safety-net federally qualified health center in San Francisco. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Sliding-scale
Address
3850 17th Street, San Francisco, CA 94114
Website
0.8 miles

San Francisco Health Network

No ratings yet

San Francisco Health Network, anchored in San Francisco's public health infrastructure, delivers the standard STI panel (gonorrhea, chlamydia, syphilis, conventional HIV, and herpes) on a sliding-scale fee with same-visit treatment for bacterial infections; an appointment is required, and staff provide care in Chinese, Spanish, Tagalog, and Vietnamese.

Read full overview

Clinical Staff Speak Chinese, Spanish, Tagalog, Vietnamese

For anyone navigating a herpes diagnosis, a PrEP conversation, or TB treatment without a regular provider, the language of that clinical exchange shapes every decision that follows. San Francisco Health Network carries Chinese, Spanish, Tagalog, and Vietnamese directly into the care relationship. Not as an add-on, but as a standing operational fact.

San Francisco Health Network prescribes and manages both PrEP, whether Truvada or Descovy, and PEP on-site, including the follow-up monitoring those regimens require. That continuity means a patient on PrEP isn't bounced between a testing site and a separate prescriber every time a refill or lab review comes due.

Herpes Testing Closes the Gap a Basic Panel Leaves

Skip the herpes test and a positive result surfaces later: often after a second visit to a different provider, another fee, and weeks without clarity. San Francisco Health Network tests for herpes alongside gonorrhea, chlamydia, syphilis, and HIV, so that gap doesn't exist in the first place.

Tests & treats Sliding-scale PrEP
Address
3850 17th Street, San Francisco, CA 94114
Booking
Appointment required
Opening hours
  • Monday 8:10 AM – 4:30 PM
  • Tuesday 8:10 AM – 4:30 PM
  • Wednesday 10:10 AM – 4:30 PM
  • Thursday 8:10 AM – 4:30 PM
  • Friday 8:10 AM – 4:30 PM
  • Saturday 8:10 AM – 4:30 PM
  • Sunday Closed
Website
Most reviewed 0.9 miles

UCSF Medical Center

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Review sources

  • Google360
  • EasySTD5
Rated 3.5 out of 5 from 365 reviews

UCSF Medical Center in San Francisco tests for gonorrhea, chlamydia, syphilis, and herpes, treating confirmed bacterial infections at the same appointment. Fees scale to income, with insurance and Medicaid accepted; interpretation services extend care across languages.

Read full overview

Interpretation Runs Through Every Clinical Conversation

Plenty of medical settings treat language access as an administrative afterthought, a box checked at check-in. At UCSF Medical Center, interpretation is embedded in the clinical encounter itself, so the conversation about symptoms, results, and treatment happens in the language the patient actually uses to make decisions.

UCSF Medical Center prescribes both PrEP and PEP directly, which means ongoing prevention isn't a separate errand requiring a different provider. Patients can establish and maintain a prevention regimen within the same clinical relationship that manages their STI care.

Hepatitis C Goes From Diagnosis To Treatment On-Site

A hepatitis C diagnosis that ends at detection leaves a patient holding a problem with no resolution, and the longer treatment is deferred, the greater the risk of liver damage. UCSF Medical Center carries hepatitis C care through to actual treatment on-site, closing the gap between knowing and acting.

Tests & treats PrEP
Address
350 Parnassus Street, Suite 908 San Francisco, CA 94117
Booking
Appointment required
Opening hours
  • Monday 8:30 AM – 5:00 PM
  • Tuesday 8:30 AM – 5:00 PM
  • Wednesday 8:30 AM – 5:00 PM
  • Thursday 8:30 AM – 5:00 PM
  • Friday 8:30 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Highest rated 1.0 miles

Huckleberry Youth Programs

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Review sources

  • Google4
  • EasySTD1
Rated 5 out of 5 from 5 reviews

Huckleberry Youth Programs in San Francisco runs STI care on a sliding scale, with HIV testing at no charge and all services available without an appointment. The standard panel covers gonorrhea, chlamydia, syphilis, herpes, hepatitis C, and HIV, with same-visit treatment for bacterial infections.

Read full overview

Every Service Here Carries Zero Cost

The fee structure at Huckleberry Youth Programs is flat: every service, from the hepatitis C test to TB treatment to HIV/AIDS medical management, is provided at no charge. That applies to the full panel, prevention counseling, and ongoing care, with no service tiered behind a separate cost.

Spanish-Speaking Staff on Site for Clinical Care

Spanish-language capacity at Huckleberry Youth Programs is staffed into clinical delivery: meaning providers conduct the examination, explain results, and discuss treatment in Spanish directly. That staffing structure keeps diagnostic conversations and treatment decisions in the same language from start to finish.

PrEP and PEP Without a Standing Provider

Huckleberry Youth Programs prescribes both PrEP and PEP on-site, including PrEP specifically funded for uninsured patients, making it a practical option for anyone who needs ongoing HIV prevention medication but lacks a primary care relationship or insurance to cover the prescription.

Tests & treats Sliding-scale PrEP
Address
555 Cole Street, San Francisco, CA 94117
Opening hours
  • Monday 9:00 AM – 5:00 PM
  • Tuesday 9:00 AM – 5:00 PM
  • Wednesday 9:00 AM – 5:00 PM
  • Thursday 9:00 AM – 5:00 PM
  • Friday 9:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
1.0 miles

Sutter Health

No ratings yet

Sutter Health in San Francisco covers gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, TB, and HIV testing, with same-visit treatment for bacterial STIs. Appointments are required, fees apply, and insurance is accepted. With all services available at no charge.

Read full overview

Every Service Runs Without a Fee

The no-fee structure at Sutter Health applies across the entire scope: testing, STI treatment, vaccines including HPV, hepatitis A, hepatitis B, and mpox, plus PrEP and PEP. Nothing is carved out or conditionally billed; the full clinical offering carries the same zero-dollar price tag.

Spanish Spoken Across All Services Here

Spanish-language care at Sutter Health operates across the full clinical encounter (counseling, prevention education, treatment, and ongoing HIV or PrEP management) all in one language. That continuity means nothing gets compressed or lost between a diagnosis and a plan.

PrEP and PEP Both Prescribed On-Site

Sutter Health in San Francisco maintains standing prescribing capability for both PrEP and PEP, the two antiretroviral-based HIV prevention medications. For anyone without a regular provider, or whose regular provider doesn't prescribe either, having both available at the same clinic that handles testing removes the need to coordinate across separate practices.

Tests & treats PrEP
Address
45 Castro Street, Suite 125, 402, 421, 432 San Francisco, CA 94114
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 1.2 miles

Westside Community Services

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Review sources

  • Google6
  • EasySTD1
Rated 3.5 out of 5 from 7 reviews

A safety-net Ryan White HIV care about 1 mile from San Francisco. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Ryan White HIV care
Address
1153 Oak Street, San Francisco, CA 94117
Booking
Appointment required
Website
Premium Partner
Quest Diagnostics

Quest Diagnostics

Results in 1–2 days
?

Review sources

  • Google89
  • EasySTD5
Rated 2.8 out of 5 from 94 reviews

Address
1640 Valencia Street, San Francisco, CA 94110 1.4 miles away
Opening hours
  • Monday 7:00 AM – 4:00 PM
  • Tuesday 7:00 AM – 4:00 PM
  • Wednesday 7:00 AM – 4:00 PM
  • Thursday 7:00 AM – 4:00 PM
  • Friday 7:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner
Labcorp

Labcorp

Results in 1–2 days
?

Review sources

  • Google108
  • EasySTD5
Rated 2.6 out of 5 from 113 reviews

Address
2233 Post Street, San Francisco, CA 94115 2.0 miles away
Opening hours
  • Monday 7:00 AM – 3:00 PM
  • Tuesday 7:00 AM – 3:00 PM
  • Wednesday 7:00 AM – 3:00 PM
  • Thursday 7:00 AM – 3:00 PM
  • Friday 7:00 AM – 3:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

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.

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

Every other option

More ways to get tested in San Francisco, CA

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

At-home STD testing in San Francisco, CA

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

    Quest Diagnostics

    Quest Diagnostics

    $79 & up

    Panel:
    8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
    Sample:
    Quest Mobile: a phlebotomist collects your sample at home
    Results:
    1–3 days, online: physician-reviewed
    • In-home sample collection
    • Nationwide Quest lab network
    • Physician-reviewed results
    • FSA/HSA eligible
  • Best range: couples & full panels

    myLAB Box

    myLAB Box

    $79 & up

    Panel:
    Up to 14 infections, incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
    Sample:
    Self-collect: swab, urine, finger-prick
    Results:
    2–5 days, online
    • Free phone consult if positive
    • CLIA-certified labs
    • Couples & subscription options
    • Discreet packaging
  • Best value: single tests

    Everlywell

    Everlywell

    $49 & up

    Panel:
    Chlamydia & gonorrhea, up to a 6-test panel adding HIV, syphilis, trichomoniasis & hep C
    Sample:
    Finger-prick + swab
    Results:
    Days, online
    • Telehealth visit if positive
    • CLIA-certified labs
    • HSA/FSA eligible
    • Subscription savings

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

Other CLIA-certified labs near San Francisco, CA

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

  • Bryan Hemming Cancer Care Center

    1101 Van Ness Ave Clin Lab Suite 140 Room 1434, San Francisco, CA 94109

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • California Pacific Medical Center

    3555 Cesar Chavez, San Francisco, CA 94110

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • California Pacific Medical Center

    601 Duboce Avenue, San Francisco, CA 94117

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • California Pacific Medical Center LAB

    1101 Van Ness Avenue, San Francisco, CA 94109

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • Chinese Hospital Laboratory

    845 Jackson Street, San Francisco, CA 94133

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • Control Panel Laboratory

    2325 3rd St Suite 403, San Francisco, CA 94107

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel

Showing 6 of the CLIA-certified labs in San Francisco County.

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

Clinicians near San Francisco, CA who may help arrange STD testing

Beyond dedicated clinics, 4,963 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of San Francisco. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2,216 offer telehealth.

  • Anna Buchsbaum, MD

    OB-GYN · 1600 Owens Street, San Francisco

  • Gavin Liu, DO Telehealth

    Family medicine · Ucsf Office Of Medical Affairs And Governance Box, San Francisco

  • Elaine Gecht, MD

    Internal medicine · 302 Silver Avenue, San Francisco

  • Paul Lynn, MD

    Family medicine · 380 West Portal Avenue, San Francisco

  • Katsuto Shinohara, MD Telehealth

    Urology · 1975 4th Street, San Francisco

  • Adam Zweig, MD Telehealth

    Internal medicine · 518 A Castro Street, San Francisco

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

Pharmacies near San Francisco, CA

Compare the pharmacies closest to San Francisco, CA. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.

  • Walgreens 0.5 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • Castro Pharmacy

    0.5 mi
    Rx pickupCondoms / EC
  • Strut Sfaf

    0.6 mi
    Rx pickupCondoms / EC
  • Ahf Pharmacy

    0.6 mi
    Rx pickupCondoms / EC

Showing the 4 closest pharmacies to San Francisco, CA.

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

Prevention & treatment

PrEP, prevention & online treatment

Testing is one step. For residents of San Francisco, 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.

STD stats & rates

STDs & HIV in San Francisco County: the local picture

How reported STI rates in San Francisco County, the county that includes San Francisco, compare with California 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.

#2 of 58 California counties for chlamydia, among the very highest in the state

Reported STD rates per 100,000, San Francisco County vs California vs U.S.

San Francisco County California U.S. = San Francisco County vs the state average
Infection San Francisco County California United States
Chlamydia
697.3 5,641 cases ▲ 42%
491.1 492.2
Gonorrhea
620 5,016 cases ▲ 226%
190.2 179.5
Syphilis (P&S)
32.9 266 cases ▲ 102%
16.3 15.8
Syphilis (early)
62.9 509 cases ▲ 229%
19.1 16
Syphilis (late/unknown)
50.7 410 cases ▲ 9%
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.

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

Chlamydia ▼ 13% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 425 850 2020202120222023

Between 2020 and 2023 in San Francisco County, chlamydia has risen from 662.4 to 697.3 per 100,000 (5%), gonorrhea has risen from 474.5 to 620 per 100,000 (31%), and P&S syphilis has fallen from 57.8 to 32.9 per 100,000 (43%).

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 San Francisco, CA

Adults uninsured
12.2%
No routine checkup
31.1%
No transportation
15.8%
Binge drinking
19%
Frequent mental distress
20.1%
Depression
23.4%
Below poverty line
38.7%
Primary-care ratio
610 : 1
San Francisco County

Primary-care shortage score 16 / 26

Medically Underserved Area · IMU 54.8

Social Vulnerability Index · 48th 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 San Francisco County.

Local HIV snapshot

HIV in San Francisco County (2023)

Federal priority area: San Francisco 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.

People living with HIV
1563 / 100k
New diagnoses (2023)
185cases countywide
On PrEP (coverage)
72.7%

San Francisco County HIV care continuum (2023)

San Francisco County recorded 25.4 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among San Francisco County residents living with HIV, 95.5% know their status · 80.8% are in care · 75.7% 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 San Francisco County tests for syphilis.

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

Editorially Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team

Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →

17 Sources

Local resources & officials

Data & references

Local context

About San Francisco, CA

Renting is the default in San Francisco: a city where nearly two-thirds of residents are tenants, and where $1,895 a month for an apartment sets a baseline cost that shapes how people spend every other dollar. That financial pressure lands unevenly on younger adults still early in careers, the crowd walking Market Street and the Castro District who are statistically most likely to need STI screening and least likely to have slack in their schedules or budgets to arrange it. The real obstacle is time. With nearly three in four residents in the labor force, San Francisco runs at a high-participation pace; squeezing an appointment into a packed workweek is the actual ask.

It helps, then, that testing options here range across hours and fee structures. Because even in a city where more than half of households clear six figures, renters carrying close to $23,000 in annual rent have reasons to choose carefully. The Pink Triangle Memorial at Twin Peaks sits above a city with deep history in sexual-health advocacy; the infrastructure that history built is still here to use.

Getting there

How residents reach STD testing in San Francisco, CA

Walkability 15.98 / 20 · Most walkable

San Francisco scores 15.98/20 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.

Map of 12 STD & STI testing locations in San Francisco, California, EasySTD

San Francisco sits in San Francisco County. Local context that shapes where residents test:

Local landmarks

  • Mount Olympus
  • GLBT History Museum
  • Harvey Milk Plaza
  • Pink Triangle Memorial
  • Corona Heights Park
  • Mount Sutro

Neighborhoods & communities

  • Twin Peaks
  • Castro District
  • Midtown Terrace
  • Noe Valley
  • Cole Valley
  • Forest Knolls
  • Duboce Triangle
  • Haight-Ashbury

Major routes

  • Market Street
  • Portola Drive
  • Kezar Drive
  • Oak Street
  • Fell Street

Reference

STD testing in San Francisco, CA: screening, costs & privacy

Everything to know before you test in San Francisco 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.

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.

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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a San Francisco-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
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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 San Francisco 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.

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

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).

Can a minor consent on their own?

In California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

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 California

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

Good to Know

STD testing FAQs for San Francisco, CA

Answers to the questions people ask most before getting tested.

Is walk-in STD testing available near San Francisco, CA?

Yes, several local labs offer same-day walk-in testing; best to call first.

Does insurance cover STD testing near San Francisco, CA?

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

Can I get tested in San Francisco, CA without insurance?

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

What's included in a full panel near San Francisco, CA?

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

How common is chlamydia in San Francisco County?

San Francisco County reported ~697 chlamydia cases per 100,000 in 2023, above the California average.

How long do results take near San Francisco, CA?

Most results are ready in about 1–2 days.

Can I get PrEP near San Francisco, CA?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

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

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

How do at-home STD kits work near San Francisco, CA?

A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.

What happens if chlamydia goes untreated?

Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.

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