Alameda County reports about 199 gonorrhea cases per 100,000 residents, near the US average. If you're in San Leandro, California, whether it's your first STI test or a routine screening, you can choose between visiting a clinic or using an at-home kit. Consider which schedule and support work best for you.
Available testing centers
11 testing options are listed for San Leandro, CA. The nearest, Davis Street, 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.
Davis Street in San Leandro provides HIV testing, rapid and conventional, at no charge to anyone who comes in, with PrEP available on-site. An appointment is required, and all services are free.
When cost stands between someone and an HIV test, the gap doesn't close on its own. It widens into delayed care and untreated risk. Davis Street eliminates that gap entirely: every service, from rapid HIV testing to PrEP, carries no fee, no income check, no bill at the end of the visit.
A missed word during an HIV test result or a PrEP counseling session isn't a small thing, it can mean a misunderstood medication schedule or a question never asked. Davis Street delivers care directly in Chinese and Spanish, so nothing critical gets lost between a provider and the person in front of them.
Davis Street carries both PrEP, daily oral medication that substantially reduces HIV acquisition risk, and PEP, the post-exposure regimen, as standing on-site services. Having both means prevention planning doesn't end at the test result; it extends into an ongoing, medication-supported strategy managed at the same location.
Languages
Chinese, English, Spanish
Tests offered
Serves
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Alameda Health Consortium in San Leandro runs entirely on a no-fee model, covering rapid HIV and hepatitis C testing, hepatitis A and B vaccines, and HIV prevention education. With no cost at any point. An appointment is required.
Plenty of clinics advertise free testing but attach charges to vaccines, follow-up counseling, or anything beyond the basic screen. At Alameda Health Consortium, the no-fee structure covers everything on the menu (rapid HIV test, hepatitis C test, hepatitis A vaccine, hepatitis B vaccine) without exception.
Many clinics treat language support as a workaround bolted onto an English-first workflow. At Alameda Health Consortium, Spanish is woven into how care is actually delivered. Not routed through a secondary layer but present in the clinical encounter itself.
For anyone without a regular provider who needs a complete picture of bloodborne viral exposure, Alameda Health Consortium pairs a rapid HIV test with a rapid hepatitis C test in the same visit. Both with same-day results, both at no cost.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
LifeLong Eden Health Center in San Leandro welcomes walk-ins for STI screening without an appointment. Backed by federal FQHC designation, it offers sliding-scale fees tied to income and covers syphilis, gonorrhea, and chlamydia testing in a single visit.
Tests offered
Fees & payment
Albert J Thomas Medical Clinic in Oakland welcomes walk-in patients without an appointment, and a single visit can cover sliding-scale STI screening for syphilis, gonorrhea, and chlamydia. Federal FQHC funding ties fees to household income, so no one pays a fixed rate regardless of insurance status.
Tests offered
Fees & payment
Alameda Health System Ambulatory Health Care Services in Castro Valley meets patients where they are (uninsured, cash-paying, or between providers) through federally qualified health center status that anchors its sliding-scale STI screening. Syphilis, gonorrhea, and chlamydia testing is available with fees tied to income, no appointment needed.
Tests offered
Fees & payment
A public safety-net federally qualified health center about 2 miles from San Leandro. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Ashland Community Clinic in Ashland welcomes walk-in patients without an appointment, making same-day STI screening straightforward to act on. Federal FQHC standing ties its syphilis, gonorrhea, and chlamydia testing to a sliding-scale fee schedule calibrated to each patient's income.
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 San Leandro, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best for simplicity & support
$89 & up
Best value: single tests
$49 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Alameda 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.
2500 Merced Street, San Leandro, CA 94577
CMS-certified lab Accredited · College of American Pathologists
2800 Benedict Drive, San Leandro, CA 94577
CMS-certified lab Accredited · Joint Commission
13855 East 14th Street, San Leandro, CA 94578
CMS-certified lab Accredited · Joint Commission
1001 Davis Street, San Leandro, CA 94577
CMS-certified lab Accredited · AABB
1933 Davis Street Suite 249, San Leandro, CA 94577
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near San Leandro. 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, 6,158 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of San Leandro. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2,579 offer telehealth.
David Duncan, DO
Family medicine · 2587 Merced Street, San Leandro
Eid Gadelseed, MD Telehealth
Family medicine · 2500 Merced Street, San Leandro
Ilan Remler, MD
Internal medicine · 777 Davis Street, San Leandro
Christi Cheng, MD Telehealth
Family medicine · 13847 East 14th Street, San Leandro
Floyd Huen, MD Telehealth
Internal medicine · 13847 East 14th Street, San Leandro
Chao Ho, MD Telehealth
Internal medicine · 13847 East 14th Street, San Leandro
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 San Leandro, CA publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
Onepoint Patient Care
0.3 miKaiser Permanente Pharmacy
0.5 mi
1.2 mi 
1.2 mi Showing the 4 closest pharmacies to San Leandro, CA.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of San Leandro, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Alameda County, the county that includes San Leandro, compare with California and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#17 of 58 California counties for chlamydia, a higher rate than 71% of the state
| Infection | Alameda County | California | United States |
|---|---|---|---|
| Chlamydia | 453.4 7,355 cases ▼ 8% | 491.1 | 492.2 |
| Gonorrhea | 198.8 3,225 cases ▲ 5% | 190.2 | 179.5 |
| Syphilis (P&S) | 11.5 186 cases ▼ 29% | 16.3 | 15.8 |
| Syphilis (early) | 10.3 167 cases ▼ 46% | 19.1 | 16 |
| Syphilis (late/unknown) | 18.9 307 cases ▼ 60% | 46.7 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Alameda County, chlamydia has risen from 432.2 to 453.4 per 100,000 (5%), gonorrhea has fallen from 207.6 to 198.8 per 100,000 (4%), and P&S syphilis has fallen from 12.7 to 11.5 per 100,000 (9%).
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 Alameda County.
Local HIV snapshot
Federal priority area: Alameda 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.
Alameda County HIV care continuum (2023)
Alameda County recorded 13.9 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally. Among Alameda County residents living with HIV, 90.1% know their status · 80.3% are in care · 73.5% 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 Alameda County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
San Leandro reads, on the surface, like a city that has its footing: more than half of households own their homes, and nearly four in ten earn comfortably into six figures. But underneath that stability, a sizable share of residents are renting at rates that leave little cushion, and with average households pushing toward three and a half people, schedules rarely belong to just one person. For anyone juggling shared childcare, a partner's work shift, or a roommate's car, finding time for a clinic appointment on East 14th Street or down Davis Street toward Brookfield Village isn't a matter of willpower. It's a logistics puzzle.
That puzzle falls hardest on people in their late teens and twenties, who account for roughly one in four San Leandrans and face STI rates that climb steeply during exactly these relationship-forming years. A labor-force participation rate that leaves relatively few adults outside the workforce means most younger residents are working, often full-time, which is precisely why the range of the local options listed here (varying by hours, cost, and distance off the Nimitz) matters as much as it does. Alameda County's STI numbers reflect urban pressures that don't stop at the city line. Knowing that a clinic near Kennedy Park or along the Mulford corridor fits into an actual commute home makes it something people act on.
Getting there
San Leandro scores 13.45/20 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.
ZIP 94577 snapshot
ZIP-level Census figures for the wider 94577 area around San Leandro: a single ZIP can span several communities, so they describe the area, not San Leandro alone.
San Leandro sits in Alameda County, ZIP 94577. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside San Leandro? 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 Alameda County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under California law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a San Leandro-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 San Leandro often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on California law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In California, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
California permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in CaliforniaSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Yes, several local labs offer same-day walk-in testing; best to call first.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Davis Street, about 0.4 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Alameda County reported ~453 chlamydia cases per 100,000 in 2023, below the California average.
At-home kits mail to 94577: self-collect, send to the lab, results in ~2–5 days.
In California, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Most results are ready in about 1–2 days.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.