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STD Testing in Shell Valley, ND: Free, Same-Day & Confidential

Rolette County reports about 1015 gonorrhea cases per 100,000 residents, well above the US average. Regardless of whether it's your first STI test or a routine screening in Shell Valley, North Dakota, you can weigh the benefits of a clinic visit for immediate answers and treatment with the convenience of an at-home testing kit. See your options below.

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  • 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 Shell Valley, ND

6 testing options are listed for Shell Valley, ND. The nearest, Indian Health Service, is about 4.2 miles away. Compare 3 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.

Closest to you 4.2 miles

Indian Health Service

No ratings yet

Indian Health Service in Belcourt is a federal health system where STI care (gonorrhea, chlamydia, syphilis, and conventional HIV testing, with same-visit bacterial treatment and hepatitis B vaccination) runs on appointment and costs nothing.

Read full overview Show less

No Fee Applies to Every Service Here

Every test, treatment, and vaccine at Indian Health Service in Belcourt carries no charge, which means a patient managing an STI diagnosis can also address hepatitis screening or substance-use treatment without fee calculations altering what they pursue.

Substance-Use Treatment Shares the Same Appointment System

Indian Health Service in Belcourt integrates substance-use treatment within the same facility as STI care, so an appointment for one condition can surface and address the other. A structural link that matters when the two intersect clinically rather than being managed through separate systems.

Hepatitis A, B, and C Tested Alongside the Core Panel

Beyond gonorrhea, chlamydia, syphilis, and HIV, Indian Health Service in Belcourt tests for hepatitis A, hepatitis B, and hepatitis C. Meaning a single appointment produces a hepatitis picture that many STI-focused visits leave incomplete.

Tests & treats
Address
1300 Hospital Loop, Belcourt, ND 58316
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 10.3 miles

Northland Health Centers

Where these reviews come from

Review sources

  • Google4
  • EasySTD1
Rated 4 out of 5 from 5 reviews

Northland Health Centers in Rolette covers gonorrhea, chlamydia, syphilis, herpes, HIV, and hepatitis, treating bacterial infections the same visit. Fees run on a sliding scale accepted by Medicaid and most insurers, and walk-ins are welcome.

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Language Gap Closes Before Treatment Does

When a language barrier goes unaddressed, follow-through breaks down. Instructions get missed, medications go unfilled, partners stay untreated. Northland Health Centers carries Spanish-language services and broader interpretation in-house, so the clinical conversation that drives adherence and partner notification actually lands.

PrEP Prescribed and Monitored at Northland

Northland Health Centers prescribes and manages both PrEP and PEP directly, meaning the HIV-negative confirmation, the prescription, and the ongoing monitoring that daily oral PrEP requires are handled here. Not routed to a specialist across county lines.

Herpes and Hepatitis Testing for Anyone Without a Regular Provider

Northland Health Centers runs herpes, hepatitis A, hepatitis B, and hepatitis C testing alongside the core bacterial and HIV panel. A combination that fits anyone navigating sexual health without a primary care relationship, where the broader screen would otherwise require a separate appointment entirely.

Tests & treats Sliding-scale PrEP
Address
401 2nd Avenue, Rolette, ND 58366
Opening hours
  • Monday 8:00 AM – 6:30 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 – 3:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 10.3 miles

Presentation Medical Center

No ratings yet

A safety-net rural health clinic about 10 miles from Shell Valley. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
213 2nd Avenue Northeast, Rolla, ND 58367
Website
Premium Partner

Sanford Health Laboratories

Results in 1–2 days
No ratings yet
Address
618 14th Avenue Northeast, Devils Lake, ND 66.0 miles away
  • 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

Sanford Health Laboratories

Results in 1–2 days
No ratings yet
Address
1500 21st Avenue Northwest, Minot, ND 78.2 miles away
  • 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

Sanford Health Laboratories

Results in 1–2 days
No ratings yet
Address
801 21st Avenue Southeast, Minot, ND 78.5 miles away
  • 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.

Detection windows for every 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.

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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

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Every other option

More ways to get tested in Shell Valley, ND

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 Shell Valley, ND

The nearest testing center is about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Shell Valley, 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.

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 Shell Valley, ND

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

  • SMP Health ST Kateri

    213-217 2nd Avenue Northeast, Rolla, ND 58367

    CMS-certified lab

    • STD testing
    Call Directions

Showing the nearest 1 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Shell Valley. 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 Shell Valley, ND who may help arrange STD testing

Beyond dedicated clinics, 14 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Shell Valley. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.

  • Vernon Maes, DO

    OB-GYN · 1300 Hospital Loop, Belcourt

    Directions

  • Richard Larson, MD

    Family medicine · 213 2nd Avenue Northeast, Rolla

    Call Directions

  • Jessica Skjolden, MD

    Family medicine · 316 Ohmer Street, Bottineau

    Call Directions

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 Shell Valley, ND

No pharmacy near Shell Valley, ND 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.

Showing the 5 closest pharmacies to Shell Valley, ND.

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 Shell Valley, 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 Rolette County: the local picture

How reported STI rates in Rolette County, the county that includes Shell Valley, compare with North Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#3 of 53 North Dakota counties for chlamydia, among the very highest in the state

Reported STD rates per 100,000, Rolette County vs North Dakota vs U.S.

Rolette County North Dakota U.S. ▲▼ = Rolette County vs the state average
Infection Rolette County North Dakota United States
Chlamydia
1313.1 154 cases ▲ 201%
436.4 492.2
Gonorrhea
1014.7 119 cases ▲ 589%
147.2 179.5
Syphilis (P&S)
8.5 1 cases ▼ 31%
12.4 15.8
Syphilis (early)
17.1 2 cases ▲ 511%
2.8 16
Syphilis (late/unknown)
8.5 1 cases ▼ 29%
12 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 Rolette County over time (per 100,000)

Chlamydia ▼ 15% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 925 1850 2020202120222023

Between 2020 and 2023 in Rolette County, chlamydia has fallen from 1706.7 to 1313.1 per 100,000 (23%), gonorrhea has fallen from 1575.4 to 1014.7 per 100,000 (36%), and P&S syphilis has risen from 8.2 to 8.5 per 100,000 (4%).

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 Shell Valley, ND

Adults uninsured
11.6%
No routine checkup
25.4%
No transportation
20.1%
Binge drinking
17.3%
Frequent mental distress
20.2%
Depression
22.2%
Below poverty line
27.7%
Primary-care ratio
2,008 : 1
Rolette County
  • Primary-care shortage score 20 / 26
  • Medically Underserved Area · IMU 47.4
  • Social Vulnerability Index · 89th 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 Rolette County.

Local HIV snapshot

HIV in Rolette County (2023)

New diagnoses (2023)
0cases countywide
PrEP users / 100k
55

Rolette County HIV care continuum (2023)

Rolette County recorded 0 new HIV diagnoses per 100,000 (2023), against 3.2 statewide and 13.7 nationally. 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 Rolette County tests for syphilis.

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

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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 → (opens in a new tab)

17 Sources

Local resources & officials

Data & references

Local context

About Shell Valley, ND

Shell Valley sits in Rolette County, where STI rates run at levels that make routine screening genuinely worthwhile, and where the everyday economics of getting there add a layer most public-health messaging ignores. With nearly three in five residents owning their homes and rents among the lowest anywhere, housing costs aren't the squeeze; it's the combination of high unemployment and a labor-force participation rate that leaves many adults managing irregular schedules, unpaid time, and stretched household budgets that tilt large toward families rather than singles. Those realities land heaviest on younger adults, people in their late teens and twenties who are most likely to be forming new relationships and least likely to have built-in flexibility for a long drive across rural Rolette County.

That's why the scheduling and cost details on each listed option matter more than they would in a denser place. For a household balancing an unemployment stretch or a nonstandard work week, both genuinely common here, a clinic that offers sliding-scale fees or extended hours converts the drive from a barrier into something a person can actually plan around and keep.

Getting there

How residents reach STD testing in Shell Valley, ND

Walkability 4.78 / 20 · Least walkable

At 4.78/20 on the EPA walkability index, day-to-day errands in Shell Valley 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.

Map of 6 STD & STI testing locations in Shell Valley, North Dakota, EasySTD

ZIP 58316 snapshot

Residents
5,902
Median age
26.6
Median income
$54,611

ZIP-level Census figures for the wider 58316 area around Shell Valley: a single ZIP can span several communities, so they describe the area, not Shell Valley alone.

Reference

STD testing in Shell Valley, ND: screening, costs & privacy

Everything to know before you test in Rolette County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Dakota 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.

GroupTestsHow 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 Shell Valley-area provider.

InfectionEarliest reliable testSample
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
Browse all STD & STI guides

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 Shell Valley 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.

TestReference priceCPT / 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 North Dakota

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

Two things that actually depend on North Dakota 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 North Dakota, a minor aged 14 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)

North Dakota 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 North Dakota

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 Shell Valley, ND

Answers to the questions people ask most before getting tested.

Can I get tested near Rolla, ND instead?

Possibly, Rolla, ND is close; compare it by distance against Indian Health Service.

Does insurance cover STD testing near Shell Valley, ND?

Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.

Can I get tested in Shell Valley, ND without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Shell Valley, ND?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Rolette County?

About 1,313 cases per 100,000 residents (2023), above the North Dakota average.

Where do I get PrEP around Shell Valley, ND?

PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.

Can someone under 18 get tested in North Dakota without a parent?

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

How long do results take near Shell Valley, ND?

Lab results typically come back in 1–2 days.

I tested negative, am I fully in the clear?

Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.

Is drug-resistant gonorrhea a concern?

Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.

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