Chlamydia in Piscataquis County runs about 62% lower than the US average, but you might still want testing before starting a new relationship or as part of ongoing care in Shirley, Maine. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. See the list below for options.
Available testing centers
3 testing options are listed for Shirley, ME. The nearest, Eastern Maine Healthcare Systems, is about 7.4 miles away. Compare 1 community and public clinic, 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.
A safety-net rural health clinic about 7 miles from Shirley. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Today's offer: $10 off any test panel, applied automatically at checkout.
Review sources
Today's offer: $10 off any test panel, applied automatically at checkout.
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 |
|---|
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. Widen the distance or clear the service-type filter.
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 about 7 miles away, if you'd rather skip the trip, an at-home kit ships to Shirley, 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
$79 & up
Best value: single tests
$49 & 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 Piscataquis 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.
897 West Main Street, Dover Foxcroft, ME 04426
CMS-certified lab
Showing 1 of the CLIA-certified labs in Piscataquis County.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Shirley. 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, 22 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Shirley. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
Scott Mclaughlin, MD
Internal medicine · 364 Pritham Avenue, Greenville
William Boller, MD
Family medicine · 22 Haley Court, Sangerville
David Mcdermott, MD
Family medicine · 43 Dwelley Avenue, Dover Foxcroft
Lesley Fernow, MD
Internal medicine · 84 River Street, Dover Foxcroft
Susan Paul, MD
Internal medicine · 462 Essex Street, Dover Foxcroft
Diane Zavotsky, MD
Family medicine · 237 Main Street, Bingham
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
Compare the pharmacies closest to Shirley, ME. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Harris Drug
7.5 miFoxcroft Pharmacy
21 miShaws Pharmacy
22 miKatahdin Valley Health Center
23 mi
23 mi Showing the 5 closest pharmacies to Shirley, ME.
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 Shirley, 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.
Online treatment
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Online treatment
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
PrEP & DoxyPEP
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
PrEP & DoxyPEP
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Piscataquis County, the county that includes Shirley, compare with Maine and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~15% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#7 of 16 Maine counties for chlamydia, a higher rate than 56% of the state
| Infection | Piscataquis County | Maine | United States |
|---|---|---|---|
| Chlamydia | 188.7 33 cases ▼ 13% | 217.4 | 492.2 |
| Gonorrhea | — | 44.4 | 179.5 |
| Syphilis (P&S) | — | 5.3 | 15.8 |
| Syphilis (early) | — | 2.1 | 16 |
| Syphilis (late/unknown) | — | 4.5 | 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 Piscataquis County, chlamydia has risen from 172.6 to 188.7 per 100,000 (9%), gonorrhea has risen from 6 to 11.5 per 100,000 (92%), and P&S syphilis has held roughly steady from 5.8 to 5.8 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
Primary-care shortage score 17 / 26
Medically Underserved Area · IMU 51.3
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 Piscataquis County.
Local HIV snapshot
Piscataquis County HIV care continuum (2023)
Piscataquis County recorded 0 new HIV diagnoses per 100,000 (2023), against 2.9 statewide and 13.7 nationally. Among Piscataquis County residents living with HIV, 81.8% are in care · 72.7% 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.
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 Piscataquis 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 →
Local resources & officials
Data & references
Local context
Shirley skews heavily toward homeowners: the kind of rooted, long-term household you find spread between Shirley Mills and Lower Shirley Corner, where most families have lived on the same road for years. That stability shapes the testing landscape in a real way: the smaller renting population here tends to be younger and more transient, often the same people in their late teens and twenties for whom regular screening matters most and yet feels least connected to daily life in a rural place this spread out. A genuine ask when nearly one in ten residents who want work can't find it and household budgets run tight.
The modest share of high-earning households here means cost is a real consideration, and options listed on this page vary meaningfully in fees and distance, making it worth reading those clinic cards carefully rather than defaulting to the closest name. About half of Shirley's adults are married, but STI transmission doesn't follow household status, and Piscataquis County's rates reflect that. For younger adults still building relationships, many of them tied to seasonal work near Northeast Whitewater, low-friction testing means finding a clinic whose hours and fees actually align with their schedule.
Getting there
At 4.13/20 on the EPA walkability index, day-to-day errands in Shirley 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 04406 snapshot
ZIP-level Census figures for the wider 04406 area around Shirley: a single ZIP can span several communities, so they describe the area, not Shirley alone.
Shirley sits in Piscataquis County, ZIP 04406. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Shirley? 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 Piscataquis County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Maine 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 Shirley-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 Shirley 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 Maine 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 Maine, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Maine 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 MaineSource: 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.
Some clinics and labs take walk-ins for same-day testing; call ahead to confirm hours.
Medicaid generally covers STD testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, HIV, Hepatitis B, Hepatitis C, Herpes, Trichomoniasis, a full panel covers the common ones.
About 189 cases per 100,000 residents (2023), below the Maine average.
In Maine, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 04406; you collect a sample, mail it back, and get results in about 2–5 days.
Rapid antibody tests, 4th-generation antigen/antibody lab tests, and NAT, which detects HIV soonest after exposure.
Some HPV types can lead to cervical and other cancers over time, which is why screening and the HPV vaccine matter.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
That's a myth; STIs need sexual contact to spread, not surfaces.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.