In Lyon County, Nevada, syphilis runs about 59% lower than the US average. Finding an option for a one-time concern or regular check-ups in Silver City, Nevada depends on your budget and insurance. Clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. See the options below.
Available testing centers
7 testing options are listed for Silver City, NV. The nearest, Nevada Department of Health and Human Services, is about 2.8 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.
Nevada Department of Health and Human Services in Dayton pairs rapid HIV testing and a full bacterial STI panel with same-visit treatment for gonorrhea, chlamydia, and syphilis: all on a sliding-scale fee accepted alongside Medicaid, Medicare, and private insurance. Appointments are required; care is available in Spanish.
For anyone without a regular primary care provider, or managing care through a public-health setting by choice, having hepatitis A, B, and C screening at the same appointment as the standard STI panel means fewer separate visits to piece together a complete picture of sexual health. Vaccination for hepatitis A and B is available on-site as well.
Spanish speakers who want to ask detailed questions about treatment, dosing, or follow-up, and get clear answers without relay, will find that capability built into care at this clinic. For someone navigating a public health system without a dedicated primary provider, direct-language clinical conversations change the usefulness of every appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Nevada Health Centers in Virginia City accepts Medicaid, Medicare, and most insurance, with sliding-scale fees available to anyone who needs them. Appointments are required, and the clinic tests for HIV, syphilis, gonorrhea, chlamydia, and TB, with treatment and HPV, hepatitis A, and hepatitis B vaccines on-site.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Carson City Health and Human Services tests for gonorrhea, chlamydia, syphilis, rapid HIV, and herpes on a sliding-scale fee accepted by Medicaid and most insurance. Appointments are required, and bacterial STIs can be treated the same visit. Spanish is spoken on staff.
Carson City Health and Human Services runs herpes alongside gonorrhea, chlamydia, syphilis, and rapid HIV as a single panel rather than an add-on order. Catching herpes status in the same draw shapes treatment timing and partner notification without a separate appointment.
As a federally designated Title X site, Carson City Health and Human Services is legally required, not just policy-committed, to keep family planning services for minors confidential. That federal mandate governs how records are handled, what can appear on billing, and who can access visit information.
Spanish is available as a direct clinical language at Carson City Health and Human Services, meaning symptom history, treatment instructions, and follow-up guidance move between provider and patient without a mediated step. Details stay precise when they matter most.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
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 about 3 miles away; if you'd rather skip the trip, an at-home kit ships to Silver City, 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 Lyon 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.
213 South Whitacre Street, Yerington, NV 89447
CMS-certified lab
240 US Hwy 95A Suite A, Fernley, NV 89408
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Silver City. 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, 359 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Silver City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 94 offer telehealth.
Stephan Swearngin, DO
Family medicine · 901 Medical Ctr Drive, Dayton
Honeylette Brotonel, MD
Family medicine · 901 Medical Ctr Drive, Dayton
Tessa Black, MD
OB-GYN · 1946 Old Hot Springs Road, Carson City
Emily Shipley, MD
Internal medicine · 3325 Research Way, Carson City
Sangeeta Wagner, DO
Family medicine · 3325 Research Way, Carson City
B Bottenberg, MD Telehealth
Internal medicine · 4095 North Carson Street, Carson City
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 Silver City, NV 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.
Smiths Food & Drug Centers
2.9 mi
7.8 mi Community Health Pharmacy
8.0 mi
8.2 mi 
8.9 mi Carson Tahoe Pharmacy
9.0 miShowing the 6 closest pharmacies to Silver City, NV.
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 Silver City, 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.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
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 Lyon County, the county that includes Silver City, compare with Nevada and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~32% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#9 of 17 Nevada counties for chlamydia, a higher rate than 47% of the state
| Infection | Lyon County | Nevada | United States |
|---|---|---|---|
| Chlamydia | 273.2 171 cases ▼ 45% | 493.6 | 492.2 |
| Gonorrhea | 25.6 16 cases ▼ 87% | 204.7 | 179.5 |
| Syphilis (P&S) | 6.4 4 cases ▼ 72% | 22.7 | 15.8 |
| Syphilis (early) | 3.2 2 cases ▼ 85% | 21.8 | 16 |
| Syphilis (late/unknown) | 27.2 17 cases ▼ 52% | 56.9 | 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 Lyon County, chlamydia has fallen from 295.4 to 273.2 per 100,000 (8%), gonorrhea has fallen from 111.4 to 25.6 per 100,000 (77%), and P&S syphilis has fallen from 8.4 to 6.4 per 100,000 (24%).
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 Lyon County.
Local HIV snapshot
Lyon County HIV care continuum (2023)
Lyon County recorded 0 new HIV diagnoses per 100,000 (2023), against 21.1 statewide and 13.7 nationally. Among Lyon County residents living with HIV, 75.4% are in care · 64.6% 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 Lyon County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
NV 341 stretches long enough that a routine clinic visit can easily consume half a morning, and for a community where most households own their homes and have put down real roots, that kind of time commitment lands differently than it does somewhere transient. Silver City's owner-heavy, married-majority makeup means many adults here are managing schedules built around two people, children, and the practical weight of a mortgage rather than a month-to-month lease. That stability is genuinely good for community health in many ways, yet it can also mean that younger adults, people in their late teens and twenties navigating new relationships and the highest-risk years for STIs, are embedded in family households where carving out a private appointment feels logistically awkward.
The overwhelmingly low unemployment picture suggests many residents who are in the workforce keep tight schedules; those who aren't, a sizable share given the labor-force numbers, may have more calendar flexibility but face the same geographic reality on NV 341. For a household of nearly three people on average, one adult getting tested quietly handled is simply part of keeping everyone in it healthier.
Getting there
At 5.09/20 on the EPA walkability index, day-to-day errands in Silver City 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 89428 snapshot
ZIP-level Census figures for the wider 89428 area around Silver City: a single ZIP can span several communities, so they describe the area, not Silver City alone.
Silver City sits in Lyon County, ZIP 89428. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Silver City? 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 Lyon County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Nevada 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 Silver City-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 Silver City 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 Nevada 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 Nevada, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Nevada 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 NevadaSource: 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.
There are 7 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Lyon County reported ~273 chlamydia cases per 100,000 in 2023, below the Nevada average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Nevada, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 89428: self-collect, send to the lab, results in ~2–5 days.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
It's a common STI symptom; test for chlamydia and gonorrhea and have a provider check you.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.