In Isle of Wight County, reported gonorrhea runs about 21% lower than in the US overall, but regular testing is still important for your health whether you're starting a new relationship or managing your ongoing care in Smithfield, Virginia. If you prefer a health care provider to be there for guidance and potential treatment, or a conveniently-timed test, you have options. See the list below.
Available testing centers
9 testing options are listed for Smithfield, VA. The nearest, Virginia Department of Health, is about 0.3 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.
Virginia Department of Health in Smithfield tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis C, and HIV, treating bacterial infections the same visit, on a sliding-scale fee accepted alongside Medicaid and private insurance. Appointments are required, and DoxyPEP is available for prevention.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, is prescribed directly through Virginia Department of Health in Smithfield, not through a separate referral chain. Having it available at the same clinic that manages your testing means the prescription and the testing record live in one place.
Chasing a herpes or hepatitis C diagnosis through a separate appointment at a different facility means another scheduling gap and another set of costs. At Virginia Department of Health in Smithfield, both are part of the testing panel, so a single visit resolves questions that would otherwise stay open.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Southeastern Virginia Health System @ Four Oaks Day Service Center, Newport News, welcomes walk-ins for STI screening without an appointment. Federal qualification backs its sliding-scale fee structure, calibrated to income, covering syphilis, gonorrhea, and chlamydia testing in a single visit.
Tests offered
Fees & payment
Southeastern Virginia Health System in Newport News pairs same-visit treatment for bacterial STIs (gonorrhea, chlamydia, syphilis) with a sliding-scale fee structure that extends to Medicare and private insurance; appointments are required, and donations are also accepted.
Gonorrhea, chlamydia, syphilis, and HIV cover the standard ground, but hepatitis B and hepatitis C testing often get separated into a different appointment elsewhere. Southeastern Virginia Health System runs hepatitis B and hepatitis C screening within the same visit as the core panel, so exposure across all six infections gets assessed at once.
Southeastern Virginia Health System prescribes PrEP, including the antiretrovirals used for ongoing HIV prevention, and manages the required HIV and kidney-function monitoring that makes continuous PrEP use medically sound. PEP is also available for post-exposure HIV prevention within the clinic's existing prescribing capacity.
Ryan White Program funding at Southeastern Virginia Health System means HIV care doesn't stop at a confirmed test result: the clinic is staffed and resourced to prescribe antiretroviral therapy, monitor viral load, and sustain longitudinal HIV/AIDS medical treatment. That funding structure keeps care continuous rather than episodic.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Riverside Health in Newport News tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C on a sliding-scale fee open to everyone, with same-visit treatment for bacterial infections; appointments are required.
Plenty of testing sites cap their panel at gonorrhea, chlamydia, syphilis, and HIV: leaving herpes, hepatitis A, hepatitis B, and hepatitis C off the table entirely. Riverside Health runs all of them, which means a single visit can account for infections that would otherwise go undetected or require a separate appointment elsewhere.
Riverside Health carries both daily oral PrEP and PEP as standing prescriptions, meaning HIV prevention medication is written and managed at the same clinic, not coordinated across separate providers. Uninsured patients have a dedicated PrEP coverage pathway, so the medication itself stays accessible regardless of insurance status.
Deaf and hard-of-hearing patients can receive care entirely in American Sign Language, no relay, no delay. Spanish speakers and those using other languages are covered through on-site interpretation, so the full clinical conversation, counseling and all, happens without a communication gap at any point in the visit.
Languages
American Sign Language, English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Minority AIDS Support Services in Newport News covers HIV self-testing and gonorrhea testing alongside medication adherence counseling, with every service provided at no fee and insurance accepted: appointments are required, and the full sliding-scale applies to anyone who walks through the door.
For anyone managing care without a regular provider or paying entirely out of pocket, Minority AIDS Support Services carries no fee on any service it provides: testing, counseling, and condom distribution included. That standing policy means the cost calculation never changes regardless of what you need during a visit.
Spanish-speaking patients at many clinics encounter care filtered through workarounds that slow the visit and flatten the conversation. At Minority AIDS Support Services in Newport News, Spanish is a language the clinic actually works in. Meaning medication adherence counseling and the full testing process happen directly, without an intermediary layer.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Smithfield, 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 range: couples & full panels
$79 & up
Best for simplicity & support
$89 & 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.
Local clinicians
Beyond dedicated clinics, 1,021 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Smithfield. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 370 offer telehealth.
Donald Soles, MD
Family medicine · 206 Gumwood Drive, Smithfield
David Belvin, MD Telehealth
Family medicine · 20209 Sentara Way, Carrollton
Lisa Knust, MD
Family medicine · 13478 Carrollton Blvd D-E, Carrollton
Catherine Brisland
Internal medicine · 11008 Warwick Boulevard, Newport News
Fernando De Lemos Figueira, MD
Internal medicine · 12200 Warwick Boulevard, Newport News
Samantha Smith, MD Telehealth
Internal medicine · 12420 Warwick Boulevard, Newport News
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 Smithfield, VA 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.
Simpsons Pharmacy
1.0 mi
1.3 mi 
1.4 mi 
5.0 mi Showing the 4 closest pharmacies to Smithfield, VA.
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 Smithfield, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Isle of Wight County, the county that includes Smithfield, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#52 of 133 Virginia counties for chlamydia, a higher rate than 61% of the state
| Infection | Isle of Wight County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 388.1 158 cases ▼ 18% | 472.8 | 492.2 |
| Gonorrhea | 142.5 58 cases ▼ 10% | 158.3 | 179.5 |
| Syphilis (P&S) | 7.4 3 cases ▼ 31% | 10.7 | 15.8 |
| Syphilis (early) | 12.3 5 cases ▲ 29% | 9.5 | 16 |
| Syphilis (late/unknown) | 4.9 2 cases ▼ 69% | 15.8 | 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 Isle of Wight County, chlamydia has fallen from 466.2 to 388.1 per 100,000 (17%), gonorrhea has fallen from 194.3 to 142.5 per 100,000 (27%), and P&S syphilis has fallen from 10.4 to 7.4 per 100,000 (29%).
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 Isle of Wight County.
Local HIV snapshot
Isle of Wight County HIV care continuum (2023)
Among Isle of Wight County residents living with HIV, 88.3% are in care · 80.5% 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 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 Isle of Wight County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
South Church Street stretches quietly out of downtown before the road even hints at a clinic, and for most Smithfield residents, any testing appointment means a deliberate drive rather than a casual detour. That's worth naming honestly, because younger adults here, people in their late teens and twenties still navigating new relationships, tend to be the ones who let that drive become a reason to reschedule. Smithfield skews toward stability in ways that can obscure real access pressures. Most households here are owner-occupied and headed by married couples, which shapes the assumption that everyone has flexible time, a car, and a predictable schedule.
But with unemployment running notably higher than state norms and a meaningful share of residents outside the labor force entirely, the picture is more varied than property values along the Smithfield Historic District suggest. For the roughly three in ten households renting at around $925 a month, a clinic visit competes with shift work, childcare, and a budget that doesn't have slack for unexpected costs. The good news: testing options are listed on this page, and several offer sliding-scale or low-cost services that make the drive down US 258 BUS worth taking. Screening that fits between a Tuesday shift and a pick-up at Beale Park is screening that actually happens, and in a town this size, knowing exactly which door to walk through is half the work.
Getting there
At 6.4/20 on the EPA walkability index, day-to-day errands in Smithfield 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 23430 snapshot
ZIP-level Census figures for the wider 23430 area around Smithfield: a single ZIP can span several communities, so they describe the area, not Smithfield alone.
Smithfield sits in Isle of Wight County, ZIP 23430. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Smithfield? 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 Isle of Wight County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia 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 Smithfield-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 Smithfield 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 Virginia 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 Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia 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 VirginiaSource: 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.
Possibly, Newport News, VA is close; compare it by distance against Virginia Department of Health.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, Minority AIDS Support Services (10.3 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 388 cases per 100,000 residents (2023), below the Virginia average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 23430; you collect a sample, mail it back, and get results in about 2–5 days.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.