Wayne County saw syphilis reports about 68% lower than the national average in the last year. If you're in Smithville, Ohio, and testing before starting a new relationship or as part of ongoing care, weigh the pros and cons of community and public clinics versus private laboratories. The options below cover a range of services.
Available testing centers
7 testing options are listed for Smithville, OH. The nearest, The Viola Startzman Clinic, is about 4.9 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.
The Viola Startzman Clinic in Wooster tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C on a sliding-scale fee open to all. Appointments are required; bacterial infections are treated the same visit.
When a provider orders testing here, herpes serology and hepatitis A, B, and C antibody screens are on the same requisition as the core bacterial panel. No separate referral, no second visit scheduled elsewhere. One appointment captures the fuller picture.
The Viola Startzman Clinic holds Title X designation, which carries a legal guarantee: family planning services for minors, including STI testing, are confidential by federal statute, not clinic policy. That standing protection shapes what a younger patient can access and discuss without parental disclosure.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
A community safety-net rural health clinic about 5 miles from Smithville. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Wayne County Health Department in Wooster accepts Medicaid and private insurance, with a standard fee structure for those paying directly. The clinic offers TB testing alongside syphilis and rapid HIV testing, with HPV, hepatitis A, and adult hepatitis B vaccines available; appointments are required.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Smithville, 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 value: single tests
$49 & 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Wayne 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.
721 East Milltown Road, Wooster, OH 44691
CMS-certified lab Accredited · College of American Pathologists
1761 Beall Avenue, Wooster, OH 44691
CMS-certified lab Accredited · College of American Pathologists
832 South Main Street, Orrville, OH 44667
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Smithville. 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, 789 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Smithville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 179 offer telehealth.
Christopher Ranney, MD Telehealth
Family medicine · 5225 Cleveland Road, Wooster
Douglas Brown, DO
Family medicine · 2326 A Eagle Pass, Wooster
Liza Talampas, MD Telehealth
Internal medicine · 721 East Milltown Road, Wooster
Holly Wyneski, MD
Urology · 128 East Milltown Road, Wooster
John Miller, MD
Family medicine · 128 East Milltown Road, Wooster
Debra Fast
Internal medicine · 3727 Friendsville Road, Wooster
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 Smithville, OH 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.
3.3 mi Marc Glassman
3.7 miRitzman Pharmacy
4.4 miUnity RX 102
4.5 mi
4.5 mi 
4.7 mi Showing the 6 closest pharmacies to Smithville, OH.
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 Smithville, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 Wayne County, the county that includes Smithville, compare with Ohio 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.
#66 of 88 Ohio counties for chlamydia, a higher rate than 25% of the state
| Infection | Wayne County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 199.1 232 cases ▼ 57% | 461.7 | 492.2 |
| Gonorrhea | 44.6 52 cases ▼ 73% | 168 | 179.5 |
| Syphilis (P&S) | 5.1 6 cases ▼ 69% | 16.3 | 15.8 |
| Syphilis (early) | 6 7 cases ▼ 35% | 9.2 | 16 |
| Syphilis (late/unknown) | 7.7 9 cases ▼ 52% | 16 | 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 Wayne County, chlamydia has fallen from 201.9 to 199.1 per 100,000 (1%), gonorrhea has fallen from 55.6 to 44.6 per 100,000 (20%), and P&S syphilis has risen from 1.7 to 5.1 per 100,000 (200%).
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 Wayne County.
Local HIV snapshot
Wayne County HIV care continuum (2023)
Wayne County recorded 7.2 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Wayne County residents living with HIV, 88.1% are in care · 71.6% 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 Wayne County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
West Main Street's mix of older ranch homes and modest rentals sets the tone for Smithville's cost profile: home values here sit well below Ohio's bigger metros, and a typical monthly rent reflects that same restraint. For the roughly one-in-three households that rent rather than own, that affordability cushion matters, but it doesn't erase the scheduling math that makes preventive care hard to prioritize. With labor-force participation noticeably below the national average, a meaningful share of residents outside traditional nine-to-five work may have flexible hours, yet many others are balancing irregular shifts, which puts any appointment requiring advance planning lower on the list.
More than half of Smithville's adults are married, and households here tend toward families rather than solo living, which means sexual health conversations often involve partners, not just individuals. Young adults still forming relationships (the demographic that sees the highest rates of chlamydia, gonorrhea, and other STIs) make up a real slice of this community, and for them, convenient access isn't a luxury; it's the reason a test happens at all rather than getting deferred indefinitely. Building that trip into a routine errand, rather than treating it as its own event, is the practical move for most Smithville households.
Getting there
At 6.1/20 on the EPA walkability index, day-to-day errands in Smithville 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 44677 snapshot
ZIP-level Census figures for the wider 44677 area around Smithville: a single ZIP can span several communities, so they describe the area, not Smithville alone.
Smithville sits in Wayne County, ZIP 44677. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Smithville? 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 Wayne County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Smithville-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 Smithville 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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, Wooster, OH is close; compare it by distance against The Viola Startzman Clinic.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 199 cases per 100,000 residents (2023), below the Ohio average.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.