Over 12% fewer Spokane gonorrhea cases are reported than the US average. If you've had a recent risk or simply test on a regular schedule in Spokane County, Washington, you can choose between community clinics and private labs. Community clinics are often low-cost or free, but private labs tend to offer faster results and more flexible scheduling. See your options below.
Available testing centers
12 testing options are listed for Spokane, WA. The nearest, Spokane Regional Health District, 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.
Spokane Regional Health District tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB. All at no fee, on a sliding scale that covers every service offered. Same-visit treatment is available for bacterial STIs, and appointments are required.
Spokane Regional Health District charges nothing: not for the rapid HIV test, not for hepatitis C screening, not for TB testing or STI treatment. That zero applies uniformly: the full fee schedule reads the same for every patient who walks through the door.
Interpretation services are available for non-English languages, which means the clinical conversation (exposure history, treatment options, PrEP counseling) reaches patients in their own language rather than getting filtered through guesswork or gaps.
Without an on-site prescriber, a patient needing PrEP walks out with instructions to find one. Adding days or weeks before the first dose. Spokane Regional Health District holds that prescription capability in-house, so HIV prevention starts at this visit, not a later one.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN
The Native Project in Spokane runs an appointment-based STI clinic covering gonorrhea, chlamydia, syphilis, hepatitis C, and HIV, with same-visit treatment for bacterial infections. Hepatitis A and B vaccines are on-site. Fees run on a sliding scale, with Medicaid, Medicare, and private insurance all accepted.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
Native Project Youth Services Center in Spokane draws its sliding-scale structure from federally qualified health center standing, meaning fees adjust to income for anyone who walks in. STI screening here covers syphilis, gonorrhea, and chlamydia, with no appointment needed to get started.
Tests offered
Fees & payment
North Central Clinic in Spokane welcomes walk-in patients for STI screening without an appointment. Federally qualified status anchors a sliding-scale fee structure tied to income, making a single visit for syphilis, gonorrhea, and chlamydia testing straightforward and financially within reach for nearly any budget.
Tests offered
Fees & payment
Yakima Valley Farm Workers Clinic in Spokane tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C on a sliding-scale fee open to everyone. Bacterial STIs are treated the same visit; an appointment is required.
Scheduling an appointment with a language barrier and then hitting a language wall at the visit means details get lost, symptom timelines, medication instructions, follow-up steps. At Yakima Valley Farm Workers Clinic, Spanish-speaking staff and interpretation services for other languages are part of the care itself, so nothing critical gets compressed or skipped.
Leaving a clinic with a four-infection result when herpes or hepatitis was the real concern means a second appointment, a second co-pay, and more time without answers. Yakima Valley Farm Workers Clinic tests herpes alongside hepatitis A, B, and C in the same visit that covers gonorrhea, chlamydia, syphilis, and HIV.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
CHAS Health, a community health center in Spokane, extends its primary-care infrastructure into STI services: covering HIV, syphilis, gonorrhea, chlamydia, and hepatitis C testing on a sliding-scale fee, with same-visit treatment for bacterial infections. Appointments are required. PrEP and PEP are available.
Plenty of testing sites hand off prevention prescribing to a separate provider entirely. CHAS Health writes PrEP and PEP in-house, so the decision to start either medication happens in the same clinical relationship where your testing already lives. No handoff required.
When a hepatitis C antibody comes back reactive, CHAS Health moves into confirmatory RNA testing and, for confirmed cases, prescribes direct-acting antivirals on-site. With monitoring handled by their own clinical staff through the full treatment course.
CHAS Health offers substance-use treatment alongside its STI services, which means a provider can address both in a single ongoing care relationship. Reducing the friction that comes with coordinating between entirely separate programs.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Life Services Clinics in Spokane charges nothing for STI testing (no fee, no donation required) and the panel covers HIV, gonorrhea, chlamydia, syphilis, herpes, and hepatitis C, with treatment available for bacterial infections. An appointment is required.
Plenty of clinics post a sliding scale and call the math fair, but a scale still bottoms out somewhere above zero. At Life Services Clinics in Spokane, every service provided runs at no charge, full stop: testing, counseling, STI treatment, all of it.
Leaving herpes or hepatitis C off the initial panel means a second visit somewhere else, a second wait, and a gap where a diagnosis should have been. Life Services Clinics in Spokane closes that gap: herpes and hepatitis C testing sit alongside gonorrhea, chlamydia, syphilis, and HIV in a single appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
MultiCare in Spokane runs appointments for gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, HIV, and TB: with same-visit treatment for bacterial infections and sliding-scale fees accepted across all income levels, alongside insurance and Medicaid.
MultiCare treats hepatitis C on-site, which means a confirmed diagnosis moves directly into a treatment plan without redirecting to a separate provider: keeping the prescribing relationship, monitoring, and follow-up inside a single practice.
MultiCare prescribes PrEP, PEP, and DoxyPEP: a combination that covers HIV pre-exposure prevention, post-exposure management, and bacterial STI prevention after potential exposure. For anyone without a standing prescriber for these medications, having all three available through a single appointment matters.
Spanish-language services at MultiCare operate as a direct clinical capability: meaning medication instructions, adherence counseling, and STI prevention education are delivered in Spanish without routing through interpretation, which keeps dosing guidance and follow-up timelines precise and unambiguous.
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 Spokane, 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 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 Spokane 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.
120 North Pine Street, Suite 152, Spokane, WA 99202
CMS-certified lab Accredited · College of American Pathologists
800 West 5th Ave Room 280, Spokane, WA 99204
CMS-certified lab Accredited · College of American Pathologists
201 West North River Dr Suite 100, Spokane, WA 99201
CMS-certified lab Accredited · Joint Commission
910 West 5th Ave Suite 700, Spokane, WA 99204
CMS-certified lab Accredited · College of American Pathologists
4815 North Assembly, Spokane, WA 99205
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Spokane. 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, 468 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Spokane. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 173 offer telehealth.
John Floyd, MD Telehealth
Family medicine · 546 North Jefferson Lane, Spokane
Tomoko Bennett, DO
Family medicine · 546 North Jefferson Lane, Spokane
Timothy Maughan, MD
Infectious disease · 101 West 8th Avenue, Spokane
Azmina Zieman, MD
Internal medicine · 101 West 8th Avenue, Spokane
Jeremy Cope, MD
Internal medicine · 101 West 8th Avenue, Spokane
Sandra Friendshuh, MD
Internal medicine · 101 West 8th Avenue, Spokane
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 Spokane, WA 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.
Community Health Association of Spokane
0.4 miMedication Review
0.4 miMedicine Shoppe
0.7 miPharmacy Operations
0.7 miThrifty Payless
0.8 miReidt Pharmacy Corperation
0.8 miShowing the 6 closest pharmacies to Spokane, WA.
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 Spokane, 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 $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
$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
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 Spokane County, the county that includes Spokane, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~30% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 39 Washington counties for chlamydia, a higher rate than 74% of the state
| Infection | Spokane County | Washington | United States |
|---|---|---|---|
| Chlamydia | 377.9 2,084 cases ▲ 7% | 354.4 | 492.2 |
| Gonorrhea | 158.1 872 cases ▲ 22% | 129.6 | 179.5 |
| Syphilis (P&S) | 36.1 199 cases ▲ 69% | 21.3 | 15.8 |
| Syphilis (early) | 14 77 cases ▲ 12% | 12.5 | 16 |
| Syphilis (late/unknown) | 18.5 102 cases ▼ 19% | 22.9 | 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 Spokane County, chlamydia has fallen from 480 to 377.9 per 100,000 (21%), gonorrhea has fallen from 180.4 to 158.1 per 100,000 (12%), and P&S syphilis has risen from 15.2 to 36.1 per 100,000 (138%).
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 Spokane County.
Local HIV snapshot
Spokane County HIV care continuum (2023)
Spokane County recorded 7 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Spokane County residents living with HIV, 88.5% are in care · 78.7% 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 Spokane County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Manito Park anchors the south end of the city with the kind of permanence that makes Spokane feel settled, mature trees, familiar paths, residents who have lived on the same block for decades. But roughly half the city's households are renters, and with typical rents well under a thousand dollars a month, Spokane draws younger adults in steady numbers: people working through their mid-twenties in apartments near North Maple Street or West Indiana Avenue, cycling through jobs, forming new relationships, figuring out how far their paycheck actually stretches. That demographic reality matters because late teens and twenty-somethings are the years when STI exposure runs highest, and Spokane's workforce picture adds texture to why consistent screening can be hard to sustain. With nearly four in ten working-age adults outside the labor force entirely and unemployment running meaningfully above the national floor, time and cost aren't abstract concerns.
A missed shift or a copay at the wrong moment can knock an appointment off the calendar for weeks. The city's renters especially feel that calculus: when rent already claims a fixed chunk of a modest income, out-of-pocket testing costs become a real decision point. The Riverfront Park Clock Tower sits close to options serving the North Bank and Kendall Yards neighborhoods, which means a lunch break or a slow Saturday morning near downtown is often enough time to get it done.
Getting there
Spokane scores 15.96/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
Spokane sits in Spokane County. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Spokane? 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 Spokane County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington 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 Spokane-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 Spokane 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 Washington 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 Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington 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 WashingtonSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Spokane Regional Health District, about 0.3 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Spokane County reported ~378 chlamydia cases per 100,000 in 2023, above the Washington average.
At-home kits mail to 99208: self-collect, send to the lab, results in ~2–5 days.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.