Syphilis in St. Johns County runs about 66% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in St. Augustine, Florida, you'll find both public clinics that may be low-cost or free and private labs that can offer faster results and more flexible scheduling. See the options below.
Available testing centers
9 testing options are listed for St. Augustine, FL. The nearest, Aza Health, is about 1.8 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.
Aza Health in St Augustine structures its fees on a sliding scale tied to income, so cost isn't a barrier to care. As a federally qualified health center, it offers STI screening covering syphilis, gonorrhea, and chlamydia to patients across the income spectrum.
Tests offered
Fees & payment
Florida Department of Health in St Johns County, in Saint Augustine, charges nothing for its services: HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB testing are all covered, alongside PrEP, vaccines, and STI treatment, by appointment.
Every test, treatment, and preventive service at this clinic carries no charge. That means the decision about what to screen for (herpes alongside the standard bacterial panel, hepatitis C alongside HIV) stays clinical, not financial.
Without Ryan White support, a positive HIV result in Saint Augustine can mean a second appointment at a separate facility, a coverage gap, and months without management. Here, Ryan White funding connects testing directly to ongoing HIV medical treatment at the same clinic, so care doesn't stall at diagnosis.
This clinic prescribes both PrEP and PEP directly, no referral to a separate prescriber required. For someone paying out of pocket or without an established primary care relationship, that standing capability means prevention medication is accessible at the same appointment as testing.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Ascension Medical Group in Saint Johns tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, HIV, and TB, treating bacterial infections the same day and billing through Medicaid, Medicare, or insurance on a sliding-scale fee. Appointments required, Spanish spoken.
Leaving herpes or hepatitis off a panel means a second appointment, a second co-pay, and weeks of uncertainty while transmission risk continues. Ascension Medical Group in Saint Johns includes herpes, hepatitis B, and hepatitis C in its standard workup, so a single visit closes those gaps rather than opening new ones.
When a patient has to approximate symptoms or medication instructions across a language barrier, the clinical picture gets distorted. Doses misunderstood, follow-up skipped. At Ascension Medical Group in Saint Johns, Spanish-language care is direct, keeping the clinical conversation accurate from history-taking through treatment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
A community safety-net rural health clinic about 24 miles from St. Augustine. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net rural health clinic about 26 miles from St. Augustine. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 2 miles away; if you'd rather skip the trip, an at-home kit ships to St. Augustine, 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 St. Johns 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.
461 Outlet Mall Boulevard, Saint Augustine, FL 32084
CMS-certified lab Accredited · College of American Pathologists
1301 Plantation Island Dr South Suite 106B, Saint Augustine, FL 32080
CMS-certified lab
1301 Plantation Island Drive South Suite 401, Saint Augustine, FL 32080
CMS-certified lab Accredited · COLA
559 West Twin Court Trail Unit 604, Saint Augustine, FL 32095
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near St. Augustine. 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, 640 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of St. Augustine. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 277 offer telehealth.
George Camacho, MD
Internal medicine · 665 State Road, St Augustine
Scott Michaels, MD
Family medicine · 3560 A1A, Saint Augustine
Jawad Farhat, MD
Internal medicine · 100 Arricola Avenue, Saint Augustine
Lilian Otalora Rojas, MD Telehealth
Internal medicine · 3149 North Ponce De Leon Boulevard, St Augustine
Maria-Teresa David, DO Telehealth
Internal medicine · 100 Whetstone Place, Saint Augustine
Scott Mcdowall, MD Telehealth
Internal medicine · 100 Whetstone Place, St Augustine
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 St. Augustine, FL 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.
1.5 mi 
1.6 mi 
1.7 mi Showing the 3 closest pharmacies to St. Augustine, FL.
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 St. Augustine, 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 St. Johns County, the county that includes St. Augustine, compare with Florida and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#64 of 67 Florida counties for chlamydia, a higher rate than 4% of the state
| Infection | St. Johns County | Florida | United States |
|---|---|---|---|
| Chlamydia | 181.5 581 cases ▼ 64% | 498.9 | 492.2 |
| Gonorrhea | 53.4 171 cases ▼ 74% | 206.7 | 179.5 |
| Syphilis (P&S) | 5.3 17 cases ▼ 73% | 19.3 | 15.8 |
| Syphilis (early) | 4.4 14 cases ▼ 82% | 25.1 | 16 |
| Syphilis (late/unknown) | 5.3 17 cases ▼ 86% | 37.7 | 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 St. Johns County, chlamydia has fallen from 225.7 to 181.5 per 100,000 (20%), gonorrhea has risen from 53 to 53.4 per 100,000 (1%), and P&S syphilis has risen from 2.9 to 5.3 per 100,000 (83%).
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 St. Johns County.
Local HIV snapshot
St. Johns County HIV care continuum (2023)
St. Johns County recorded 5.5 new HIV diagnoses per 100,000 (2023), against 22.7 statewide and 13.7 nationally. Among St. Johns County residents living with HIV, 86.3% are in care · 78% 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 St. Johns County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Davis Shores residents and the younger adults renting closer to the Colonial Quarter share something practical: just over half the city's working-age population is actively in the workforce, which means schedules run tight and midweek appointments can feel hard to carve out. With nearly two-thirds of households owning their homes and a rental market where typical monthly costs stay under eleven hundred dollars, St. Augustine draws a mix of long-rooted families and newer arrivals still building financial footing. Fewer than one in four households clears six figures annually, so cost transparency at a clinic matters more here than in places where that question barely registers.
Those dynamics land hardest on people in their late teens and twenties, who make up a meaningful share of the population and are precisely the group for whom STI rates climb nationally. Forming new relationships, navigating insurance gaps, and managing costs all at once, they benefit most from options that don't require half a day and a tank of gas. Augustine. Whether someone is starting from the Model Land Historic District or crossing the bridge from Davis Shores onto San Marco Avenue, that variety means the right combination of cost, timing, and distance is genuinely findable rather than a matter of luck.
Getting there
St. Augustine scores 10.61/20 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.
ZIP 32084 snapshot
ZIP-level Census figures for the wider 32084 area around St. Augustine: a single ZIP can span several communities, so they describe the area, not St. Augustine alone.
St. Augustine sits in St. Johns County, ZIP 32084. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside St. Augustine? 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 St. Johns County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Florida 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 St. Augustine-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 St. Augustine 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 Florida 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 Florida, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Florida 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 FloridaSource: 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+.
Florida Department of Health in St Johns County, about 2.8 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
St. Johns County reported ~182 chlamydia cases per 100,000 in 2023, below the Florida average.
In Florida, 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.
Most results are ready in about 1–2 days.
Yes, the HPV vaccine prevents the types most linked to cancer and genital warts; it's recommended through age 26 (and some adults to 45).
PrEP is taken before exposure to prevent HIV; PEP is emergency medicine started within 72 hours after a possible exposure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.