Chlamydia rates in Lee County are about 76% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in St. Charles, Virginia, consider the trade-offs between public clinics, private labs, and at-home kits.
Available testing centers
7 testing options are listed for St. Charles, VA. The nearest, Stone Mountain Health Services, is about 0.1 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.
Stone Mountain Health Services in Saint Charles folds STI testing into its broader primary-care model, meaning gonorrhea, chlamydia, syphilis, and HIV testing sit alongside family planning and TB screening in a single practice. Fees run on a sliding scale, Medicaid and Medicare are accepted, and bacterial infections are treated the same visit. Appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
St. Charles Respiratory Care CTR, in Saint Charles, welcomes walk-ins for STI screening without an appointment. Federally qualified status backs its sliding-scale fees, so cost is tied to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing under one affordable, income-adjusted visit.
Tests offered
Fees & payment
Clover Fork Evarts, in Evarts, carries federally qualified health center standing. Meaning its STI screening fees slide with your income rather than sitting at a fixed rate. Walk-in appointments are welcome, and the standard panel covers syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
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 St. Charles, 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 Lee 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.
Highway 58, Jonesville, VA 24263
CMS-certified lab
127 Health Care Drive, Pennington Gap, VA 24277
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near St. Charles. 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, 85 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of St. Charles. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 10 offer telehealth.
Jose Echeverria, MD
Internal medicine · 121 Stacy Drive, Pennington Gap
Hussain Alhamza, MD
Internal medicine · 127 Health Care Drive, Penningtn Gap
John Litton, MD Telehealth
Family medicine · 127 Health Care Drive, Penningtn Gap
Alli Delp, DO Telehealth
Family medicine · 127 Health Care Drive, Pennington Gap
Dia Owens, MD
Family medicine · 276 Fieldstone Drive, Jonesville
Sharon Colton, MD
Family medicine · 101 Chad Street, Evarts
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. Charles, 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.
K-VA-T Food Stores
3.8 miAppalachian Regional Healthcare
11 miDonell's Tri-City Pharmacy
11 miCumberland Drug Company
12 mi
12 mi Summit Apothecary
12 miShowing the 6 closest pharmacies to St. Charles, 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 St. Charles, 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 Lee County, the county that includes St. Charles, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#128 of 133 Virginia counties for chlamydia, a higher rate than 4% of the state
| Infection | Lee County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 119.6 26 cases ▼ 75% | 472.8 | 492.2 |
| Gonorrhea | 13.8 3 cases ▼ 91% | 158.3 | 179.5 |
| Syphilis (P&S) | 4.6 1 cases ▼ 57% | 10.7 | 15.8 |
| Syphilis (early) | 9.2 2 cases ▼ 3% | 9.5 | 16 |
| Syphilis (late/unknown) | — no data | 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 Lee County, chlamydia has risen from 94.7 to 119.6 per 100,000 (26%), gonorrhea has fallen from 22.5 to 13.8 per 100,000 (39%), and P&S syphilis has risen from 4.5 to 4.6 per 100,000 (2%).
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 Lee County.
Local HIV snapshot
Lee County HIV care continuum (2022)
Lee County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Lee County residents living with HIV, 81.8% are in care · 72.7% 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 Lee County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Pennington Gap carries the rhythm of a place where households run large and neighbors know each other's names, the kind of close-knit texture that can make a private health errand feel more conspicuous than it should. That social intimacy, layered onto an unemployment picture that leaves a significant share of residents outside the formal workforce entirely, shapes how people think about when and whether to schedule a screening. Those workforce realities matter in concrete ways. With nearly a third of the labor force not currently working, cost sensitivity is real, but so is schedule flexibility that employed residents rarely have.
The catch is that St. For young adults still building partnerships and sexual health routines, that distance becomes the main thing standing between intention and a kept appointment. Homeownership here runs higher than in many small Virginia towns, but a substantial renter share suggests a population that's still mobile, still sorting out where life lands. Exactly the years when regular STI screening pays off most.
None of the households on this page report top-bracket incomes, so low-cost and sliding-scale options among the twelve listed matter enormously. Before the drive out past Leeman Field Park toward the nearest clinic, it's worth calling ahead to confirm sliding-scale fees and same-day availability.
Getting there
At 3.57/20 on the EPA walkability index, day-to-day errands in St. Charles 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 24282 snapshot
ZIP-level Census figures for the wider 24282 area around St. Charles: a single ZIP can span several communities, so they describe the area, not St. Charles alone.
St. Charles sits in Lee County, ZIP 24282. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Nearby cities & towns
Just outside St. Charles? 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 Lee 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 St. Charles-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. Charles 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, Cumberland, KY is close; compare it by distance against St. Charles Respiratory Care CTR.
Medicaid generally covers STD testing.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 120 cases per 100,000 residents (2023), below the Virginia average.
Yes, at-home kits ship to 24282; you collect a sample, mail it back, and get results in about 2–5 days.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.