Chlamydia cases in Alamance County are about 17% higher than the US average. Whether you're in Swepsonville, North Carolina for a one-time concern or regular check-ups, you can choose between community and public clinics, which are often low-cost or free, and private labs, which may offer faster results and more flexible scheduling. See options below.
Available testing centers
7 testing options are listed for Swepsonville, NC. The nearest, Piedmont Health, is about 5.6 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.
Piedmont Health in Burlington is a community health center where STI care spans gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B, hepatitis C, and TB on a sliding-scale fee. Appointments are required, bacterial infections treated the same visit, with Ryan White-funded HIV care woven in.
Piedmont Health tests for herpes and both hepatitis B and hepatitis C alongside the standard gonorrhea, chlamydia, syphilis, and HIV panel. infections in a single appointment. That breadth means conditions that often go undetected at narrower sites get named, staged, and addressed without a second stop.
Piedmont Health treats hepatitis C on-site, not just identifies it. A positive antibody result leads directly to treatment management within the same practice, sparing patients the lag that comes when diagnosis and prescribing live at separate addresses.
Ryan White Program funding gives Piedmont Health the infrastructure to carry someone from an initial HIV test all the way through ongoing treatment and medication adherence counseling, the program is built for people without a regular HIV provider or whose insurance leaves treatment costs out of reach.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Alamance County Health Department in Burlington requires an appointment and covers gonorrhea, chlamydia, syphilis, herpes, and HIV testing with same-visit treatment for bacterial infections: sliding-scale fees apply across the board, and every test and service is provided at no charge.
The no-fee structure at Alamance County Health Department in Burlington applies uniformly: HIV testing, the full STI panel, bacterial treatment, vaccines, and family planning all carry a $0 charge regardless of income or insurance status. That single policy eliminates any financial variable from the decision to get tested or treated.
Spanish-language care at Alamance County Health Department in Burlington is built into the clinical staffing itself, not routed through an outside service. Counseling, test results, and treatment conversations happen directly in Spanish: the same clinical encounter, without a translation layer between provider and patient.
Alamance County Health Department in Burlington tests for herpes alongside gonorrhea, chlamydia, syphilis, and HIV. infections addressed in a single appointment. Herpes serology can surface infections that produce no obvious symptoms, making its inclusion in a routine panel clinically meaningful rather than supplemental.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Orange County Health Department in Hillsborough runs appointments for chlamydia, gonorrhea, syphilis, herpes, HIV, and TB testing, with same-visit treatment for bacterial infections confirmed on-site. All tests and STI care at no charge, on a sliding scale.
The no-fee structure at Orange County Health Department is operational, not aspirational: HIV tests, STI treatment, TB screening, and vaccines (including HPV, hepatitis A, hepatitis B, and mpox) are each billed at zero regardless of insurance status, with sliding scale as the underlying framework.
Spanish-language care at Orange County Health Department runs through staff who conduct testing, counseling, and treatment conversations directly in Spanish: clinical intake, risk discussion, and results delivery all happen in the same language without routing through an intermediary.
Orange County Health Department tests for herpes in addition to chlamydia, gonorrhea, syphilis, and HIV. Meaning someone seeking a complete picture of their sexual health status doesn't need a second appointment elsewhere to fill the gap.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 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 about 6 miles away; if you'd rather skip the trip, an at-home kit ships to Swepsonville, 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 Alamance 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.
908 South Williamson Avenue, Elon, NC 27244
CMS-certified lab Accredited · Joint Commission
3804 South Church Street, Burlington, NC 27215
CMS-certified lab Accredited · COLA
4218 Arendell Street, Morehead City, NC 28557
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Swepsonville. 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, 1,491 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Swepsonville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 523 offer telehealth.
Clarissa Zafirov
Family medicine · 1205 South Main Street, Graham
Denny Tate, MD
Internal medicine · 316 /2 South Main Street, Graham
Megan Johnson Telehealth
Family medicine · 214 East Elm Street, Graham
Laura Bliss, MD Telehealth
Family medicine · 132 Millstead Drive, Mebane
Lakeshia Entzminger, MD
Internal medicine · 378 Harden Street, Burlington
Benison Mangel, DO Telehealth
Family medicine · 919 South 5th Street, Mebane
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 Swepsonville, NC 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.
3.1 mi 
3.1 mi 
3.5 mi Showing the 3 closest pharmacies to Swepsonville, NC.
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 Swepsonville, 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.
$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
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 Alamance County, the county that includes Swepsonville, compare with North Carolina 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.
#34 of 100 North Carolina counties for chlamydia, a higher rate than 66% of the state
| Infection | Alamance County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 574.9 1,030 cases ▼ 5% | 607.9 | 492.2 |
| Gonorrhea | 207.6 372 cases ▼ 15% | 243.2 | 179.5 |
| Syphilis (P&S) | 26.8 48 cases ▲ 35% | 19.9 | 15.8 |
| Syphilis (early) | 14 25 cases ▼ 11% | 15.8 | 16 |
| Syphilis (late/unknown) | 32.4 58 cases ▲ 35% | 24 | 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 Alamance County, chlamydia has risen from 528.5 to 574.9 per 100,000 (9%), gonorrhea has fallen from 208.3 to 207.6 per 100,000 (0%), and P&S syphilis has risen from 19.3 to 26.8 per 100,000 (39%).
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 Alamance County.
Local HIV snapshot
Alamance County HIV care continuum (2023)
Alamance County recorded 11.2 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Alamance County residents living with HIV, 79.7% are in care · 73.5% 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 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 Alamance County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
NC 54 stretches east out of Swepsonville toward Graham and Burlington, and for most residents a clinic visit means following that corridor, or the Sam Hunt Freeway, to reach the options listed on this page, none of which sit within the town itself. That drive is simply the reality here, and it shapes how people think about scheduling a test the same way it shapes any other errand that can't be done locally. What makes the local profile worth understanding is the stability underneath it. The vast majority of households here own their homes, and more than half of adults are married, which can create a quiet assumption that routine screening doesn't apply, when in fact it fits every relationship stage and life transition. Average household size nudges above three people, meaning families under one roof where one person's health decision can matter to others.
Nearly a third of households earn well above the regional median, so out-of-pocket testing costs are less likely to be a barrier than the calendar is. With close to seven in ten adults in the workforce, the challenge is carving out time, not money. For the younger adults in Swepsonville, people in their late teens and twenties for whom STI rates are highest nationally, the drive to a listed clinic is the main obstacle. Knowing which option on this page runs weekend or evening hours is often the detail that determines whether a test gets made.
Getting there
At 5.95/20 on the EPA walkability index, day-to-day errands in Swepsonville 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 27253 snapshot
ZIP-level Census figures for the wider 27253 area around Swepsonville: a single ZIP can span several communities, so they describe the area, not Swepsonville alone.
Swepsonville sits in Alamance County, ZIP 27253. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Swepsonville? 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 Alamance County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 Swepsonville-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 Swepsonville 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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.
Yes, Medicaid typically covers it, and public clinics are free either way.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Alamance County reported ~575 chlamydia cases per 100,000 in 2023, below the North Carolina average.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 27253: self-collect, send to the lab, results in ~2–5 days.
It checks for the p24 antigen plus antibodies, detecting HIV a week or two sooner than older tests.
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).
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.