In Thurston County, HIV diagnoses are about 66% lower than the US average. If you live in Tenino, Washington and want to test for STIs whether you have symptoms or just want peace of mind, consider that public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. Find your options below.
Available testing centers
7 testing options are listed for Tenino, WA. The nearest, Valley View Health Center, is about 0.4 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.
Valley View Health Center in Tenino accepts Medicaid, Medicare, and most insurance, with sliding-scale fees available for those without coverage. The clinic tests for gonorrhea, chlamydia, syphilis, and HIV, treats bacterial STIs at the same visit, and offers HPV and hepatitis A and B vaccines by appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Sea Mar Community Health Center in Tumwater earns its federal qualification partly by anchoring STI care to a sliding-scale fee structure: meaning anyone, insured or not, cash-paying or between providers, pays only what their income allows. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening.
Tests offered
Fees & payment
Sea Mar Community Health Center in Tumwater welcomes walk-ins for STI screening without an appointment. Backed by federal FQHC standing, fees slide with income, and a single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
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 Tenino, 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 Thurston 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.
413 Lilly Road Northeast, Olympia, WA 98506
CMS-certified lab
3900 Capital Mall Drive Southwest, Olympia, WA 98502
CMS-certified lab Accredited · College of American Pathologists
3622 Ensign Road Northeast, Olympia, WA 98506
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Tenino. 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, 362 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Tenino. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 129 offer telehealth.
Jordyn Wirkkala, DO
Family medicine · 150 Dennis Street Southwest, Tumwater
Kurt Sandine, MD
Family medicine · 4800 College Street Southeast, Lacey
Cullen Owen, DO
Internal medicine · 1010 South Scheuber Road, Centralia
Asra Khan, MD
Family medicine · 914 South Scheuber Road, Centralia
Michael Cook, MD
Family medicine · 2690 Northeast Kresky Avenue, Chehalis
Yan Geng, MD
Family medicine · 1450 Northwest Lane Southeast, Lacey
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 Tenino, 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.
Heddens Pharmacy
0.5 miQFC Pharmacy
9.9 mi
9.9 mi Genoa Healthcare
10 mi
10 mi Showing the 5 closest pharmacies to Tenino, 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 Tenino, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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
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 Thurston County, the county that includes Tenino, 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.
#20 of 39 Washington counties for chlamydia, a higher rate than 49% of the state
| Infection | Thurston County | Washington | United States |
|---|---|---|---|
| Chlamydia | 315.4 943 cases ▼ 11% | 354.4 | 492.2 |
| Gonorrhea | 84.6 253 cases ▼ 35% | 129.6 | 179.5 |
| Syphilis (P&S) | 12.7 38 cases ▼ 40% | 21.3 | 15.8 |
| Syphilis (early) | 6.4 19 cases ▼ 49% | 12.5 | 16 |
| Syphilis (late/unknown) | 12.7 38 cases ▼ 45% | 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 Thurston County, chlamydia has fallen from 384.7 to 315.4 per 100,000 (18%), gonorrhea has fallen from 89.2 to 84.6 per 100,000 (5%), and P&S syphilis has risen from 10.9 to 12.7 per 100,000 (17%).
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 Thurston County.
Local HIV snapshot
Thurston County HIV care continuum (2023)
Thurston County recorded 4.7 new HIV diagnoses per 100,000 (2023), against 6.3 statewide and 13.7 nationally. Among Thurston County residents living with HIV, 81.6% are in care · 75.4% 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 Thurston County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Families in Tenino tend to stay put, the same houses, the same jobs, the same faces at Tenino City Park across seasons. That rootedness shapes how people approach health here. Young adults in the community, many of whom are building lives alongside parents or extended family under one roof, often weigh privacy carefully when thinking about STI testing. The clinics and providers listed on this page understand that concern and operate under strict confidentiality rules; what you discuss and what you learn during a visit remains yours alone. Testing in and around Tenino happens quietly and thoroughly.
Appointments can be scheduled at times that fit around work and household responsibilities, and many people find it easier to seek screening when they know exactly where to go and what to expect. Results are delivered directly to you through secure channels, not mailed to a shared address, not left on a family phone line. The working rhythm of Tenino means that preventive health care works best when it's straightforward and fits into real life. Whether you're due for routine screening or have a specific concern, the testing sites available in and around Tenino are set up to meet you where you are, with the discretion your situation calls for.
Getting there
At 3.95/20 on the EPA walkability index, day-to-day errands in Tenino 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 98589 snapshot
ZIP-level Census figures for the wider 98589 area around Tenino: a single ZIP can span several communities, so they describe the area, not Tenino alone.
Tenino sits in Thurston County, ZIP 98589. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Tenino? 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 Thurston 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 Tenino-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 Tenino 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.
Possibly, Olympia, WA is close; compare it by distance against Valley View Health Center.
Private labs ~$24–$139, at-home kits $49+.
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 315 cases per 100,000 residents (2023), below the Washington average.
Yes, at-home kits ship to 98589; you collect a sample, mail it back, and get results in about 2–5 days.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
It's cured with antibiotics; treating partners together prevents reinfection.
The CDC doesn't advise routine herpes testing without symptoms; if you have a sore, a swab of it is the most accurate test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.