Gonorrhea rates in Wasco County are about 58% lower than the US average. If you've had a recent risk or simply test on a regular schedule, The Dalles, Oregon has many options. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. We list this town's options below.
Available testing centers
9 testing options are listed for The Dalles, OR. The nearest, North Central Public Health District, is about 0.5 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.
North Central Public Health District in The Dalles runs its entire STI program without charging patients (no fee schedule, no sliding scale to navigate) covering gonorrhea, chlamydia, syphilis, HIV, and hepatitis B and C, with same-visit treatment for bacterial infections and walk-ins welcome.
The district funds testing, treatment, vaccines, and PrEP administration directly through public health infrastructure, so there's no billing department generating a bill: the staff who collect your sample, review results, and dispense medication are all operating under the same no-cost structure from the first visit through follow-up.
North Central Public Health District carries standing PrEP and PEP capability: meaning someone without a primary care provider, or paying entirely out of pocket, can get the medication prescribed, initiated, and monitored at the same clinic handling their STI testing, with no separate specialist required.
Beyond the core bacterial and HIV tests, the district screens for both hepatitis B and hepatitis C in the same visit, which means a single appointment can reveal a chronic infection someone may have carried for years without symptoms, prompting treatment before liver damage progresses.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
One Community Health, a community health center in The Dalles, integrates STI care into full primary-care infrastructure: meaning same-visit bacterial treatment, sliding-scale fees, and appointments that hold space for real clinical attention, with services available in Spanish.
Gonorrhea, chlamydia, syphilis, HIV. That quartet is where many clinics close the list. One Community Health extends the panel to include herpes, which means a visit here can confirm or rule out an infection that the usual workup simply leaves unaddressed.
Without Spanish-language clinical capacity, a patient navigating symptoms, treatment decisions, or follow-up questions absorbs that burden alone, and care slips. At One Community Health in The Dalles, Spanish is a working clinical language, so the conversation about diagnosis and treatment happens without that gap.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
One Community Health -- the Dalles Express Clinic, in The Dalles, earns federal qualification by tying fees to income. No one is turned away for inability to pay. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with costs adjusted to what each patient can actually afford.
Tests offered
Fees & payment
One Community Health - White Salmon, serving White Salmon through its federally qualified standing, anchors STI care on a sliding-scale fee structure tied to income. Meaning cost adjusts to what patients actually earn. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment needed.
Tests offered
Fees & payment
Klickitat County Public Health Department in White Salmon requires an appointment, so scheduling ahead is the entry point to a visit that covers gonorrhea, chlamydia, syphilis, herpes, and HIV testing alongside STI treatment, family planning, and HPV vaccination, on a sliding-scale fee with insurance and Medicaid accepted. Spanish-language care is available on staff.
Spanish-language care at Klickitat County Public Health is a staffed clinical capacity: meaning STI counseling, treatment conversations, and prevention education happen directly in Spanish, without routing through a secondary layer. That operational reality shapes what a Spanish-speaking patient can fully access on a single appointment.
Klickitat County Public Health tests for herpes in addition to gonorrhea, chlamydia, syphilis, and HIV. infections on one panel. Herpes screening requires specific serologic or swab testing separate from bacterial STI workups, and having it available here means a more complete picture of sexual health status from a single appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · 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 The Dalles, 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 range: couples & full panels
$79 & up
Best for simplicity & support
$89 & 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 Wasco 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.
1700 East 19th Street, The Dalles, OR 97058
CMS-certified lab Accredited · Joint Commission
1810 East 19th Street, The Dalles, OR 97058
CMS-certified lab Accredited · Joint Commission
1825 East 19th Street, The Dalles, OR 97058
CMS-certified lab
3601 Klindt Drive Suite 200, The Dalles, OR 97058
CMS-certified lab Accredited · COLA
704 Veterans Drive, The Dalles, OR 97058
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near The Dalles. 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, 79 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of The Dalles. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 8 offer telehealth.
Mark Farley, MD
Internal medicine · 1010 Webber Street, The Dalles
Henry Behar, MD
OB-GYN · 1700 East 19th Street, The Dalles
Joseph Jones, MD
OB-GYN · 1810 East 19th Street, The Dalles
Analene Pentopoulos, MD
OB-GYN · 1810 East 19th Street, The Dalles
Christopher Faison, MD
Family medicine · 211 Northeast Skyline Drive, White Salmon
Kathleen Mckenna, MD
Family medicine · 849 Pacific Avenue, Hood River
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 The Dalles, OR 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.
0.6 mi Fred Meyer Pharmacy
0.9 miHi-School Pharmacy
17 miWind River Pharmacy
34 miShowing the 4 closest pharmacies to The Dalles, OR.
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 The Dalles, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Wasco County, the county that includes The Dalles, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#17 of 36 Oregon counties for chlamydia, a higher rate than 53% of the state
| Infection | Wasco County | Oregon | United States |
|---|---|---|---|
| Chlamydia | 269.6 71 cases ▼ 26% | 362.5 | 492.2 |
| Gonorrhea | 76 20 cases ▼ 35% | 117.2 | 179.5 |
| Syphilis (P&S) | 22.8 6 cases ▲ 19% | 19.2 | 15.8 |
| Syphilis (early) | 3.8 1 cases ▼ 60% | 9.6 | 16 |
| Syphilis (late/unknown) | 15.2 4 cases ▼ 23% | 19.7 | 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 Wasco County, chlamydia has fallen from 378.7 to 269.6 per 100,000 (29%), gonorrhea has fallen from 108.7 to 76 per 100,000 (30%), and P&S syphilis has risen from 11.2 to 22.8 per 100,000 (104%).
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 Wasco County.
Local HIV snapshot
Wasco County HIV care continuum (2023)
Wasco County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.6 statewide and 13.7 nationally. Among Wasco County residents living with HIV, 90% are in care · 76.7% 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 Wasco County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Cherry Heights sits above the city proper, a mix of families and working adults whose days tend to start early and end when the shift does. With well under two-thirds of residents in the labor force at any given time, and a meaningful share of households juggling work on hourly or rotating schedules, carving out time for a clinic visit can genuinely compete with everything else a week demands.
That pressure lands hardest on younger adults, people in their late teens and twenties who are most likely to benefit from routine screening but least likely to have a flexible employer or a car waiting at the curb. Rent here is modest by Oregon standards, but with nearly four in ten households renting and average households running closer to three people, cost and logistics still shape which appointments actually get scheduled.
Getting there
The Dalles scores 11/20 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 97058 snapshot
ZIP-level Census figures for the wider 97058 area around The Dalles: a single ZIP can span several communities, so they describe the area, not The Dalles alone.
The Dalles sits in Wasco County, ZIP 97058. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside The Dalles? 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 Wasco County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon 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 The Dalles-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 The Dalles 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 Oregon 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 Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Oregon 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 OregonSource: 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.
The closest is North Central Public Health District (0.5 mi); 7 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 270 cases per 100,000 residents (2023), below the Oregon average.
In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.