Valencia County reports 164 gonorrhea cases per 100,000 residents, near the US average. Whether you need testing after a possible exposure or as part of routine care in Tome, New Mexico, clinics may bill insurance or offer sliding-scale fees, while some private labs let you pay a flat self-pay price. Look below for options.
Available testing centers
7 testing options are listed for Tome, NM. The nearest, Quest Diagnostics, is about 4.7 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.
First Choice Community Healthcare in Los Lunas tests for HIV, gonorrhea, chlamydia, syphilis, herpes, hepatitis C, and TB, treating bacterial STIs at the same appointment; fees run on a sliding scale accepted alongside Medicaid, Medicare, and private insurance, with care available in Spanish.
Spanish is a working clinical language at First Choice, not a supplemental accommodation: meaning medical history, test results, and treatment instructions move through conversation rather than around it, reducing the chance of anything critical being lost or misunderstood.
First Choice carries hepatitis C care through from antibody testing all the way to treatment, so a confirmed diagnosis leads directly to a prescription and management plan at the same clinic, keeping the full course of care consolidated.
Substance-use treatment at First Choice is a staffed, clinical program operating within the same facility: meaning providers can coordinate screening, prescribing, and monitoring across both services simultaneously, rather than handling each in isolation from the other.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
New Mexico Department of Health in Los Lunas tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, hepatitis C, and TB on a sliding scale, with HIV and STI testing free, and treats bacterial infections the same visit, by appointment, at no charge.
Sliding-scale clinics typically still leave a balance for someone. At New Mexico Department of Health in Los Lunas, every service (testing, treatment, vaccines, family planning) is provided at no fee, full stop. There is no tier that costs money.
When care is routed through language barriers, the real cost is an untreated condition. Counseling missed, a prescription not filled, a follow-up skipped. New Mexico Department of Health in Los Lunas delivers STI testing, treatment, and HIV counseling directly in Spanish, so nothing essential gets lost between the appointment and the outcome.
New Mexico Department of Health in Los Lunas holds substance-use treatment as a standing clinical service, not a separate referral chain. For anyone navigating both an STI concern and active substance use, that coordination at a single appointment, at no cost, is a practical difference in whether follow-through actually happens.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
FCCH/Belen Center, in Belen, earns its federally qualified designation partly through a mandated sliding-scale fee structure tied directly to household income: meaning the cost of syphilis, gonorrhea, and chlamydia screening adjusts to what a patient can actually pay, with no appointment required to get started.
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 about 5 miles away; if you'd rather skip the trip, an at-home kit ships to Tome, 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 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 Valencia 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.
80B Veterans Boulevard, Pueblo Of Acoma, NM 87034
CMS-certified lab Accredited · COLA
609 South Christopher Road, Belen, NM 87002
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Tome. 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, 597 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Tome. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 159 offer telehealth.
Jeanne-Elyse Cedeno, MD
Family medicine · 127 Sandoval Road Southwest, Los Lunas
Kristen Faith, MD
Internal medicine · 609 South Christopher Road, Belen
Jaron Kee, MD Telehealth
Family medicine · 3630 Las Estancias Drive Southwest, Albuquerque
Juan Soche, MD
Family medicine · 1625 Rio Bravo Boulevard Southwest, Albuquerque
Fernando Arzola, MD
Internal medicine · 3436 Isleta Boulevard Southwest, Albuquerque
Melvin Romero, MD Telehealth
Family medicine · 2901 Transport Street Southeast, Albuquerque
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 Tome, NM 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.
3.9 mi Gugginos Pharmacy
4.5 miUnited Supermarkets
4.6 mi
4.6 mi 
4.7 mi Showing the 5 closest pharmacies to Tome, NM.
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 Tome, 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 $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
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 Valencia County, the county that includes Tome, compare with New Mexico and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#8 of 33 New Mexico counties for chlamydia, a higher rate than 76% of the state
| Infection | Valencia County | New Mexico | United States |
|---|---|---|---|
| Chlamydia | 521.9 413 cases ≈ the state average | 523.6 | 492.2 |
| Gonorrhea | 164.3 130 cases ▼ 3% | 169 | 179.5 |
| Syphilis (P&S) | 25.3 20 cases ▼ 31% | 36.6 | 15.8 |
| Syphilis (early) | 20.2 16 cases ▲ 12% | 18.1 | 16 |
| Syphilis (late/unknown) | 233.8 185 cases ▲ 205% | 76.6 | 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 Valencia County, chlamydia has risen from 490.8 to 521.9 per 100,000 (6%), gonorrhea has fallen from 216.5 to 164.3 per 100,000 (24%), and P&S syphilis has risen from 14.4 to 25.3 per 100,000 (76%).
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 Valencia County.
Local HIV snapshot
Valencia County HIV care continuum (2022)
Valencia County recorded 13.7 new HIV diagnoses per 100,000 (2022), against 10.4 statewide and 13.7 nationally. Among Valencia County residents living with HIV, 78.8% are in care · 75% 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 Valencia County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
That distance lands differently in a community where nearly all households own their homes and have for years, deep roots, stable addresses, but also routines built around place rather than transit. With roughly half of working-age adults in the labor force and household sizes running well above the state average, daily schedules fill up fast: school runs, extended family under one roof, the kind of practical density that makes an off-hours appointment feel like a logistical puzzle. That texture matters for younger adults still forming relationships, a group that carries elevated risk simply by being in that life stage. When the nearest testing site requires planning a route down Highway 47 into another town, the scheduling has to be deliberate.
It won't happen on a lunch break or an impulse stop near Daniel Fernandez Memorial Park. Most Tome households are long-settled, owner-occupied, and oriented around family. Half of all adults married, average households approaching four people. Screening fits into that picture not as an individual errand but as one more practical thing a household does to stay healthy together.
Getting there
At 8.39/20 on the EPA walkability index, day-to-day errands in Tome 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 87031 snapshot
ZIP-level Census figures for the wider 87031 area around Tome: a single ZIP can span several communities, so they describe the area, not Tome alone.
Tome sits in Valencia County, ZIP 87031. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Tome? 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 Valencia County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under New Mexico 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 Tome-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 Tome 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 New Mexico 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 New Mexico, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
New Mexico 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 New MexicoSource: 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.
There are 7 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
New Mexico Department of Health, about 5.4 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Valencia County reported ~522 chlamydia cases per 100,000 in 2023, above the New Mexico average.
In New Mexico, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia and gonorrhea show up about 1–2 weeks after exposure, syphilis 3–6 weeks, and HIV 2–6 weeks depending on the test.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.