Gonorrhea rates in Botetourt County run about 74% lower than the US average. Whether you've had a recent risk or just maintain regular testing, folks in Troutville, Virginia have choices. Some clinics offer same-day testing with walk-ins, whereas labs and at-home kits give more flexibility to schedule your time.
Available testing centers
7 testing options are listed for Troutville, VA. The nearest, Carilion Clinic, is about 1.8 miles away. Compare community and public clinics, private labs, and at-home kits below.
Carilion Clinic in Daleville requires an appointment for STI testing, which means visits run on a schedule that covers gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis B and C, and TB. With bacterial infections treated the same day and fees adjusted on a sliding scale.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Virginia Department of Health in Fincastle runs on a sliding scale and accepts Medicaid, Medicare, and private insurance, with fees adjusted to income for everyone. By appointment, it covers chlamydia, gonorrhea, syphilis, herpes, hepatitis C, TB, and HIV. Plus DoxyPEP for prevention.
DoxyPEP, doxycycline taken after a potential bacterial STI exposure, requires clinical judgment about dosing, timing, and follow-up testing to confirm it's working. Virginia Department of Health in Fincastle has staff who prescribe it directly, review your history to establish it's appropriate, and schedule the monitoring visits that make the regimen actually protective.
Skip herpes and hepatitis C testing at an appointment and you leave carrying two conditions that standard four-pathogen panels miss entirely: meaning another appointment, potentially another provider, and a gap in which both can progress untreated. Virginia Department of Health in Fincastle folds herpes and hepatitis C into the same visit alongside chlamydia, gonorrhea, syphilis, and HIV.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Planned Parenthood South Atlantic in Roanoke tests for HIV, gonorrhea, chlamydia, syphilis, hepatitis B, and herpes, treating bacterial infections the same visit; sliding-scale fees apply to everyone, Medicaid and insurance accepted, and no appointment is needed. Spanish and interpretation services are on hand.
When navigating symptoms, timing, or a treatment plan, precision in language is clinical, not incidental. Planned Parenthood South Atlantic in Roanoke carries Spanish-speaking staff capacity and interpretation services so that someone who reasons and worries in a language other than English gets the same specificity of care (exposure history, medication instructions, follow-up) that anyone else does.
Plenty of sexual health providers require parental involvement or redirect younger patients elsewhere. As a Title X clinic, Planned Parenthood South Atlantic in Roanoke is legally required to offer confidential family planning services to minors: meaning testing, contraception, and STI treatment without a guardian in the loop.
PrEP requires baseline HIV and kidney-function testing, an initial prescription, and regular follow-up labs. All of which Planned Parenthood South Atlantic in Roanoke handles directly. PEP is similarly initiated and managed in-clinic, so both medications stay tied to a provider who tracks the labs and adjusts care rather than handing the prescription off without a monitoring plan.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 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 about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Troutville, 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 Botetourt 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.
60 Market Center Way, Daleville, VA 24083
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Troutville. 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, 303 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Troutville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 52 offer telehealth.
Lianna Lawson, MD Telehealth
Family medicine · 12 Boone Drive, Troutville
Kimberly Orr, DO
Family medicine · 150 Market Ridge Lane, Daleville
Nancy Misicko, MD
Family medicine · 150 Market Ridge Lane, Daleville
Bassel Moughrabi, MD
Internal medicine · 65 Shenandoah Avenue, Daleville
Robert Dums, MD
Family medicine · 46 Wesley Road, Daleville
Michael Szilagyi, MD
Family medicine · 46 Wesley Road, Daleville
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 Troutville, 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.
6.5 mi Friendship Pharmacy
7.5 mi
7.8 mi 
8.2 mi Sams Pharmacy 10
8.3 miShowing the 5 closest pharmacies to Troutville, 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 Troutville, 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 Botetourt County, the county that includes Troutville, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#120 of 133 Virginia counties for chlamydia, a higher rate than 10% of the state
| Infection | Botetourt County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 158.2 54 cases ▼ 67% | 472.8 | 492.2 |
| Gonorrhea | 46.9 16 cases ▼ 70% | 158.3 | 179.5 |
| Syphilis (P&S) | 2.9 1 cases ▼ 73% | 10.7 | 15.8 |
| Syphilis (early) | — no data | 9.5 | 16 |
| Syphilis (late/unknown) | 8.8 3 cases ▼ 44% | 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 Botetourt County, chlamydia has fallen from 226.2 to 158.2 per 100,000 (30%), gonorrhea has fallen from 77.4 to 46.9 per 100,000 (39%), and P&S syphilis has fallen from 5.9 to 2.9 per 100,000 (51%).
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 Botetourt County.
Local HIV snapshot
Botetourt County HIV care continuum (2022)
Botetourt County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Botetourt County residents living with HIV, 80.6% 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 Botetourt County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 11 cuts through Troutville in a way that makes almost every errand a car trip, and a clinic visit is no different, since the options listed on this page require getting on Lee Highway or picking up US 220 toward Roanoke or Cloverdale Road to reach the nearest one. That drive is worth planning for, especially in a town where more than a third of households rent at rates that leave little cushion, and where a substantial share of residents aren't currently in the labor force, meaning schedules are uneven rather than simply busy. Close to half of Troutville's adults are married, and the average household holds more than two people, which means sexual health decisions here often ripple through partnerships and family units rather than landing on one person alone.
Young adults in their late teens and twenties make up a meaningful slice of that picture, and for them, a multi-step process (find a clinic, drive there, afford it) can be the thing that delays a test from this month to next season. Most of what's listed on this page offers sliding-scale fees or no-cost options, which matters concretely when typical rent already claims a real portion of a modest monthly budget. For a coupled household in Daleville or anywhere along US 220, knowing those options exist is the practical starting point.
Getting there
At 5.56/20 on the EPA walkability index, day-to-day errands in Troutville 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 24175 snapshot
ZIP-level Census figures for the wider 24175 area around Troutville: a single ZIP can span several communities, so they describe the area, not Troutville alone.
Troutville sits in Botetourt County, ZIP 24175. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Troutville? 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 Botetourt 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 Troutville-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 Troutville 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.
The closest is Carilion Clinic (1.8 mi); 7 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, public clinics in the area offer free or low-cost 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 158 cases per 100,000 residents (2023), below the Virginia average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.