The Montgomery County rate of reported syphilis is about 76% lower than the US average. If it's your first test or routine screening in Troy, North Carolina, clinics may be lower-cost or free, while private labs might offer faster results and more flexible scheduling. We list your options below.
Available testing centers
9 testing options are listed for Troy, NC. The nearest, Firsthealth of the Carolinas, is about 0.1 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.
A safety-net rural health clinic in Troy. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Montgomery County Health Department in Troy tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis B and C on a sliding scale, with all services available at no fee: appointments required, and same-visit treatment for bacterial infections.
Sliding-scale pricing still leaves most clinics with a floor, a minimum charge that follows patients out the door. At Montgomery County Health Department, the scale runs all the way to zero and stays there: every service, every visit, no remaining balance owed.
When a clinic can't serve someone in Spanish, the gap between a test result and understanding it can mean a delayed diagnosis or treatment that never gets started. Montgomery County Health Department delivers STI care, counseling, and prevention education directly in Spanish. No secondary step between patient and provider.
Leaving herpes or hepatitis off a panel means a second appointment, often at a different clinic, before a complete picture exists. Montgomery County Health Department tests for herpes, hepatitis B, and hepatitis C alongside HIV, syphilis, gonorrhea, and chlamydia, so gaps don't linger between visits.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
A safety-net rural health clinic about 2 miles from Troy. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Goshen Medical Center - Star, located in Star, carries federal qualification as a community health center, which means STI screening costs scale to each patient's income rather than a fixed rate. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing. No appointment needed to get started.
Tests offered
Fees & payment
A public safety-net rural health clinic about 14 miles from Troy. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Troy, 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 Montgomery 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.
507 North Main Street, Troy, NC 27371
CMS-certified lab Accredited · COLA
Showing the nearest 1 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Troy. 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, 156 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Troy. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 34 offer telehealth.
James Liffrig, MD
Family medicine · 522 Allen Street, Troy
Victor Farrah, DO
Family medicine · 520 Allen Street, Troy
Pallavi Sindhu, MD
Family medicine · 520 Allen Street, Troy
Jaspaul Jawanda, MD Telehealth
Infectious disease · 520 Allen Street, Troy
John Woodyear, MD
Family medicine · 507 North Main Street, Troy
Michael Mcleod, MD
Family medicine · 835 Albemarle Road, Troy
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 Troy, 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.
Standard Drug
0.0 miTroy Pharmacy
0.9 miWhite Star Discount Pharmacy
0.9 mi
2.0 mi 
5.3 mi Showing the 5 closest pharmacies to Troy, 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 Troy, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$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
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 Montgomery County, the county that includes Troy, compare with North Carolina 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.
#45 of 100 North Carolina counties for chlamydia, a higher rate than 55% of the state
| Infection | Montgomery County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 509.9 133 cases ▼ 16% | 607.9 | 492.2 |
| Gonorrhea | 141.8 37 cases ▼ 42% | 243.2 | 179.5 |
| Syphilis (P&S) | 3.8 1 cases ▼ 81% | 19.9 | 15.8 |
| Syphilis (early) | 11.5 3 cases ▼ 27% | 15.8 | 16 |
| Syphilis (late/unknown) | 7.7 2 cases ▼ 68% | 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 Montgomery County, chlamydia has risen from 450.5 to 509.9 per 100,000 (13%), gonorrhea has fallen from 201.9 to 141.8 per 100,000 (30%), and P&S syphilis has fallen from 3.9 to 3.8 per 100,000 (3%).
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 Montgomery County.
Local HIV snapshot
Montgomery County HIV care continuum (2021)
Montgomery County recorded 0 new HIV diagnoses per 100,000 (2021), against 15.1 statewide and 13.7 nationally. Among Montgomery County residents living with HIV, 72% are in care · 68% 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 Montgomery County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
East Main Street runs through the core of Troy with the quiet practicality of a town where most households rent rather than own, and where a majority of adults aren't currently married: meaning health decisions, including whether to get screened, often rest on one person rather than being nudged along by a partner or shared routine. With average households running larger than the national norm, those individual choices ripple across more people under one roof. The labor-force participation picture here is notably modest, which means a meaningful share of residents are outside standard nine-to-five schedules entirely: whether caring for family, between jobs, or working irregular hours. Rent in Troy stays genuinely affordable by almost any measure, but when money is stretched thin and high earners represent only a small slice of the population, even a modest clinic co-pay can become a real calculation.
Getting anywhere typically means driving Albemarle Road or NC 134, not a short walk from Troy Town Park II. Montgomery County's STI figures are visible elsewhere on this page, and they matter most for the substantial share of Troy residents in their late teens and twenties. The years when exposure risk climbs and testing habits are still forming. Knowing where those numbers stand is, for someone living here, a reason to stay current rather than let a year slip quietly by.
Getting there
At 3.78/20 on the EPA walkability index, day-to-day errands in Troy 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 27371 snapshot
ZIP-level Census figures for the wider 27371 area around Troy: a single ZIP can span several communities, so they describe the area, not Troy alone.
Troy sits in Montgomery County, ZIP 27371. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Troy? 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 Montgomery 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 Troy-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 Troy 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Montgomery County Health Department, about 0.5 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Montgomery County reported ~510 chlamydia cases per 100,000 in 2023, below the North Carolina average.
At-home kits mail to 27371: self-collect, send to the lab, results in ~2–5 days.
Most results are ready in about 1–2 days.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.