In Darke County, the reported rate of chlamydia is about 66% lower than the US average. Whether you need your first STI test or a routine screening in Union City, Ohio, you can choose between clinics which may bill insurance or let you pay based on your income, and private labs offering a flat self-pay price.
Available testing centers
7 testing options are listed for Union City, OH. The nearest, St. Vincent Medical Group, is about 1.2 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 community safety-net rural health clinic about 1 mile from Union City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Reid Health in Winchester folds STI testing and treatment into its broader clinical network, covering gonorrhea, chlamydia, syphilis, and HIV on a fee basis with Medicaid and Medicare accepted. Family planning is available alongside same-visit treatment for bacterial infections. An appointment is required.
Languages
English
Tests offered
Care services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Meridian Health Services in Winchester pairs testing for gonorrhea, syphilis, chlamydia, and herpes with same-visit treatment for bacterial infections, so you leave with answers and, when needed, care already started: all on a sliding-scale fee accepted alongside Medicaid, Medicare, and private insurance. Appointments required.
Leaving herpes off a panel means a separate visit to a different provider, a gap in your record, and a condition that continues unmanaged in the meantime. Meridian Health Services includes herpes testing in its standard workup, so one appointment in Winchester covers the infection that a stripped-down panel would leave unaddressed.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Union City, 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 Darke 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.
835 Sweitzer Street, Greenville, OH 45331
CMS-certified lab Accredited · College of American Pathologists
1111 Sweitzer Street, Greenville, OH 45331
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Union City. 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, 133 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Union City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 29 offer telehealth.
Bobby Lenox, MD
Family medicine · 201 West Elroy Ansonia Road, Ansonia
Alison Syme, MD
Family medicine · 473 East Greenville Avenue, Winchester
Kenneth Watkins, MD
General practice · 108 East Hospital Drive, Winchester
Laura Cline
Family medicine · 160 North Middle School Road, Winchester
Patrick Karr, DO
OB-GYN · 820 Central Avenue, Greenville
Harold Edmiston, DO
Family medicine · 828 Central Avenue, Greenville
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 Union City, OH 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.
0.7 mi Kaup Pharmacy
1.3 mi
9.1 mi 
9.1 mi Winchester Community Pharmacy
9.6 miShowing the 5 closest pharmacies to Union City, OH.
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 Union City, 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
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
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 Darke County, the county that includes Union City, compare with Ohio and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#74 of 88 Ohio counties for chlamydia, a higher rate than 16% of the state
| Infection | Darke County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 169.2 87 cases ▼ 63% | 461.7 | 492.2 |
| Gonorrhea | 44.7 23 cases ▼ 73% | 168 | 179.5 |
| Syphilis (P&S) | — no data | 16.3 | 15.8 |
| Syphilis (early) | — no data | 9.2 | 16 |
| Syphilis (late/unknown) | 3.9 2 cases ▼ 76% | 16 | 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 Darke County, chlamydia has fallen from 214 to 169.2 per 100,000 (21%), gonorrhea has risen from 40.5 to 44.7 per 100,000 (10%), and P&S syphilis has risen from 3.9 to 7.8 per 100,000 (100%).
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 Darke County.
Local HIV snapshot
Darke County HIV care continuum (2023)
Darke County recorded 0 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Darke County residents living with HIV, 83.9% are in care · 83.9% 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 Darke County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
East Elm Street cuts through the center of Union City carrying the low hum of a town where most households rent rather than own, and where a $530 monthly rent leaves little cushion for anything that feels optional. Including a clinic visit. That calculus matters most for younger adults moving through their twenties, navigating new relationships while unemployment here runs notably high and labor-force participation is relatively modest, meaning irregular schedules and stretched budgets are the norm rather than the exception. With nearly six in ten residents renting and average households running well over three people, a lot of adults share space, share costs, and quietly share health decisions with partners or housemates.
That context shapes why straightforward access to STI screening carries real weight. Fewer than one in thirteen households clears the $100k mark, so out-of-pocket costs land differently here than in higher-income communities. The options listed on this page include 24 services in and around Union City, which matters given how few residents fall into the sliver of high earners who treat a specialist visit as an easy errand. That's the concrete difference the listed options' hours and distance columns are there to solve.
Getting there
At 5.72/20 on the EPA walkability index, day-to-day errands in Union City 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 45390 snapshot
ZIP-level Census figures for the wider 45390 area around Union City: a single ZIP can span several communities, so they describe the area, not Union City alone.
Union City sits in Darke County, ZIP 45390. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Union City? 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 Darke County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Union City-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 Union City 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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 St. Vincent Medical Group (1.2 mi); 4 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.
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 169 cases per 100,000 residents (2023), below the Ohio average.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
Absolutely; screening is designed for the symptom-free stage, just wait until the window period closes.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
There's no cure, but antivirals manage symptoms well and reduce transmission.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.