In Montgomery County, there are about 17 syphilis cases for every 100,000 residents. Whether you are in Union, Ohio, considering STI testing before starting a new relationship or as part of ongoing care, you might want to weigh the convenience of clinics that may bill insurance versus the straightforward pricing of private labs. See the testing options below.
Available testing centers
9 testing options are listed for Union, OH. The nearest, Colbert Family Health and Wellness, is about 7.3 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.
Colbert Family Health and Wellness in Dayton tests for gonorrhea, chlamydia, syphilis, and HIV, treating bacterial infections the same visit when results warrant it: all on a sliding-scale fee accepted alongside Medicaid, Medicare, and private insurance, by appointment.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Five Rivers Family Health Center in Dayton welcomes walk-in patients without an appointment for sliding-scale STI screening. Federal qualification underpins its fee structure, tying costs to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, making straightforward sexual health screening available to anyone who walks through the door.
Tests offered
Fees & payment
Community Health Centers of Greater Dayton – Chambersburg Health Center, in Dayton, welcomes walk-ins for STI screening without an appointment. Federal FQHC standing anchors its sliding-scale fees to income, keeping syphilis, gonorrhea, and chlamydia testing within reach for a single, straightforward visit.
Tests offered
Fees & payment
Miami County Public Health in Troy runs STI care through a public health department: meaning gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing on a sliding-scale fee, with same-visit treatment for bacterial infections, by appointment, and Title X family planning, including legally confidential services for minors.
Without Title X, a minor seeking STI care or family planning often faces a gap: parental involvement requirements, a referral to a separate provider, or simply no coverage. Miami County Public Health's Title X designation legally protects the confidentiality of those services, keeping care from stalling at the front desk.
Leaving herpes or hepatitis C undetected means carrying an infection that a standard four-pathogen panel would have missed entirely, and potentially a second appointment elsewhere to close that gap. Miami County Public Health tests for herpes and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, so one visit accounts for the wider picture.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
A public STD-testing site about 11 miles from Union, run as a Federally Qualified Health Center with sliding-scale fees.
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 7 miles away; if you'd rather skip the trip, an at-home kit ships to Union, 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.
8501 Old Troy Pike, Huber Heights, OH 45424
CMS-certified lab Accredited · College of American Pathologists
7058 Corporate Way, Dayton, OH 45459
CMS-certified lab Accredited · COLA
One Children'S Plaza-2 West, Dayton, OH 45404
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Union. 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, 973 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Union. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 237 offer telehealth.
Jonathan Blaza, MD Telehealth
Family medicine · 1250 West National Road, Englewood
Luis Perez, DO
Family medicine · 1250 West National Road, Englewood
Trisha Pachiano, MD
OB-GYN · 1250 West National Road, Englewood
Robert Grossmann, MD
Family medicine · 425 Lauricella Court, Englewood
Christine Weller, DO Telehealth
Family medicine · 350 Union Boulevard, Englewood
Mohamed Darwich, MD Telehealth
Internal medicine · 120 West Wenger Road, Englewood
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, 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.
2.3 mi 
2.8 mi 
3.4 mi 
3.5 mi 
4.0 mi Premier Health Pharmacy-MVHN
4.0 miShowing the 6 closest pharmacies to Union, 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, 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
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
$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 Montgomery County, the county that includes Union, compare with Ohio 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.
#5 of 88 Ohio counties for chlamydia, a higher rate than 94% of the state
| Infection | Montgomery County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 639.6 3,414 cases ▲ 39% | 461.7 | 492.2 |
| Gonorrhea | 280.6 1,498 cases ▲ 67% | 168 | 179.5 |
| Syphilis (P&S) | 16.9 90 cases ▲ 4% | 16.3 | 15.8 |
| Syphilis (early) | 11.1 59 cases ▲ 21% | 9.2 | 16 |
| Syphilis (late/unknown) | 28.8 154 cases ▲ 80% | 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 Montgomery County, chlamydia has risen from 612.3 to 639.6 per 100,000 (4%), gonorrhea has fallen from 416.1 to 280.6 per 100,000 (33%), and P&S syphilis has fallen from 17.1 to 16.9 per 100,000 (1%).
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 (2023)
Montgomery County recorded 16.9 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Montgomery County residents living with HIV, 82.1% are in care · 73% 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
SR 48 threads through Union as North Main Street, past Englewood Centennial Park and into a town where most households are owner-occupied and more than half of adults are married: meaning health decisions here often get made as a family matter, budgeted alongside a mortgage and groceries rather than weighed by a single person on the fly. That household character shapes how people approach preventive care. With nearly three-quarters of residents in the workforce and unemployment low, most adults are running tight schedules between shifts and school pickups. Young adults in their late teens and twenties, the years when STI rates climb steepest, are often juggling entry-level jobs, shared leases, and new relationships all at once.
Cost matters here too, even in a community where a meaningful share of households earns well. A $1,051 monthly rent payment on a modest home value still leaves plenty of people watching their budgets carefully. The options listed here vary in fees and hours, so a young adult near Northview Park or along US 40 can compare them directly and find one whose cost and schedule actually match what they're working with this month.
Getting there
At 10.33/20 on the EPA walkability index, day-to-day errands in Union 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 45322 snapshot
ZIP-level Census figures for the wider 45322 area around Union: a single ZIP can span several communities, so they describe the area, not Union alone.
Union sits in Montgomery County, ZIP 45322. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Union? 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 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-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 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 Colbert Family Health and Wellness (7.3 mi); 9 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 640 cases per 100,000 residents (2023), above the Ohio average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Yes, partners should test and be treated together to avoid passing it back and forth.
Yes, HSV-1 from the mouth can spread to the genital area through oral sex.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.