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STD Testing in Union, OR: Free, Same-Day & Confidential

Union County runs about 24% lower than the US average for reported chlamydia. Whether you're in Union County, Oregon for a one-time check or regular screenings, you can weigh clinics that may bill insurance against private labs with flat self-pay rates. Check the list below to compare your options.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Union, OR

2 testing options are listed for Union, OR. The nearest, Center for Human Development, is about 13.0 miles away. Compare 1 community and public clinic, private labs, and at-home kits below.

How to read these listings

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.

Community health center 13.0 miles

Center for Human Development

Where these reviews come from

Review sources

  • Google104
  • EasySTD5
Rated 4.2 out of 5 from 109 reviews

Center for Human Development in La Grande requires an appointment and covers gonorrhea, chlamydia, syphilis, and HIV testing alongside STI and TB treatment, family planning, and hepatitis A and B vaccines, with fees on a sliding scale accepted by Medicaid and most insurance. With Spanish-language care available throughout.

Read full overview Show less

Spanish Runs Through Every Appointment Here

Plenty of clinics acknowledge Spanish as a need and then patch around it. At Center for Human Development, Spanish isn't a workaround layered onto an English-language visit: it's a direct service, available through the actual care conversation itself, so nothing gets lost between the question and the answer.

STI and Substance-Use Care Share the Same Address

Walking out of an STI appointment with a second referral for substance-use treatment means a second wait, a second intake, and a gap where care simply doesn't happen. Center for Human Development in La Grande carries substance-use treatment as a direct service alongside STI care, so that gap closes at the same clinic rather than somewhere down a separate referral chain.

Tests & treats Sliding-scale
Address
2301 Cove Avenue, La Grande, OR 97850
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:30 PM
  • Tuesday 8:00 AM – 5:30 PM
  • Wednesday 8:00 AM – 5:30 PM
  • Thursday 8:00 AM – 5:30 PM
  • Friday 8:00 AM – 5:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Premium Partner

Labcorp

Results in 1–2 days
No ratings yet
Address
3001 St Anthony Way, Pendleton, OR 97801 55.2 miles away
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Every other option

More ways to get tested in Union, OR

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

At-home STD testing in Union, OR

The nearest testing center is about 13 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.

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

Other CLIA-certified labs near Union, OR

Beyond the public testing sites above, these federally certified (CLIA) labs serve Union 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.

  • LA Grande VA Clinic

    201 12th Street, La Grande, OR 97850

    CMS-certified lab

    • STD testing
    Call Directions

  • Assure Drug Detection

    607 Adams Avenue, La Grande, OR 97850

    CMS-certified lab

    • STD testing
    Call Directions

  • Grande Ronde Hospital Regional Medical Clinic

    506 Fourth Street, La Grande, OR 97850

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
    Call Directions

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

Clinicians near Union, OR who may help arrange STD testing

Beyond dedicated clinics, 43 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 2 offer telehealth.

  • Francis Szumski, DO

    Family medicine · 2301 Cove Avenue, La Grande

    Call Directions

  • Bradley Tishman, DO

    Family medicine · 900 Sunset Drive, La Grande

    Directions

  • Bryan Conklin, MD

    Family medicine · 2011 4th Street, La Grande

    Call Directions

  • Ashley Gibbs

    Family medicine · 150 South, Elgin

    Directions

  • Larry Birger, MD

    Internal medicine · 3325 Pocahontas Road, Baker City

    Call Directions

  • Michael Rich, MD Telehealth

    Internal medicine · 3325 Pocahontas Road, Baker City

    Call Directions

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

Pharmacies near Union, OR

No pharmacy near Union, OR 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.

Showing the 6 closest pharmacies to Union, OR.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

Prevention & treatment

PrEP, prevention & online 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.

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

STDs & HIV in Union County: the local picture

How reported STI rates in Union County, the county that includes Union, compare with Oregon and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#7 of 36 Oregon counties for chlamydia, a higher rate than 81% of the state

Reported STD rates per 100,000, Union County vs Oregon vs U.S.

Union County Oregon U.S. ▲▼ = Union County vs the state average
Infection Union County Oregon United States
Chlamydia
373.9 97 cases ▲ 3%
362.5 492.2
Gonorrhea
38.5 10 cases ▼ 67%
117.2 179.5
Syphilis (P&S)
15.4 4 cases ▼ 20%
19.2 15.8
Syphilis (early)
11.6 3 cases ▲ 21%
9.6 16
Syphilis (late/unknown)
11.6 3 cases ▼ 41%
19.7 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.

Reported STD rates in Union County over time (per 100,000)

Chlamydia ▼ 4% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 200 400 2020202120222023

Between 2020 and 2023 in Union County, chlamydia has risen from 251.9 to 373.9 per 100,000 (48%), gonorrhea has risen from 15.3 to 38.5 per 100,000 (152%), and P&S syphilis has risen from 11.5 to 15.4 per 100,000 (34%).

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

What shapes testing access in and around Union, OR

Adults uninsured
8.4%
No routine checkup
25.2%
Binge drinking
14.7%
Frequent mental distress
19%
Depression
27.8%
Below poverty line
20.6%
Primary-care ratio
1,191 : 1
Union County
  • Primary-care shortage score 15 / 26
  • Medically Underserved Area · IMU 57.8
  • Social Vulnerability Index · 72nd percentile nationally

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 Union County.

Local HIV snapshot

HIV in Union County (2023)

People living with HIV
77 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
54

Union County HIV care continuum (2023)

Union County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.6 statewide and 13.7 nationally. Among Union County residents living with HIV, 88.2% are in care · 76.5% 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Union County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines → (opens in a new tab)

17 Sources

Local resources & officials

Data & references

Local context

About Union, OR

People land in Union for work at the lumber mill, the county shops, or family land that's been in the household for generations. Reasons that anchor you to a place where everyone eventually crosses paths on North Main Street. That permanence, and the modest expense of living here, draws people who plan to stay. For young adults among those rooted households, confidential STI screening becomes practical healthcare rather than an afterthought, especially when a partner's status is unknown or a routine check feels overdue. Testing in and around Union is listed on this page through clinics and providers within reach.

The confidentiality your results receive isn't conditional on how small the town feels; testing remains between you and the medical staff, with no gossip pathway built into the process. Union County health services treat screening as ordinary preventive care, the same as any other blood work or exam. What matters here is that you can get tested without delaying, without driving far, without expense that strains a modest budget, without the weight of wondering who might notice. The Union City Park and the Main Street Historic District anchor a community where health decisions stay yours alone.

Getting there

How residents reach STD testing in Union, OR

Walkability 10.31 / 20 · Below average

At 10.31/20 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.

Map of 2 STD & STI testing locations in Union, Oregon, EasySTD

ZIP 97883 snapshot

Residents
2,634
Median age
41.3
Median income
$57,198

ZIP-level Census figures for the wider 97883 area around Union: a single ZIP can span several communities, so they describe the area, not Union alone.

Union sits in Union County, ZIP 97883. Local context that shapes where residents test:

Local landmarks

  • Union Main Street Historic District
  • Union City Park
  • Union County Museum
  • Little White Church
  • Craig Mountain

Major routes

  • North Main Street
  • OR 237 (South Main Street)
  • OR 203 (La Grande-Baker Highway)

Reference

STD testing in Union, OR: screening, costs & privacy

Everything to know before you test in Union County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Oregon law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Union-area provider.

InfectionEarliest reliable testSample
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
Browse all STD & STI guides

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

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.

TestReference priceCPT / 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.

Confidentiality & consent in Oregon

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on Oregon 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).

Can a minor consent on their own?

In Oregon, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

Oregon 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 Oregon

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Union, OR

Answers to the questions people ask most before getting tested.

Where's the nearest STD testing to Union, OR?

Center for Human Development, about 13 mi away, with 1 option within 30 miles.

Can I use Medicaid for testing?

Yes, Medicaid typically covers it.

Can I get tested in Union, OR without insurance?

Public clinics serve people without insurance, often on a sliding scale.

What's included in a full panel near Union, OR?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Union County?

Union County reported ~374 chlamydia cases per 100,000 in 2023, above the Oregon average.

Can someone under 18 get tested in Oregon without a parent?

In Oregon, people under 18 can consent to confidential STD testing and treatment on their own.

Are at-home STD tests accurate?

Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.

What happens if chlamydia goes untreated?

Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.

What should I do after sexual assault?

Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.

How soon after sex should I get tested?

Chlamydia and gonorrhea show up about 1–2 weeks after exposure, syphilis 3–6 weeks, and HIV 2–6 weeks depending on the test.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.