Chlamydia reports in Monroe County run about 38% lower than the US average. If you’re seeking STI testing in Union, West Virginia, for a one-time concern or regular check-ups, weigh the low-cost or free options at community and public clinics against the faster results and flexible scheduling at private labs. See your options below.
Available testing centers
7 testing options are listed for Union, WV. The nearest, , is about 0.3 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.
Admin Building, in Union, anchors its STI care in a sliding-scale fee structure tied to income. Meaning cost adjusts to what patients actually earn. As a federally qualified health center, it screens for syphilis, gonorrhea, and chlamydia, with no appointment needed to be seen.
Tests offered
Fees & payment
Monroe Health Center in Union runs on appointments and covers gonorrhea, chlamydia, syphilis, HIV, hepatitis B and C, and TB. Treating bacterial infections the same visit. Fees follow a sliding scale, with Medicaid, Medicare, and most insurance accepted.
Monroe Health Center holds Title X designation, which means its family planning services, including STI testing, are legally confidential for minors. For a young person without a regular provider, or one who can't involve a parent, that legal protection is built into the care itself, not an afterthought.
For someone without a primary care doctor, or anyone who hasn't had a recent workup, Monroe Health Center's panel includes hepatitis B and C alongside HIV, syphilis, gonorrhea, and chlamydia. Getting liver-related infections screened in the same appointment closes a gap that often goes unaddressed.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
Rainelle Medical Center in Alderson tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee structure that also accepts Medicaid and private insurance. Bacterial STIs can be treated the same visit, and HPV, hepatitis A, and hepatitis B vaccines are available. An appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · 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 less than a mile 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 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.
Local clinicians
Beyond dedicated clinics, 148 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 27 offer telehealth.
Farzin Rahmanou, DO Telehealth
Internal medicine · 10797 Seneca Trail South, Lindside
Marilyn Glaser, MD
Family medicine · 444 Elmwood Avenue, Alderson
Debra Crites-Sams, DO
Family medicine · 1478 Maplewood Avenue, Ronceverte
Robert Shirey
Internal medicine · 318 Oaks Shopping Ctr, Ronceverte
Eleonora Grey, DO Telehealth
Family medicine · 320 Red Oaks Shopping Ctr, Ronceverte
Joseph Mouchizadeh, MD
Urology · 1521 Maplewood Avenue, Ronceverte
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, WV 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.
Union Pharmacy
0.1 miFritz's Pharmacy Iv
11 miGreenbrier Medical Arts Pharmacy
14 mi
14 mi 
17 mi Showing the 5 closest pharmacies to Union, WV.
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.
$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 Monroe County, the county that includes Union, compare with West Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~10% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#6 of 55 West Virginia counties for chlamydia, a higher rate than 89% of the state
| Infection | Monroe County | West Virginia | United States |
|---|---|---|---|
| Chlamydia | 306.9 38 cases ▲ 23% | 249 | 492.2 |
| Gonorrhea | — no data | 54.7 | 179.5 |
| Syphilis (P&S) | 8.1 1 cases ▼ 26% | 10.9 | 15.8 |
| Syphilis (early) | — no data | 6.1 | 16 |
| Syphilis (late/unknown) | 8.1 1 cases ▼ 50% | 16.3 | 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 Monroe County, chlamydia has risen from 226.2 to 306.9 per 100,000 (36%), gonorrhea has risen from 24.2 to 24.4 per 100,000 (1%), and P&S syphilis has held roughly steady from 8.1 to 8.1 per 100,000.
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 Monroe County.
Local HIV snapshot
Monroe County HIV care continuum (2022)
Monroe County recorded 0 new HIV diagnoses per 100,000 (2022), against 6.5 statewide and 13.7 nationally. Among Monroe County residents living with HIV, 36.4% are in care · 36.4% 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 Monroe County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Union draws people back for reasons that root deep: family land, work at the mills, the pull of the Union Historic District's brick streets and the landscape itself. That same rootedness can make the question of confidential STI testing feel sharper. Young adults here, whether they've stayed or returned, need screening that stays between them and the clinic; the testing available in and around Union, listed on this page, serves that need without the weight of small-town visibility. Routine screening matters most in these years, late teens through the thirties, when exposure risk is highest and early detection changes outcomes.
A quiet visit to get tested, without running into someone's cousin at the front desk, isn't a luxury but a practical requirement for people managing their own health in a place where most faces are known. The clinics and providers serving Union understand this tension. They've built their practice around the fact that confidentiality isn't negotiable here; it's the foundation that lets someone walk in, get screened, and walk back out without the whole county knowing by suppertime. That's what makes testing real and possible.
Getting there
At 4.18/20 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 24983 snapshot
ZIP-level Census figures for the wider 24983 area around Union: a single ZIP can span several communities, so they describe the area, not Union alone.
Union sits in Monroe County, ZIP 24983. 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 Monroe County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under West 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 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 West 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 West Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
West 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 West 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.
Some clinics and labs take walk-ins for same-day testing; call ahead to confirm hours.
Medicaid generally covers STD testing.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 307 cases per 100,000 residents (2023), above the West Virginia average.
In West Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
Yes, from a reputable lab, confirm any positive with a clinician for treatment.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.