STD Testing in Fincastle, VA

8 places to get tested — 4 partner labs that need no appointment, and 4 clinics and testing sites near Fincastle.

  • 4partner labs
  • 3sliding scale
  • 1insurance or fee

Order a test online

Pick a panel, visit a lab nearby, results in 1–2 days. No appointment, no insurance.

GET TESTED NOWCompare pricing →4,500+ labs nationwide · from $24

Partner labs near Fincastle

Order online, then walk in the same day with no appointment. A urine or blood sample takes about 15 minutes, and results come back in 1–2 days. They are confidential: never reported to your insurance company or added to your medical record.

  • Labcorp

    13.2 mi awayNo appointment

    5305 Valley Park Dr Ste 7, Roanoke, VA 24019 · Mon-Fri 8:00 am to 5:00 pm · nearby in Roanoke

    $10 off orders over $100 applied at checkoutOrder a test for this lab →
  • Quest Diagnostics

    16.5 mi awayNo appointment

    101 Elm Ave Se, Hospital Poct, Roanoke, VA 24013 · Mon-Fri 8:00 am to 4:30 pm · nearby in Roanoke

    $10 off orders over $100 applied at checkoutOrder a test for this lab →
  • Quest Diagnostics

    17.2 mi awayNo appointment

    3 Riverside Cir, 1St Floor, Roanoke, VA 24016 · Mon-Fri 7:30 am to 5:30 pm · nearby in Roanoke

    $10 off orders over $100 applied at checkoutOrder a test for this lab →
  • Labcorp

    17.3 mi awayNo appointment

    400 East Burwell St, Salem, VA 24153 · Mon-Fri 10:00 am to 3:00 pm · nearby in Salem

    $10 off orders over $100 applied at checkoutOrder a test for this lab →

We earn a commission if you order through the links above. It does not change what you pay, and it does not decide which labs are listed — those are the closest partner labs to Fincastle.

Explore testing locations near Fincastle

Partner lab · 8Clinic · 4every partner lab in Fincastle, plus the clinics listed on this page, within 22 miles

Clinics and testing sites near Fincastle

No free or low-cost clinic is addressed in Fincastle itself, so the nearest are listed below, closest first. Public clinics generally take longer to return results than a private lab, and several test on set days only, so it is worth calling ahead. If you would rather not wait or give your details at a public clinic, the 4 partner labs in Fincastle need no appointment and return results in 1–2 days.

How we chose these 4 clinics

  • Every one is on the CDC’s GetTested locatorThe wider CDC directory we draw from has over 16,000 entries. Only the ones GetTested also lists can appear here, and all 4 clinics below do.
  • Listings that name fewer than three tests are left outEven on GetTested, 527 listings name fewer than three tests. We don’t show them anywhere.
  • Unverified pregnancy centers are never shownThe CDC lists some pregnancy centers whose STD testing we couldn’t verify. We don’t list them anywhere.
  • Cost is stated the way the CDC lists itFree, sliding scale or insurance accepted, as each clinic reports it to the CDC. We don’t estimate prices, and if the listing says nothing, the card says “Fees not listed.”

Directory retrieved September 4, 2026. Open “View services” on any card to see when that clinic last updated its listing. All sources

  • Clinic6.1 mi away

    Carilion Clinic

    Carilion Clinic Family Medicine Daleville

    150 Market Ridge Ln, Daleville, VA, 24083

    Hours
    Mon-Fri 8:00am-5:00pm
    AppointmentsAppointment required
    FeesSliding scale listed
    • HIV & STI testing
    • Treats STIs
    • Medicaid accepted
    CallWebsiteDirections
    View services

    Tests Chlamydia · Gonorrhea · Syphilis · HIV · Herpes · Hepatitis B · Hepatitis C · TB

    Treatments STI treatment · Family planning · HPV vaccine · Hep B vaccine · PrEP navigation · Case management

    Languages English

    CDC GetTested listing, last updated by the source October 21, 2025. Directory retrieved September 4, 2026.

  • Community health center12.8 mi away

    Monroe Health Center

    Craig County Clinic

    226 Market St, New Castle, VA, 24127

    Hours
    Mon-Fri 7:30am-6:00pm
    AppointmentsAppointment required
    FeesSliding scale listed
    • HIV & STI testing
    • Treats STIs
    • Medicaid accepted
    • Spanish spoken
    CallWebsiteDirections
    View services

    Tests Chlamydia · Gonorrhea · Syphilis · HIV · Hepatitis B · Hepatitis C · TB

    Treatments STI treatment · Family planning · HPV vaccine · Hep B vaccine

    Languages English · Spanish

    CDC GetTested listing, last updated by the source December 10, 2025. Directory retrieved September 4, 2026.

  • Clinic14.7 mi away

    Planned Parenthood South Atlantic

    Roanoke Health Center

    2207 Peters Creek Rd, Roanoke, VA, 24017

    Hours
    Mon 8:00am-4:00pm+5Tue 9:00am-5:00pm · Wed 9:00am-4:00pm · Thu 11:00am-7:00pm · Fri 8:00am-1:00pm · Sat 7:30am-1:00pm
    AppointmentsWalk-ins accepted
    FeesInsurance accepted
    • HIV & STI testing
    • PrEP & PEP
    • Treats STIs
    • Medicaid accepted
    CallWebsiteDirections
    View services

    Tests Chlamydia · Gonorrhea · Syphilis · HIV · Herpes · Hepatitis B

    Treatments STI treatment · PrEP · PEP · Family planning · HPV vaccine · Hep B vaccine · Free condoms

    Languages English · Spanish · interpreter available

    CDC GetTested listing, last updated by the source June 18, 2026. Directory retrieved September 4, 2026.

  • Community health center21.9 mi away

    Johnson Health Center

    Bedford Community Health Center

    582 Blue Ridge Ave, Bedford, VA, 24523

    Hours
    Mon-Thu 7:30am-6:00pm+1Fri 7:30am-5:00pm
    AppointmentsAppointment required
    FeesSliding scale listed
    • HIV & STI testing
    • Treats STIs
    • Medicaid accepted
    CallWebsiteDirections
    View services

    Tests Chlamydia · Gonorrhea · HIV

    Treatments STI treatment · Family planning · HPV vaccine · Hep B vaccine · Case management

    Languages English

    CDC GetTested listing, last updated by the source June 26, 2025. Directory retrieved September 4, 2026.

Testing privacy

Anonymous vs. confidential testing

Most clinics test confidentially. Some also offer anonymous testing, usually for HIV. Availability varies by testing site, so ask when you call.

Confidential

  • You give your name, and the result goes in your medical record.
  • Results are not available to the public.
  • Chlamydia, gonorrhea, syphilis and HIV are reportable in every state, so a positive result is reported to the health department. Those reports are kept confidential.

Anonymous

  • You don’t give your name.
  • You receive a number and use it, not your name, to get your result.
  • Not every site offers it. Ask before your visit.

Source: NIH HIVinfo, HIV Testing · CDC, STI Reporting and Confidentiality

Buy an at-home STD test near Fincastle and online

CVS Pharmacy, Walmart, Walgreens and Target sell over-the-counter test kits near Fincastle, and myLAB Box ships one to your door. You collect the sample at home and mail it to a lab. Stock varies by branch — call ahead or check online before making the trip.

We earn a commission if you order a myLAB Box kit through the link above. It does not change what you pay, and it does not decide which pharmacies are listed — those are the chains with branches near Fincastle.

Botetourt County STD rates

Reported cases per 100,000 residents. Change shown against the year before.

Chlamydia

▼ 1.8%

158.2per 100k

54 reported cases · 2023 · 67% below the VA rate

Gonorrhea

▼ 5.8%

46.9per 100k

16 reported cases · 2023 · 70% below the VA rate

Syphilis

2.9per 100k

1 reported cases · 2023 · 73% below the VA rate

HIV

0new diagnoses

2022 · rate not published

Source: CDC NCHHSTP AtlasPlus, 2023 release · Botetourt County VA STD Statistics

There were 0 new HIV diagnoses in Botetourt County in 2022. HIV is the one infection where how soon you test changes which test you need — an RNA test detects it far earlier than a standard antibody test.

Botetourt County reported 54 chlamydia cases in 2023, a rate of 158.2 per 100,000 residents. Most people who have chlamydia or gonorrhea have no symptoms at all, so waiting for something to feel wrong is not a strategy.

HIV prevention & treatment

PrEP, DoxyPEP & Online Treatment

A test result is the start, not the end. If you are negative and want to stay that way, PrEP and DoxyPEP cut the risk of a future infection. If you are positive, most STIs can be treated without setting foot in a clinic. Both are available to people in Fincastle by video visit, prescribed by clinicians licensed in Virginia.

  • Treatment & DoxyPEP

    Wisp

    STI treatment $39 · DoxyPEP from $22

    Treatment for an STI, and DoxyPEP, prescribed online. The prescription goes to your pharmacy the same day.

    Visit Wisp
  • HIV PrEP & DoxyPEP

    Q Care Plus

    $0 for most insured patients

    PrEP and DoxyPEP by video visit, with test kits posted to you and follow-up bloodwork tracked between refills.

    Visit Q Care Plus
  • HIV PrEP & DoxyPEP

    MISTR

    $0 with or without insurance

    HIV prevention handled entirely from home: PrEP and the lab work that goes with it, no appointment.

    Visit MISTR

Prices depend on your insurance and change frequently — check the provider’s own site before ordering. None of these replace emergency care.

STD testing in Fincastle, answered

Where can I find free or sliding-scale STD testing near Fincastle?

Among the 4 clinics listed near Fincastle, 3 list sliding-scale fees. Confirm eligibility and charges before visiting.

How much does STD testing cost near Fincastle?

Among the 4 clinics listed near Fincastle, 3 charge on a sliding scale based on income. Private lab testing is a flat price paid up front — no insurance is filed, so nothing appears on an explanation of benefits.

Can I get tested on a weekend near Fincastle?

1 of the 4 listed clinics publish Saturday hours: Planned Parenthood South Atlantic. The partner labs are weekday only, so a Saturday visit means one of the community clinics.

How common are STDs in Fincastle?

In 2023, Botetourt County reported 54 chlamydia cases — a rate of 158.2 per 100,000 residents. Gonorrhea was 46.9 per 100,000. There were also 0 new HIV diagnoses in 2022.

Is testing available in Spanish near Fincastle?

2 of the 4 listed clinics indicate that Spanish-language services are available, and 1 list PrEP.

Data and sources
Partner labs
Quest and Labcorp location directories · checked August 2026
Public clinics
CDC GetTested / NPIN directory · retrieved September 4, 2026
Retailers
Retailer store directories · updated September 2026
Statistics
CDC NCHHSTP AtlasPlus · reporting year 2023
HIV diagnoses
CDC HIV Surveillance · reporting year 2022