STD Testing in North Carolina

We list 488 public testing locations across 189 cities in North Carolina, plus 95 partner lab locations you can order online. 388 of the public sites test for free or on a sliding scale. The public sites are drawn from the CDC GetTested directory, with their fees shown exactly as published.

  • 488public locations
  • 95partner labs
  • 113test for free
  • 275sliding scale
  • 132offer PrEP
  • 150open Saturdays
  • 252speak Spanish

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Results in 1–2 days · no appointment · nothing filed through insurance

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Where to get tested in North Carolina

The cities with the most testing locations of their own. Every other city page lists the closest sites to it, wherever those happen to be.

All 189 cities in North Carolina

Partner labs in North Carolina

Order online, then walk in with no appointment. Tap a pin for the address.

Partner lab · 95

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STD rates in North Carolina

Reported cases per 100,000 residents, compared with the US rate and ranked against the other states. The badge shows the change from the year before.

Chlamydia

▲ 0.8%

607.9per 100k

65,867 reported cases · 202324% above the US rate (490.7)

Ranks 7th of 50 states

2000–2023 · up 123%

Gonorrhea

▼ 2.6%

243.2per 100k

26,353 reported cases · 202336% above the US rate (178.2)

Ranks 6th of 50 states

2000–2023 · up 10%

Syphilis

▼ 13.9%

19.9per 100k

2,159 reported cases · 202326% above the US rate (15.8)

Ranks 15th of 50 states

2000–2023 · up 232%

HIV

15.0per 100k

1,357 new diagnoses · 202213% above the US rate (13.3)

Ranks 9th of 50 states

2017–2022 · unchanged

North Carolina ranks 6th of 50 states for combined chlamydia, gonorrhea and syphilis: 871.0 per 100k, 27% above the US rate of 684.7.

Counties with the highest rates in North Carolina

CountyCombinedChlamydiaGonorrheaSyphilis
Edgecombe County2,324.31,507.2724.992.2
Vance County1,959.71,231.6699.728.4
Pitt County1,766.21,202.0532.232.0
Robeson County1,692.91,146.8514.631.5
Scotland County1,640.71,117.1512.011.6
Wilson County1,604.51,057.4519.227.9
Hertford County1,578.11,079.5472.925.7
Cumberland County1,489.21,055.1400.733.4
Lenoir County1,459.2912.7513.732.8
Anson County1,424.81,082.3310.532.0

Per 100,000 residents, 2023. All counties in North Carolina →

Source: CDC NCHHSTP AtlasPlus, 2023 release · North Carolina STD Statistics

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 in North Carolina

myLAB Box ships a kit to any address in North Carolina. You collect the sample at home and mail it to a lab, so there is no clinic to reach and no appointment to make.

  • myLAB Box

    Online · ships statewideMail-in kit

    Ordered online and delivered to your door, so there is no trip to make and nothing to ask for at a counter.

    Order a kit →

We earn a commission if you order a myLAB Box kit through the link above. It does not change what you pay.

HIV prevention & treatment

PrEP, DoxyPEP & Online Treatment

A test result is the start, not the end. Both prevention and treatment are available to people in North Carolina by video visit, prescribed by clinicians licensed in North Carolina.

  • 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

Common questions about STD testing in North Carolina

Where can I get free STD testing in North Carolina?

Of the 488 public testing locations we list in North Carolina, 113 provide free STD testing and 275 charge on a sliding scale based on income. Open the city closest to you above to see which ones those are, with their fees, hours and phone numbers.

Can I get tested on a weekend in North Carolina?

150 of the public locations we list in North Carolina publish Saturday hours. Hours change without notice, so call before travelling.

Where can I get PrEP in North Carolina?

132 of the public North Carolina locations we list offer PrEP. It is also prescribed by video visit statewide, without a clinic appointment.

How common are STDs in North Carolina?

North Carolina reported 871.0 chlamydia, gonorrhea and syphilis cases per 100,000 residents in 2023, which ranks it 6th of 50 states. The full breakdown, including every county, is on our North Carolina STD statistics page.

Do I need insurance to get tested in North Carolina?

No. The free and sliding-scale locations listed above do not require it, and an online order is paid directly, so nothing is filed through insurance and no explanation of benefits is generated.