Gonorrhea in Fresno runs about 13% higher than the US average. Whether you have symptoms or just want peace of mind in Fresno, California, you can choose from local clinics that may bill insurance or private labs with a flat self-pay price. The list below shows your options.
10 testing centers serve Fresno, CA — the nearest, Labcorp, about 0.8 miles away. Compare 8 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.
Today's offer: $10 off any test panel — applied automatically at checkout.
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.
Infection
Earliest reliable test
Conclusive after
Guidance only — confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Community health center
1.8 miles
Omni Family Health
★★★★★4.6(124 reviews)?
Review sources
EasySTD reviews124
Rated 4.6 out of 5 from 124 reviews
About 2 miles northeast of Fresno in Fresno: Omni Family Health is a primary-care clinic offering STI testing, treatment, and prevention alongside family planning and vaccines. Appointments are required, and sliding-scale fees apply to most services, making it accessible whether you have insurance, Medicaid, or are paying out of pocket.
Read full overviewShow less
Primary care with STI testing and treatment
Omni Family Health combines routine family planning with same-visit STI screening and treatment. You'll be tested for chlamydia, gonorrhea, and syphilis, with treatment available on site if needed; HIV and TB testing are also offered. The clinic handles prevention education and distributes condoms, so a single visit can address testing, treatment, and next steps.
Vaccines and prevention in one place
Beyond STI care, Omni offers HPV and hepatitis A vaccines, plus adult hepatitis B vaccination. TB prevention and education round out the menu, so if you're managing multiple health concerns at once—sexual health, vaccination status, TB exposure—this clinic can handle them together.
Sliding-scale fees and insurance flexibility
There is a fee for visits, but Omni uses a sliding scale, so what you pay depends on your income. Medicaid, Medicare, and private insurance are all accepted, making the clinic accessible whether you're insured or paying out of pocket.
Appointments required; Spanish interpretation available
You'll need to call ahead to schedule; walk-ins are not accepted. Spanish interpretation is available, so language won't be a barrier.
Listing verified Jan 2026 · source: CDC NPIN + HRSA
Tests offered
TB
Gonorrhea
Syphilis
Chlamydia
Conventional HIV
Serves
Low Income Persons
Persons with Hepatitis
Persons with STI
Persons with TB
Care services
Family Planning
TB Treatment
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Condom Distribution
Fees & payment
Medicaid Accepted
Sliding Scale
Medicare Accepted
Fee
Insurance Accepted
Most reviewed
2.2 miles
Planned Parenthood Mar Monte
★★★★☆4.4(234 reviews)?
Review sources
EasySTD reviews234
Rated 4.4 out of 5 from 234 reviews
About 2 miles south of Fresno in Fresno: Planned Parenthood Mar Monte welcomes walk-ins for STI testing, treatment, and prevention—no appointment needed. It's the right choice if you need flexible access, sliding-scale costs, or PrEP without insurance.
Read full overviewShow less
Walk in anytime for testing and treatment
You don't need an appointment at Planned Parenthood Mar Monte—stop by when it fits your schedule. A single visit covers STI testing, same-visit treatment for bacterial infections, and conversations about prevention, all without the friction of advance booking.
Screens for the major STIs and offers PrEP
The clinic tests for chlamydia, gonorrhea, syphilis, herpes, and HIV (both rapid and conventional tests). If you're negative and at ongoing risk, you can start PrEP the same day—or if you're diagnosed with chlamydia, gonorrhea, or syphilis, treatment happens right there. HPV vaccination is also available.
Sliding scale makes it affordable for most
There's a fee, but it slides based on what you earn; Medicaid, Medicare, and insurance all cover visits. If you're uninsured and interested in PrEP, the clinic has a program to help you access it without cost.
Spanish and Vietnamese interpretation on hand
If English isn't your first language, interpretation services are available, and staff speak Spanish and Vietnamese directly.
About 3 miles south of Fresno in Fresno: Clinica Sierra Vista offers STI testing and treatment on a sliding scale, accepting Medicaid, Medicare, and insurance—making it accessible whether you're insured or paying out of pocket. Appointments are required, and Spanish interpretation is available.
Read full overviewShow less
Sliding scale means you pay what fits your budget
HIV, chlamydia, gonorrhea, syphilis, hepatitis C, and herpes testing all run on a sliding-scale fee structure; Medicaid, Medicare, and insurance are accepted. If you're uninsured or underinsured, the clinic adjusts the cost based on income—you're not locked into a standard price.
Same visit can cover testing and treatment
Bacterial STIs like chlamydia, gonorrhea, and syphilis can be treated on-site the same day you test. HIV and hepatitis C testing is available; treatment for those is managed through the clinic. HPV and hepatitis A vaccines are also offered if you need protection.
You need an appointment to be seen
Walk-ins are not an option here—call ahead to schedule. Spanish interpretation is available, so language won't block your access.
Best for anyone with insurance gaps or a tight budget
If you have Medicaid or Medicare, your visit is straightforward. If you're uninsured or between plans, the sliding scale keeps testing affordable. The appointment requirement means you'll plan ahead, but you won't face surprise bills.
Listing verified Aug 2025 · source: CDC NPIN + HRSA
Tests offered
Hepatitis C
Gonorrhea
Syphilis
Herpes
Chlamydia
Conventional HIV
Serves
Adolescents/Youth/Teens
Black or African American persons
Hispanic or Latino persons
LGBTQ
Low Income Persons
Persons with STI
Care services
Family Planning
STI Treatment
Human Papillomavirus Vaccine (HPV)
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Fees & payment
Medicaid Accepted
Sliding Scale
Medicare Accepted
Fee
Insurance Accepted
3.0 miles
Fresno County Economic Opportunities Commission
★★★★☆4.2(76 reviews)?
Review sources
EasySTD reviews76
Rated 4.2 out of 5 from 76 reviews
About 3 miles south of Fresno in Fresno: Fresno County Economic Opportunities Commission tests for gonorrhea, chlamydia, syphilis, and HIV, treating bacterial infections on-site and offering HPV and hepatitis A vaccines. It's built for anyone seeking affordable STI care with treatment in one visit.
Read full overviewShow less
Testing and same-visit treatment for bacterial STIs
The clinic screens for gonorrhea, chlamydia, syphilis, and HIV, plus TB. Bacterial infections—gonorrhea, chlamydia, and syphilis—are treated on-site the same day you test. HIV testing includes counseling to help you understand your results and next steps.
Prevention: vaccines, education, and condoms
Beyond testing, the clinic offers HPV and hepatitis A vaccines to prevent future infection, along with free condoms and education on STI and HIV prevention. Staff provide TB prevention information as well, helping you understand transmission and risk.
Sliding-scale fees; Spanish interpretation available
Testing and treatment are offered on a sliding scale; Medicaid and insurance are accepted, and donations are welcome. Spanish-language services are available, so language won't be a barrier to care.
Best for those seeking affordable, same-day treatment
If you need testing and treatment without delay and want to keep costs manageable, this clinic fits. Appointments are required, so call ahead—but you'll walk out treated and protected.
About 4 miles northeast of Fresno in Fresno: Camarena Health is a community health center offering STI testing, treatment, and prevention alongside family planning and vaccines—walk in anytime, with sliding-scale fees and Spanish interpretation available. It's ideal for anyone seeking affordable care without an appointment.
Read full overviewShow less
A community clinic built for access
Camarena Health serves people who need straightforward STI care without the wait or formality of a large hospital. You can walk in whenever it suits you—no appointment necessary—and see a provider who'll handle testing, treatment, and prevention in a single visit. The clinic accepts Medicaid and insurance, offers sliding-scale fees for those paying out of pocket, and provides Spanish interpretation.
Testing and same-visit treatment
The clinic screens for gonorrhea, chlamydia, syphilis, and herpes. Bacterial infections like gonorrhea and chlamydia can be treated on the spot. Alongside testing, Camarena offers STI prevention education, HIV counseling, and HPV and hepatitis B vaccines to protect against future infection.
Cost that fits your situation
If you have Medicaid or insurance, those are accepted. Without either, you'll pay on a sliding scale tied to your income, or a standard fee if you don't qualify for the scale. Either way, cost won't block you from getting tested and treated.
Best for people who need to move fast
Camarena is ideal if you want to walk in without scheduling weeks ahead, need affordable care, or prefer to speak Spanish. It's especially practical if you're managing family planning alongside sexual health.
Tests & treatsSliding-scale
7202 North Millbrook Avenue, Suite 202 Fresno, CA 93720
About 5 miles south of Fresno in Sanger: United Health Centers of the San Joaquin Valley offers STI testing and treatment in a single visit, with PrEP available for HIV prevention. It's built for people with insurance, Medicaid, or a flexible budget who can book ahead.
Read full overviewShow less
Testing and treatment in one visit
United Health Centers screens for chlamydia, gonorrhea, syphilis, herpes, TB, and HIV—and treats bacterial infections on the spot. If you're looking to start PrEP for HIV prevention, they can manage that too. You'll need an appointment, so call ahead.
Prevention beyond testing
Beyond STI care, the clinic offers hepatitis A and hepatitis B vaccines, plus counseling tied to your test results. TB prevention and education round out their focus on stopping infection before it starts.
Cost: insurance, Medicaid, or sliding scale
If you carry Medicaid or Medicare, they're accepted. Insured patients pay their standard copay. Uninsured or underinsured visitors pay on a sliding scale based on income, making it accessible without a policy.
Spanish-language care and appointments only
Staff offer interpretation in Spanish. Because appointments are required—no walk-ins—plan ahead and call to schedule your visit.
10 testing centers serving Fresno and Fresno County — screening for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, Conventional HIV, TB.
Community health center
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.
How we rank: vetted partner labs (clearly marked Sponsored) appear first; every other center is listed free and ordered by verified review score, then distance.
Premium Partner
Labcorp
Editor's pick
Results in 1–2 days
★★★★☆3.6(191 reviews)?
Review sources
Google159
EasySTD reviews32
Rated 3.6 out of 5 from 191 reviews
3004 North Fresno Street, Fresno, CA, 93703
0.8 miles away
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
Guidance only — confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Community health center
Omni Family Health
★★★★★4.6(124 reviews)?
Review sources
EasySTD reviews124
Rated 4.6 out of 5 from 124 reviews
About 2 miles northeast of Fresno in Fresno: Omni Family Health is a primary-care clinic offering STI testing, treatment, and prevention alongside family planning and vaccines. Appointments are required, and sliding-scale fees apply to most services, making it accessible whether you have insurance, Medicaid, or are paying out of pocket.
Read full overviewShow less
Primary care with STI testing and treatment
Omni Family Health combines routine family planning with same-visit STI screening and treatment. You'll be tested for chlamydia, gonorrhea, and syphilis, with treatment available on site if needed; HIV and TB testing are also offered. The clinic handles prevention education and distributes condoms, so a single visit can address testing, treatment, and next steps.
Vaccines and prevention in one place
Beyond STI care, Omni offers HPV and hepatitis A vaccines, plus adult hepatitis B vaccination. TB prevention and education round out the menu, so if you're managing multiple health concerns at once—sexual health, vaccination status, TB exposure—this clinic can handle them together.
Sliding-scale fees and insurance flexibility
There is a fee for visits, but Omni uses a sliding scale, so what you pay depends on your income. Medicaid, Medicare, and private insurance are all accepted, making the clinic accessible whether you're insured or paying out of pocket.
Appointments required; Spanish interpretation available
You'll need to call ahead to schedule; walk-ins are not accepted. Spanish interpretation is available, so language won't be a barrier.
Sliding-scale
4646 North 1st Street, Fresno, CA 93726
1.8 miles away
Family Planning · TB Treatment · STI Treatment · Human Papillomavirus Vaccine (HPV) · Hepatitis A Vaccine · Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education · STI Prevention/Education · HIV/AIDS Prevention/Education · HIV Test Counseling · Hepatitis Prevention/Education · Condom Distribution
About 2 miles south of Fresno in Fresno: Planned Parenthood Mar Monte welcomes walk-ins for STI testing, treatment, and prevention—no appointment needed. It's the right choice if you need flexible access, sliding-scale costs, or PrEP without insurance.
Read full overviewShow less
Walk in anytime for testing and treatment
You don't need an appointment at Planned Parenthood Mar Monte—stop by when it fits your schedule. A single visit covers STI testing, same-visit treatment for bacterial infections, and conversations about prevention, all without the friction of advance booking.
Screens for the major STIs and offers PrEP
The clinic tests for chlamydia, gonorrhea, syphilis, herpes, and HIV (both rapid and conventional tests). If you're negative and at ongoing risk, you can start PrEP the same day—or if you're diagnosed with chlamydia, gonorrhea, or syphilis, treatment happens right there. HPV vaccination is also available.
Sliding scale makes it affordable for most
There's a fee, but it slides based on what you earn; Medicaid, Medicare, and insurance all cover visits. If you're uninsured and interested in PrEP, the clinic has a program to help you access it without cost.
Spanish and Vietnamese interpretation on hand
If English isn't your first language, interpretation services are available, and staff speak Spanish and Vietnamese directly.
Title XPrEP
650 North Fulton Street, Fresno, CA 93728
2.2 miles away
About 3 miles south of Fresno in Fresno: Clinica Sierra Vista offers STI testing and treatment on a sliding scale, accepting Medicaid, Medicare, and insurance—making it accessible whether you're insured or paying out of pocket. Appointments are required, and Spanish interpretation is available.
Read full overviewShow less
Sliding scale means you pay what fits your budget
HIV, chlamydia, gonorrhea, syphilis, hepatitis C, and herpes testing all run on a sliding-scale fee structure; Medicaid, Medicare, and insurance are accepted. If you're uninsured or underinsured, the clinic adjusts the cost based on income—you're not locked into a standard price.
Same visit can cover testing and treatment
Bacterial STIs like chlamydia, gonorrhea, and syphilis can be treated on-site the same day you test. HIV and hepatitis C testing is available; treatment for those is managed through the clinic. HPV and hepatitis A vaccines are also offered if you need protection.
You need an appointment to be seen
Walk-ins are not an option here—call ahead to schedule. Spanish interpretation is available, so language won't block your access.
Best for anyone with insurance gaps or a tight budget
If you have Medicaid or Medicare, your visit is straightforward. If you're uninsured or between plans, the sliding scale keeps testing affordable. The appointment requirement means you'll plan ahead, but you won't face surprise bills.
Sliding-scale
2505 East Divisadero Street, Fresno, CA 93721
2.8 miles away
About 3 miles south of Fresno in Fresno: Fresno County Economic Opportunities Commission tests for gonorrhea, chlamydia, syphilis, and HIV, treating bacterial infections on-site and offering HPV and hepatitis A vaccines. It's built for anyone seeking affordable STI care with treatment in one visit.
Read full overviewShow less
Testing and same-visit treatment for bacterial STIs
The clinic screens for gonorrhea, chlamydia, syphilis, and HIV, plus TB. Bacterial infections—gonorrhea, chlamydia, and syphilis—are treated on-site the same day you test. HIV testing includes counseling to help you understand your results and next steps.
Prevention: vaccines, education, and condoms
Beyond testing, the clinic offers HPV and hepatitis A vaccines to prevent future infection, along with free condoms and education on STI and HIV prevention. Staff provide TB prevention information as well, helping you understand transmission and risk.
Sliding-scale fees; Spanish interpretation available
Testing and treatment are offered on a sliding scale; Medicaid and insurance are accepted, and donations are welcome. Spanish-language services are available, so language won't be a barrier to care.
Best for those seeking affordable, same-day treatment
If you need testing and treatment without delay and want to keep costs manageable, this clinic fits. Appointments are required, so call ahead—but you'll walk out treated and protected.
Family Planning · STI Treatment · Human Papillomavirus Vaccine (HPV) · Hepatitis A Vaccine · Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education · STI Prevention/Education · HIV/AIDS Prevention/Education · HIV Test Counseling · Hepatitis Prevention/Education · Condom Distribution
About 4 miles northeast of Fresno in Fresno: Camarena Health is a community health center offering STI testing, treatment, and prevention alongside family planning and vaccines—walk in anytime, with sliding-scale fees and Spanish interpretation available. It's ideal for anyone seeking affordable care without an appointment.
Read full overviewShow less
A community clinic built for access
Camarena Health serves people who need straightforward STI care without the wait or formality of a large hospital. You can walk in whenever it suits you—no appointment necessary—and see a provider who'll handle testing, treatment, and prevention in a single visit. The clinic accepts Medicaid and insurance, offers sliding-scale fees for those paying out of pocket, and provides Spanish interpretation.
Testing and same-visit treatment
The clinic screens for gonorrhea, chlamydia, syphilis, and herpes. Bacterial infections like gonorrhea and chlamydia can be treated on the spot. Alongside testing, Camarena offers STI prevention education, HIV counseling, and HPV and hepatitis B vaccines to protect against future infection.
Cost that fits your situation
If you have Medicaid or insurance, those are accepted. Without either, you'll pay on a sliding scale tied to your income, or a standard fee if you don't qualify for the scale. Either way, cost won't block you from getting tested and treated.
Best for people who need to move fast
Camarena is ideal if you want to walk in without scheduling weeks ahead, need affordable care, or prefer to speak Spanish. It's especially practical if you're managing family planning alongside sexual health.
Sliding-scale
7202 North Millbrook Avenue, Suite 202 Fresno, CA 93720
4.3 miles away
TB Treatment · STI Treatment · Human Papillomavirus Vaccine (HPV) · Pre-Exposure Prophylaxis (PrEP) · HIV/AIDS Medical Treatment · Hepatitis C Treatment · Hepatitis B Treatment · Hepatitis A Vaccine · Adult Hepatitis B Vaccine
Family Planning · Medication Adherence Education and Counseling · TB Treatment · STI Treatment · Human Papillomavirus Vaccine (HPV) · Pre-Exposure Prophylaxis (PrEP) · HIV/AIDS Medical Treatment · Post-Exposure Prophylaxis (PEP) · Hepatitis C Treatment · Hepatitis B Treatment · Hepatitis A Vaccine · Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education · STI Prevention/Education · HIV/AIDS Prevention/Education · HIV Test Counseling · Hepatitis Prevention/Education · Condom Distribution
Fees & payment
Medicaid Accepted · Sliding Scale · Fee · Insurance Accepted · Free STI Test · Free HIV Test
About 5 miles south of Fresno in Sanger: United Health Centers of the San Joaquin Valley offers STI testing and treatment in a single visit, with PrEP available for HIV prevention. It's built for people with insurance, Medicaid, or a flexible budget who can book ahead.
Read full overviewShow less
Testing and treatment in one visit
United Health Centers screens for chlamydia, gonorrhea, syphilis, herpes, TB, and HIV—and treats bacterial infections on the spot. If you're looking to start PrEP for HIV prevention, they can manage that too. You'll need an appointment, so call ahead.
Prevention beyond testing
Beyond STI care, the clinic offers hepatitis A and hepatitis B vaccines, plus counseling tied to your test results. TB prevention and education round out their focus on stopping infection before it starts.
Cost: insurance, Medicaid, or sliding scale
If you carry Medicaid or Medicare, they're accepted. Insured patients pay their standard copay. Uninsured or underinsured visitors pay on a sliding scale based on income, making it accessible without a policy.
Spanish-language care and appointments only
Staff offer interpretation in Spanish. Because appointments are required—no walk-ins—plan ahead and call to schedule your visit.
PrEP
2502 East Jensen Avenue, Sanger, CA 93657
5.3 miles away
Beyond the public testing sites above, these federally certified (CLIA) labs serve Fresno 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.
Community Regional Medical Center
Fresno, CA
2823 Fresno Street, Clinical Lab Admin, Fresno, CA, 93721
Showing the 6 closest CLIA-certified labs in Fresno County.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records, filtered to active labs
certified for moderate-to-high-complexity testing — the level chlamydia/gonorrhea NAAT and syphilis serology
require — near Fresno. Any star rating is the CMS Hospital Compare overall rating where the lab is a rated
hospital. Inclusion is not an endorsement and doesn't confirm a facility offers STD testing — always call to verify.
Test from home
At-home STD testing in Fresno, CA
The nearest testing center is about 1 miles away — if you'd rather skip the
trip, an at-home kit ships to Fresno, 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
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.
Best range — couples & full panels
myLAB Box
$79 & up
Screens for:
Up to 14 infections — incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
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
Doctors near Fresno who can order STD testing
Beyond dedicated clinics, 803 primary-care, OB-GYN, infectious-disease
and other clinicians practice within 30 miles of Fresno — any of them can order a confidential STD panel as
part of a regular visit, and 211 offer telehealth.
These are licensed clinicians who can order STD testing during a visit — not dedicated STD-testing clinics.
Confirm services and availability before booking. Source: CMS Doctors & Clinicians (Medicare-enrolled providers).
Local context
About Fresno, CA
Old Fig Garden sits just up the road. Fresno is a large city in Fresno County, California. Only about 21.9% of adults have finished college, and it's one of the region's larger population centers. Busy urban providers make at-home kits and telehealth a quick, discreet option.
ZIP 93730 snapshot
Inside Fresno's ZIP code
These ZIP-level Census figures show the demographics that shape testing demand in Fresno.
Residents
13,021
Median age
43.2
Median income
$143,320
Getting there
How residents reach testing in Fresno
Walkability8.93 / 20 · Below average
At 8.93/20 on the EPA walkability index, day-to-day errands in Fresno 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.
Have symptoms?
Do I have an STD?
Use our confidential symptom checker to see which STDs match your symptoms — and which tests are recommended near Fresno.
Here's how reported STI rates in Fresno County — the county that includes Fresno — compare with California and U.S. averages, based on the most recent 2023 surveillance data.
An estimated ~31% of Fresno County residents are aged 15–34 (ACS) — the age group with the highest reported chlamydia and gonorrhea rates nationally, which is why local screening access matters here.
Lower chlamydia rate than 0% of the state's 58 counties (ranked #1)
Reported STD rates per 100,000 — Fresno County vs California vs U.S.
Fresno CountyCaliforniaU.S.
Infection
Fresno County
California
United States
Chlamydia
701.67,136 cases▲ 43%
491.1
492.2
Gonorrhea
203.42,069 cases▲ 7%
190.2
179.5
Syphilis (P&S)
24.1245 cases▲ 48%
16.3
15.8
Syphilis (early)
18.4187 cases▼ 4%
19.1
16
Syphilis (late/unknown)
60.7617 cases▲ 30%
46.7
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. County 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 Fresno County over time (per 100,000)
Chlamydia ▲ 12% vs 2022
Chlamydia
Gonorrhea
Syphilis (P&S)
Between 2020 and 2023 in Fresno County, chlamydia has risen from 555.6 to 701.6 per 100,000 (26%), gonorrhea has fallen from 244.7 to 203.4 per 100,000 (17%), and P&S syphilis has risen from 17.3 to 24.1 per 100,000 (39%).
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 Fresno
Adults uninsured
4.4%
No routine checkup
24.5%
No transportation
5.4%
Binge drinking
14.6%
Frequent mental distress
14.3%
Depression
20.3%
Below poverty line
6%
Primary-care ratio
1,480 : 1
Fresno County
Primary-care shortage score 24 / 26
Medically Underserved Area · IMU 53.9
Social Vulnerability Index · 96th 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 Fresno County.
Local HIV snapshot
HIV in Fresno County (2023)
People living with HIV
296 / 100k
New diagnoses (2023)
175
On PrEP (coverage)
23%
Fresno County HIV care continuum (2023)
Fresno County recorded 21.3 new HIV diagnoses per 100,000 (2023), against 14.9 statewide and 13.7 nationally.
Among Fresno County residents living with HIV, 82.6% are in care · 72.5% 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 the county health department.
Pregnant or planning to be?
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 Fresno County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
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 →
Two quick references for getting tested in Fresno County: the CDC's screening schedule (who should test, and how often) and the detection "window" for each infection (the earliest a test can reliably detect it). Select any infection to open its in-depth testing guide — every clinic and lab listed above for Fresno screens for them.
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative — confirm timing with a Fresno-area provider.
These are the federal Medicare reference prices for processing each lab test. Public clinics and the
community health centers serving Fresno 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
$79.20
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.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Fresno, telehealth covers the rest of the picture — 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.
Prevent (PrEP & DoxyPEP)
Daily or on-demand medication that prevents HIV — and DoxyPEP, which lowers the risk of syphilis, chlamydia and gonorrhea.
Mistr
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.
Privacy
Confidentiality & consent in California
The questions Fresno residents ask most before testing, answered under California law — which sets confidentiality and consent the same way statewide. Prefer to keep your name off the record? See our guide to anonymous STD testing.
Can a minor consent?
In California, minors aged 12 and older can consent to confidential STI testing and treatment on their own — no parental permission is required.
Will it show on my insurance?
If you use health insurance, an Explanation of Benefits (EOB) may be mailed to the policyholder. Under HIPAA you can ask your insurer in writing to send communications confidentially. To keep a test fully private, choose a self-pay private lab, an at-home kit, or a public health clinic — none of these bill your insurance.
Anonymous & no-insurance options
Public health clinics and at-home kits let you test without involving insurance or your regular doctor. Many California health departments offer free or low-cost STI testing, and several sites provide anonymous HIV testing.
Can my partner be treated too?
Yes. California permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication to pass to your partner — no separate exam or appointment needed for them.
Source: Guttmacher Institute — Minors' Access to STI Services; HIPAA 45 CFR 164.522; CDC — Legal Status of Expedited Partner Therapy (last updated Jul 2025). General information, not legal advice.
Good to Know
STD testing FAQs for Fresno, CA
Answers to the questions people ask most before getting tested.
Is walk-in STD testing available near Fresno?
Yes — several local labs offer same-day walk-in testing; best to call first.
Can I use Medicaid for testing?
Yes — Medicaid typically covers it, and public clinics are free either way.
Where can I get tested for free near Fresno?
Omni Family Health, about 1.8 mi away, provides free testing.
What does a full STD panel cover?
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
What's the local chlamydia rate?
Fresno County reported ~702 chlamydia cases per 100,000 in 2023, above the California average.
What happens if chlamydia goes untreated?
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems — caught early, it's cured with antibiotics.
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 after a positive result?
Get treated, notify partners, pause sex until cleared, and follow up — the infection is manageable.
Can gonorrhea have no symptoms?
Often, yes — especially throat and rectal infections, which is why site-specific testing matters.
Does a negative test mean I'm safe?
Reassuring if you tested after the window — just retest if it was early, and screen again with new partners.
