Public health agency for Snohomish County
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Clinic Services
Snohomish Health District operates clinics in Everett and Lynnwood. Not all services are offered at both locations. Please check below for service availability at each clinic, hours of operation, an appointment, and an estimate of the cost of services. Fees for services vary. Many services are offered on a sliding fee scale based on the number of household members and income. An appointment helps us assure that you are seen in a timely manner.

SHD Clinic - Everett
3020 Rucker Avenue, Suite 108
Everett, WA 98201
Phone: 425.339.5220
Hours: Mon, Wed & Fri 8:00 am - 5:00 pm
(Closed from 12:00 pm - 1:00 pm)
Directions: Driving Transit
SHD Clinic - Lynnwood
6101 200th St. SW, Suite 100
Lynnwood, 98036
Phone: 425.775.3522
Hours: Tue & Thur 8:00 am - 5:00 pm
(Closed from 12:00 pm - 1:00 pm)
Directions: Driving Transit
HIV Testing
HIV Testing
Clinical services provided primarily at our Everett clinic, but special arrangements can be arranged. The services include counseling, testing and referral for individuals with high risk and low risk behavior for acquiring HIV, the virus that causes AIDS. Both anonymous and confidential HIV antibody testing is available.
Confidential HIV antibody testing to satisfy Court Order requirements is also offered. Services are completely anonymous and confidential to anyone 14 years of age or older. Individuals under the age of 14 must be accompanied by a parent/guardian.
Testing Methods:
Rapid testing is accomplished by obtaining a small blood sample from the fingertip. Rapid testing results are available in 20 minutes. If a Rapid Test comes back with a positive result, confirmatory testing is done via standard testing; specifically by obtaining a blood sample. Standard HIV testing results are available in 5-7 business days.
Payment:
Payment is due on the day of service by cash, check, MasterCard or VISA. Snohomish Health District does not bill private insurance.
Fees:
The fee for rapid HIV antibody testing is $84.00. This fee may be waived in some circumstances, please call for more information.
Service Locations:
Information and referral services are available weekdays, 8:00 am – 5:00 pm by calling 425.339.5298. Actual testing services are at:
  • SHD Clinic – Everett, Suite 108
    Phone: 425.339.5298  Fax: 425.339.3521
    Hours: M, W, F 9:00 am – 5:00 pm
    Appointments are recommended

  • SHD Clinic – Lynnwood, Suite 100
    Phone: 425.339.5298  Fax: 425.339.3521
    By appointment only

Shots for Flu Season
Influenza Vaccine (Flu Shot)
Flu can occur at anytime, but most often occurs from October through May. Anyone who wants to be protected should be vaccinated each year, especially people at high risk: the young, the elderly, and anyone with ongoing medical problems.
Even though persons received a vaccine last year, immunity wanes over time and it is recommended to receive vaccine for this influenza season. Influenza vaccine is licensed for age 6 months and older.
Vaccination is your best protection against the flu
Two kinds of flu vaccine are available:
  • The "flu shot" — an inactivated vaccine (containing killed virus) that is given by injection, usually in the arm. The flu shot is approved for use in anyone aged 6 month or older, including both healthy people and those with chronic medical conditions (such as asthma, diabetes, or heart disease). See also Questions & Answers: Seasonal Flu Shot (CDC).
  • The nasal-spray flu vaccine — a live attenuated vaccine (containing live, weakened flu virus) that is sprayed into the nose. It is not able to cause influenza even though it is a live virus formulation. The nasal spray (sometimes called LAIV for “live attenuated influenza vaccine” or FluMist®) is approved only for healthy, non-pregnant people aged 2 years through 49 years of age.
  • Other Options and Information
    • High dose influenza vaccine is four times more potent than the normal flu shot and is available for adults (over age 65). The high-dose formula has a slightly higher percentage of recipients reporting minor side effects, such as soreness at the injection site and fever.
    • Trivalent: contains 3 influenza strains, 2 A strains and 1 B
    • Quadrivalent: contains 4 influenza strains, 2A and 2 B
    • Cell-cultured injectable influenza vaccine: virus strain is initially passed through eggs, then propagated in cell culture - contains small amount of egg protein from initial passage
    • Recombinant injectable influenza vaccine: produced in insect cell culture – egg free
    • All influenza formulations (vaccine types) are FDA approved. The CDC is not recommending one shot over another – most important to be vaccinated with the formulation that is available at the time.
Persons who should get vaccinated each year:
  • all persons 6 months of age and older. Vaccination is especially important for people at higher risk of severe influenza and their close contacts, including healthcare personnel and close contacts of children younger than 6 months. Note: Children age 6 months to 9 years receive two flu shots the first year they are vaccinated.
  • anyone residing or working in long-term care facilities
  • anyone living with or caring for those at high risk for complications from the flu
  • all household contacts and out-of-home caregivers of infants aged birth to 6 months (because they are too young to receive the shot)
Flu Resources
  1. Centers for Disease Control and Prevention Seasonal Influenza  web
    Centers for Disease Control and Prevention Seasonal Influenza
  2. Flu Clinic - Flu clinic locator  web
    Finding a Flu Clinic in your area.
  3. Flu Clinic - Get a flu shot  web
    The site for information about adult immunizations and where to Get A Flu Shot and other immunizations in Washington and Oregon
  4. Flu Clinic - Weekly Influenza Surveillance Report on-line  web
    A Weekly Influenza Surveillance Report Prepared by the Influenza Division CDC
  5. Influenza(LAIV) VIS  web
    Live Intranasal Influenza Vaccine
  6. Influenza(TIV) VIS  web
    Inactivated Influenza Vaccine
  7. MMWR Prevention and Control of Influenza with Vaccines  web
    MMWR Prevention and Control of Influenza with Vaccines
Payment:
Payment is due on the day of service by cash, check, MasterCard or VISA. Snohomish Health District does not bill private insurance. Most medical coupons are accepted. Medicare is accepted for flu and pneumonia vaccines for those clients not assigned to a provider and who have Part B coverage.
Fees:
Please call for the latest fees.
Service Locations:
  • SHD Clinic - Everett, Suite 108
    Phone: 425.339.5220 Fax: 425.339.5222
    Hours: Mon, Wed & Fri 8:00 am - 5:00 pm
    (Closed from 12:00 pm - 1:00 pm)
    Last appointment: 4:00 pm, Limited walk-in capacity

  • SHD Clinic - Lynnwood, Suite 100
    Phone: 425.775.3522 Fax: 425.778.5324
    Hours: Tue & Thur 8:00 am - 5:00 pm
    (Closed from 12:00 pm - 1:00 pm)
    Last appointment: 4:00 pm, Limited walk-in capacity

Immunization Vaccination
Immunization Vaccination
Immunization services for infants, children and adults are available at both clinic locations by appointment. Vaccination is the best protection for you and your family against many preventable diseases. It is important to keep vaccinations current throughout your lifetime.
Clients under 18 must be accompanied by a parent or legal guardian. A complete record of all immunizations to date is required for all children through high school and is preferred for anyone receiving immunizations.
Payment:
Payment is due on the day of service by cash, check, MasterCard or VISA. Snohomish Health District does not bill private insurance. Most medical coupons are accepted. Please call for a cost estimate of services. Many services are offered on a sliding fee scale based on income and the number of household members.
Fees:
Please call for the latest fees.
Service Locations:
  • SHD Clinic - Everett, Suite 108
    Phone: 425.339.5220 Fax: 425.339.5222
    Hours: Mon, Wed & Fri 8:00 am - 5:00 pm
    Last appointment: 4:00 pm, Limited walk-in capacity

  • SHD Clinic - Lynnwood, Suite 100
    Phone: 425.775.3522 Fax: 425.778.5324
    Hours: Tue & Thur 8:00 am - 5:00 pm
    Last appointment: 4:00 pm, Limited walk-in capacity

Travel Immunization
Travel Immunization
Travel consultations and immunizations are provided by appointment at both clinics. Services include pre-travel counseling, immunizations, and health advice for adults and children who are planning to travel out of the U.S.
Health Risks
Your risk of becoming ill when traveling depends, in part, on the areas you plan to visit, your length of stay, your style of travel, your health, and your vaccine history. In some cases, international tourist destinations are in highly developed areas where you should simply observe health precautions similar to those in the United States. However, because of differences in living standards and sanitary conditions, food and water safety, and immunization coverage, your risk of illness is higher if you are traveling in developing countries and/or rural areas.
Plan ahead
Travel consultations are by appointment only. Call 4-6 weeks before your anticipated departure to make your appointment. Most vaccines take 2-4 weeks to build the antibodies necessary to protect you from the disease they prevent. It is important to bring complete immunization records for each traveler. Please allow 60-90 minutes for your appointment; longer if there are multiple travelers. The consultation includes:
  • Country-by-country analysis of your itinerary and possible health hazards, anticipated activities, evaluation of your immunization status and review of your health history to develop an individualized plan.
  • Advice on malaria prophylaxis and necessary prescriptions. Prescriptions are filled at the traveler's expense at their pharmacy of choice.
  • Information and prescriptions for medications to help prevent or treat illness while traveling.
  • Advice on the need for evacuation insurance.
  • International Certificate of Vaccination as approved by the World Health Organization.
Vaccine Availability:
The travel clinic is a designated center for yellow fever vaccination and documentation. The only vaccine NOT available is Japanese encephalitis vaccine.
Service Fees include:
Travel fees do not qualify for the sliding fee scale. Total charges include the office visit, the price of each vaccine, the administrative fee for each vaccine, and any additional costs related to having blood drawn and laboratory tests, if indicated.
Travel Resources
  1. Centers for Disease Control Travelers Health  web
    Centers for Disease Control Travelers Health
  2. Traveler’s Health Services Brochure  file
    SHD Brochure
  3. U.S. State Department Counselor Information  web
    U.S. State Department Counselor Information
Payment:
Payment is due on the day of service by cash, check, MasterCard or VISA. Please request an estimate of charges when you make your appointment. Snohomish Health District does not bill private insurance. Most medical coupons are accepted.
Fees:
Travel Service Fees
Fees vary based on services provided, call ahead for estimate.
Service Locations:
  • SHD Clinic - Everett, Suite 108
    Phone: 425.339.5220 Fax: 425.339.5222
    Hours: Mon, Wed & Fri 8:00 am - 5:00 pm
    Last appointment: 2:30 pm

  • SHD Clinic - Lynnwood, Suite 100
    Phone: 425.775.3522 Fax: 425.778.5324
    Hours: Tue & Thur 8:00 am - 5:00 pm
    Last appointment: 2:30 pm

Tuberculosis (TB)
TB Clinic
Tuberculosis services include diagnose and treatment of individuals who either have or are suspect of having tuberculosis is provided only at our Everett location. TB Skin Testing, however, is available at our locations in Everett and Lynnwood.
We conduct contact investigations to assure that people that have been exposed to tuberculosis are offered screening as appropriate. Interpreters may be available on request.
Payment:
Payment is due on the day of service by cash, check, MasterCard or VISA. Snohomish Health District does not bill private insurance.
Fees:
TB skin test services are NOT provided on a sliding scale basis.
Service Location:
  • SHD Clinic - Everett, Suite 200
    Phone: 425.339.5225
    Hours: Mon - Fri 8:00 am - 12:00 pm & 1:00 pm – 5:00 pm
    Closed daily 12:00 – 1:00 pm for lunch
    By appointment and referral only
Tuberculosis (TB) Skin Testing
TB skin testing is performed at both clinic sites and it requires two visits. It is administered for screening purposes required by occupations, clinic treatment centers, schools, travelers, and others. The TB skin test may be used to screen specific populations:
  • People who have been in close contact with someone who has an active case of tuberculosis.
  • Healthcare workers and others whose occupations bring them in close contact with those who may have active TB.
  • People who enter drug and or alcohol treatment programs.
  • People with diseases or conditions that weaken their immune systems such as people with HIV or AIDS that make them more vulnerable to TB infection.
  • People who come from, have lived or traveled for a period of time in a foreign country where TB is more common.
The TB skin test may be required as part of starting school, a new job or foster parenting.
Payment:
Payment is due on the day of service by cash, check, MasterCard or VISA. Snohomish Health District does not bill private insurance.
Service Locations:
  • SHD Clinic - Everett, Suite 108
    Phone: 425.339.5220   Fax: 425.339.5222
    Hours: Mon, Wed & Fri 8:00 am - 5:00 pm
    Last appointment: 4:00 pm, Limited walk-in capacity
  • SHD Clinic - Lynnwood, Suite 100
    Phone: 425.775.3522   Fax: 425.778.5324
    Hours: Tue & Thur 8:00 am - 5:00 pm
    Last appointment: 4:00 pm, Limited walk-in capacity

WIC / First Steps
WIC/First Steps
The Women, Infants & Children nutrition program helps pregnant women, new mothers, and young children eat well, learn about nutrition, and stay healthy. Snohomish Health District provides services at its locations in Everett and Lynnwood. See our WIC page for more information


Last Reviewed and updated 8/14/2012