Latvia's sexual health infrastructure for gay and bisexual men is almost entirely Riga-based. LIC, Testpunkts, and Mozaika are all in the capital. Outside Riga, you're navigating general regional hospitals and private labs, with Mozaika available for remote support.
The Core Reality
Latvia is a small country — most of it is within a few hours' drive of Riga. For non-emergency sexual health needs (PrEP consultations, full STI panels, community support), travelling to Riga is often the most practical approach. For emergencies (PEP), regional hospitals are accessible.
Daugavpils
Latvia's second city, with a large Russian-speaking population.
Daugavpils Reģionālā slimnīca Vienības iela 68, Daugavpils Phone: 65 422 888
For PEP emergencies, go to Uzņemšana and request the on-call infectious disease doctor. Say: "HIV risks — man vajag PEP."
For routine sexual health needs, Riga is the recommended destination. Gulbja Laboratorija has a presence in Daugavpils for basic blood testing.
Liepāja
Liepājas Reģionālā slimnīca Slimnīcas iela 25, Liepāja Phone: 63 408 100
PEP accessible via emergency admission. For PrEP and ongoing care, most patients travel to Riga or manage via LIC's telehealth options if available.
Jelgava
Jelgavas Pilsētas slimnīca Jelgavas iela 2, Jelgava Phone: 63 023 811
Jelgava is approximately 40 minutes from Riga — PEP emergencies can go to LIC in Riga if the time permits. Otherwise, Jelgavas slimnīca emergency department can initiate PEP.
Practical Recommendations
Mozaika's remote support is genuinely useful. mozaika.lv — they provide phone and online navigation support and may know of affirming contacts or services in your area.
Gulbja Laboratorija nationwide. Latvia's main private lab network has locations in most Latvian cities. For routine HIV and syphilis monitoring, private labs are accessible outside Riga. gulbi.lv for locations.
For PrEP outside Riga: Once established on PrEP at LIC in Riga, some patients manage prescriptions and monitoring partly through local GPs or private clinics. Ask your LIC infektologs about options for reducing Riga visits after your initial consultation.
Plan your PEP route in advance. If you live outside Riga, know exactly which hospital you'd go to for a PEP emergency and have the Uzņemšana number saved.
Emergency Contacts by Region
| City | Hospital | Phone |
|---|---|---|
| Riga | LIC | 112 |
| Daugavpils | Daugavpils Reģionālā slimnīca | 65 422 888 |
| Liepāja | Liepājas Reģionālā slimnīca | 63 408 100 |
| Jelgava | Jelgavas Pilsētas slimnīca | 63 023 811 |
| General | Emergency | 112 |