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STD Testing in Alexandria, TN: Free, Same-Day & Confidential

Gonorrhea reports in DeKalb County run about 32% lower than the US average. If you suspect exposure or want testing in Alexandria, Tennessee, whether you have symptoms or just want peace of mind, consider whether you prefer visiting a clinic for provider guidance and immediate treatment or an at-home kit for convenience and scheduling flexibility. Below, find options for each path.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Alexandria, TN

6 testing options are listed for Alexandria, TN. The nearest, Tennessee Department of Health, is about 12.7 miles away. Compare community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Community health center 12.7 miles

Tennessee Department of Health

No ratings yet

Tennessee Department of Health in Smithville, a public health department running full STI care, tests for HIV, gonorrhea, chlamydia, syphilis, and hepatitis C, treats bacterial infections the same visit, and delivers all of it at no charge. Sliding scale applies to every service.

Read full overview Show less

Every Service Runs on Zero Dollars

For anyone managing care without a regular provider, paying cash, or stretching a tight budget, the Tennessee Department of Health in Smithville carries a straightforward answer: free STI testing, free HIV testing, free hepatitis C testing, and treatment. No fee attached to any of it.

PrEP, PEP, and DoxyPEP Stocked Together Here

Tenofovir-based PrEP for ongoing HIV prevention, PEP for post-exposure HIV coverage, and doxycycline post-exposure prophylaxis for bacterial STI reduction are all prescribed here, and PrEP is available to uninsured patients at no cost, removing the pharmacy detour entirely.

Hepatitis C Diagnosis Doesn't End the Conversation

Many public health clinics confirm a hepatitis C antibody and send patients elsewhere for the rest. At the Tennessee Department of Health in Smithville, treatment is carried on-site. The curative antiviral course stays within the same clinic that ran the test.

Tests & treats Sliding-scale PrEP DoxyPEP
Address
254 Tiger Drive, Smithville, TN 37166
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 13.6 miles

Sumner Physician Practices

No ratings yet

A safety-net rural health clinic about 14 miles from Alexandria. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
133 Hospital Dr Suite 500, Carthage, TN 37030
Website
Premium Partner

Quest Diagnostics

Results in 1–2 days
Where these reviews come from

Review sources

  • Google110
  • EasySTD5
Rated 3.2 out of 5 from 115 reviews
Address
115 Winwood Drive, Lebanon, TN 37087 19.1 miles away
Opening hours
  • Monday 7:30 AM – 3:30 PM
  • Tuesday 7:30 AM – 3:30 PM
  • Wednesday 7:30 AM – 3:30 PM
  • Thursday 7:30 AM – 3:30 PM
  • Friday 7:30 AM – 3:30 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

American Esoteric Laboratories

Highest rated Results in 1–2 days
Where these reviews come from

Review sources

  • Google7
  • EasySTD1
Rated 4.4 out of 5 from 8 reviews
Address
625 North Highland Avenue, Murfreesboro, TN 37129 24.9 miles away
Opening hours
  • Monday 8:00 AM – 4:15 PM
  • Tuesday 8:00 AM – 4:15 PM
  • Wednesday 8:00 AM – 4:15 PM
  • Thursday 8:00 AM – 4:15 PM
  • Friday 8:00 AM – 4:15 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Labcorp at Walgreens

Results in 1–2 days
Where these reviews come from

Review sources

  • Google13
  • EasySTD1
Rated 2.8 out of 5 from 14 reviews
Address
206 Crossing Lane, Mount Juliet, TN 37122 26.6 miles away
Opening hours
  • Monday 8:00 AM – 4:00 PM
  • Tuesday 8:00 AM – 4:00 PM
  • Wednesday 8:00 AM – 4:00 PM
  • Thursday 8:00 AM – 4:00 PM
  • Friday 8:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Labcorp

Most reviewed Results in 1–2 days
Where these reviews come from

Review sources

  • Google128
  • EasySTD5
Rated 2.8 out of 5 from 133 reviews
Address
1970 Medical Ctr Parkway, Murfreesboro, TN 37129 26.6 miles away
Opening hours
  • Monday 7:30 AM – 4:30 PM
  • Tuesday 7:30 AM – 4:30 PM
  • Wednesday 7:30 AM – 4:30 PM
  • Thursday 7:30 AM – 4:30 PM
  • Friday 7:30 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

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.

Detection windows for every STI
Infection Earliest reliable test Conclusive after
Chlamydia 7 days after exposure 14 days after exposure
Gonorrhea 7 days after exposure 14 days after exposure
Trichomoniasis 7 days after exposure 28 days after exposure
HIV (NAT / RNA) 10 days after exposure 33 days after exposure
HIV (4th-gen Ag/Ab) 18 days after exposure 45 days after exposure
HIV (antibody) 21 days after exposure 84 days after exposure
Syphilis 21 days after exposure 42 days after exposure
Hepatitis B 21 days after exposure 42 days after exposure
Hepatitis C 56 days after exposure 77 days after exposure
Herpes (HSV) 28 days after exposure 112 days after exposure

Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

Rate this clinic

Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
Wait time
Staff & comfort
Value for cost

Every other option

More ways to get tested in Alexandria, TN

Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.

Test from home

At-home STD testing in Alexandria, TN

The nearest testing center is about 13 miles away; if you'd rather skip the trip, an at-home kit ships to Alexandria, 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 (opens in a new tab) 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.

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.

Also in the area

Other CLIA-certified labs near Alexandria, TN

Beyond the public testing sites above, these federally certified (CLIA) labs serve DeKalb 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.

  • LAB Plus

    520 West Main Street, Smithville, TN 37166

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
    Call Directions

  • Tennessee Oncology

    518 Main Street Suite B, Smithville, TN 37166

    CMS-certified lab

    • STD testing
    Call Directions

  • Crossroads Medical Group

    302 North Congress Boulevard, Smithville, TN 37166

    CMS-certified lab Accredited · COLA

    • STD testing
    Call Directions

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Alexandria. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.

Local clinicians

Clinicians near Alexandria, TN who may help arrange STD testing

Beyond dedicated clinics, 232 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Alexandria. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 55 offer telehealth.

These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.

Nearby pharmacies

Pharmacies near Alexandria, TN

No pharmacy near Alexandria, TN publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.

  • Watertown Drugs

    5.5 mi
    Rx pickupCondoms / EC
    Directions

  • Gordonsville Drugs

    8.3 mi
    Rx pickupCondoms / EC
    Directions
  • Walmart Pharmacy 13 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
    Directions

  • Hacketts Discount Drugs

    14 mi
    Rx pickupCondoms / EC
    Directions

  • Smith County Drug Center

    14 mi
    Rx pickupCondoms / EC
    Directions

Showing the 5 closest pharmacies to Alexandria, TN.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

Prevention & treatment

PrEP, prevention & online treatment

Testing is one step. For residents of Alexandria, telehealth covers the rest: 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STD stats & rates

STDs & HIV in DeKalb County: the local picture

How reported STI rates in DeKalb County, the county that includes Alexandria, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#35 of 95 Tennessee counties for chlamydia, a higher rate than 63% of the state

Reported STD rates per 100,000, DeKalb County vs Tennessee vs U.S.

DeKalb County Tennessee U.S. ▲▼ = DeKalb County vs the state average
Infection DeKalb County Tennessee United States
Chlamydia
320.4 68 cases ▼ 38%
517.4 492.2
Gonorrhea
122.5 26 cases ▼ 34%
186.4 179.5
Syphilis (P&S)
33 7 cases ▲ 123%
14.8 15.8
Syphilis (early)
14.1 3 cases ▲ 23%
11.5 16
Syphilis (late/unknown)
28.3 6 cases ▲ 7%
26.4 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. These 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 DeKalb County over time (per 100,000)

Chlamydia ▼ 2% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 175 350 2020202120222023

Between 2020 and 2023 in DeKalb County, chlamydia has risen from 303.8 to 320.4 per 100,000 (5%), gonorrhea has fallen from 189.2 to 122.5 per 100,000 (35%), and P&S syphilis has fallen from 59.8 to 33 per 100,000 (45%).

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 Alexandria, TN

Adults uninsured
13%
No routine checkup
22%
Binge drinking
13.2%
Frequent mental distress
21.4%
Depression
31.2%
Below poverty line
18.7%
Primary-care ratio
2,560 : 1
DeKalb County
  • Primary-care shortage score 14 / 26
  • Medically Underserved Area · IMU 58
  • Social Vulnerability Index · 80th 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 DeKalb County.

Local HIV snapshot

HIV in DeKalb County (2023)

People living with HIV
211 / 100k
PrEP users / 100k
167

DeKalb County HIV care continuum (2021)

DeKalb County recorded 0 new HIV diagnoses per 100,000 (2021), against 14.8 statewide and 13.7 nationally. Among DeKalb County residents living with HIV, 75.7% are in care · 73% 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 a local health department.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 DeKalb County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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 → (opens in a new tab)

18 Sources

Local resources & officials

Data & references

Local context

About Alexandria, TN

US 70 cuts through the heart of Alexandria, and the younger adults settling into rentals along Nashville Highway, paying some of the lowest monthly rents in Middle Tennessee, are often at exactly the life stage where routine screening tends to get deferred, not because they don't care, but because the logistics quietly stack up. With half of all households here built around married couples and an average household running above three people, Alexandria is a genuinely rooted community; still, the share of residents in their late teens and twenties is substantial enough that accessible testing matters in a concrete, practical way. The town's labor picture adds texture: with just over half the adult population in the workforce and unemployment above the state's typical range, time and transportation costs carry real weight in daily decisions.

At under $440 a month in typical rent, budgets are tight even when income feels stable. Meaning a testing visit that costs money or burns a half-day is one that often doesn't happen at all. Getting to any of the options listed on this page means getting in a car and driving (past Pilot Knob, out along SR 53 toward the county line) and knowing that ahead of time is what turns the trip from an afterthought into something actually planned.

Getting there

How residents reach STD testing in Alexandria, TN

Walkability 4.38 / 20 · Least walkable

At 4.38/20 on the EPA walkability index, day-to-day errands in Alexandria 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.

Map of 6 STD & STI testing locations in Alexandria, Tennessee, EasySTD

ZIP 37012 snapshot

Residents
2,149
Median age
34.4
Median income
$51,902

ZIP-level Census figures for the wider 37012 area around Alexandria: a single ZIP can span several communities, so they describe the area, not Alexandria alone.

Alexandria sits in DeKalb County, ZIP 37012. Local context that shapes where residents test:

Local landmarks

  • Hearn Hill
  • Pilot Knob
  • Walnut Knob
  • Burgess Knob

Major routes

  • US 70 (Nashville Highway)
  • SR 53 (Alexandria Highway)

Reference

STD testing in Alexandria, TN: screening, costs & privacy

Everything to know before you test in DeKalb County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 an Alexandria-area provider.

InfectionEarliest reliable testSample
Chlamydia 1–2 weeks Urine or swab
Gonorrhea 1–2 weeks Urine or swab
Trichomoniasis 1–4 weeks Urine or swab
HIV (NAT / RNA) 10–33 days Blood
HIV (4th-gen Ag/Ab) 18–45 days Blood
HIV (antibody) 3–12 weeks Blood / oral
Syphilis 3–6 weeks Blood
Hepatitis B 3–6 weeks Blood
Hepatitis C 8–11 weeks Blood
Herpes (HSV) 4–16 weeks (antibody); swab a sore Blood / swab
Browse all STD & STI guides

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Alexandria 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.

TestReference priceCPT / HCPCS
Chlamydia (NAAT) $47.80 87491
Gonorrhea (NAAT) $47.80 87591
Trichomoniasis (NAAT) $47.76 87661
HIV-1/2 antigen/antibody $26.87 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.

Confidentiality & consent in Tennessee

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on Tennessee law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).

Can a minor consent on their own?

In Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

Tennessee permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.

Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.

Learn more about confidential STD testing in Tennessee

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Alexandria, TN

Answers to the questions people ask most before getting tested.

Where can I get tested for STDs in Alexandria, TN?

The closest is Tennessee Department of Health (12.7 mi); 6 options are within 30 miles.

Does Medicaid cover STD testing?

Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.

Can I get tested in Alexandria, TN without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Alexandria, TN?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in DeKalb County?

About 320 cases per 100,000 residents (2023), below the Tennessee average.

Can I test at home near Alexandria, TN?

Yes, at-home kits ship to 37012; you collect a sample, mail it back, and get results in about 2–5 days.

How long do results take near Alexandria, TN?

Lab results typically come back in 1–2 days.

Can I get PrEP near Alexandria, TN?

PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.

Can someone under 18 get tested in Tennessee without a parent?

In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.

Can chlamydia have no symptoms?

Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.