Syphilis in Pike County runs about 29% lower than the U.S. average. Whether you have symptoms or just want peace of mind in Annada, Missouri, you may prefer the personal interaction of a clinic or the convenience of an at-home kit. The options below cover both.
Available testing centers
7 testing options are listed for Annada, MO. The nearest, Mercy, is about 7.1 miles away. Compare 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.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Mercy in Elsberry pairs testing (gonorrhea, chlamydia, syphilis, rapid and conventional HIV, herpes, and hepatitis A, B, and C) with same-visit treatment for bacterial infections on a sliding-scale fee, with appointments required.
DoxyPEP, the doxycycline regimen taken after potential bacterial STI exposure, gets prescribed at relatively few sexual health practices, where it still sits outside routine care. Mercy in Elsberry is one of the exceptions, offering it as a standing prevention service alongside the rest of its clinical work.
Mercy's panel runs to herpes simplex and hepatitis A, B, and C alongside gonorrhea, chlamydia, syphilis, and HIV. Meaning a single appointment generates results across infections rather than the condensed four-pathogen sweep that most visits produce. Each test is drawn and processed within the same clinical encounter.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
A safety-net rural health clinic about 13 miles from Annada. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 13 miles from Annada. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Free tool · not a clinic
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 |
|---|---|---|
| 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.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
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
The nearest testing center is about 7 miles away; if you'd rather skip the trip, an at-home kit ships to Annada, 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.
In-home collection
$79 & up
Best range: couples & full panels
$79 & up
Best value: single tests
$49 & up
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
Beyond the public testing sites above, these federally certified (CLIA) labs serve Pike 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.
211 South 3rd Street, Louisiana, MO 63353
CMS-certified lab
2305 West Georgia, Louisiana, MO 63353
CMS-certified lab Accredited · College of American Pathologists
8 Town Center Drive, Bowling Green, MO 63334
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Annada. 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
Beyond dedicated clinics, 41 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Annada. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.
Korhan Raif, MD
Internal medicine · 405 State Street, Pleasant Hill
Brandon Brown, MD
Family medicine · 211 South 3rd Street, Louisiana
Casey Jennings, DO
Family medicine · 2305 West Georgia, Louisiana
Pantelhs Varlas, MD
Family medicine · 2305 Georgia Street, Louisiana
Bradley Massey, DO
Family medicine · 35 Winfield Plz, Winfield
Samuel Ferreri, MD
Family medicine · 905 Hwy 161, Bowling Green
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
No pharmacy near Annada, MO 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.
Dejace Enterprises
7.1 miThe Medicine Shoppe
7.1 miFox Family Pharmacy
13 miFamily Health Pharmacies
17 miBest Buy Pharmacy
17 miShowing the 5 closest pharmacies to Annada, MO.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Annada, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
How reported STI rates in Pike County, the county that includes Annada, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#64 of 115 Missouri counties for chlamydia, a higher rate than 44% of the state
| Infection | Pike County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 217.5 39 cases ▼ 56% | 498.6 | 492.2 |
| Gonorrhea | 89.2 16 cases ▼ 56% | 201.9 | 179.5 |
| Syphilis (P&S) | 11.2 2 cases ▼ 48% | 21.5 | 15.8 |
| Syphilis (early) | — no data | 12.4 | 16 |
| Syphilis (late/unknown) | — no data | 33.8 | 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.
Between 2020 and 2023 in Pike County, chlamydia has risen from 193.3 to 217.5 per 100,000 (13%), gonorrhea has risen from 62.5 to 89.2 per 100,000 (43%), and P&S syphilis has held roughly steady from 11.2 to 11.2 per 100,000.
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
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 Pike County.
Local HIV snapshot
Federal priority area: Missouri is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Pike County HIV care continuum (2021)
Pike County recorded 0 new HIV diagnoses per 100,000 (2021), against 10.6 statewide and 13.7 nationally. Among Pike County residents living with HIV, 96.2% are in care · 92.3% 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.
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 Pike County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Purtle Knob sits quietly above a community where most households have put down roots: the ownership rate here is among the highest you'll find anywhere, and the average home is worth far less than in Missouri's larger centers. That settled character shapes daily life in real ways: people tend to stay, budgets tend to be tight, and the nearest service of almost any kind requires getting in a car and driving. That drive is the central fact of screening access in and around Annada. For younger adults still forming relationships, that kind of logistical lift can quietly turn a reasonable intention into something that keeps not happening.
Pike County's STI picture makes it worth the effort: this is the age group where rates run highest, and gaps in regular testing tend to widen gradually rather than announce themselves. Cost is the other layer. With barely one in thirty households clearing six figures, a sliding-scale or no-cost visit matters concretely. Not as a policy abstraction but as the reason a specific appointment actually gets made rather than postponed until next month near Woodson Knob turns into next year.
Getting there
At 5.51/20 on the EPA walkability index, day-to-day errands in Annada 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.
ZIP 63330 snapshot
ZIP-level Census figures for the wider 63330 area around Annada: a single ZIP can span several communities, so they describe the area, not Annada alone.
Annada sits in Pike County, ZIP 63330. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Annada? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Pike County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
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 |
Testing too early can return a false negative, confirm timing with an Annada-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| 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 |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Annada 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 | $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.
Two things that actually depend on Missouri 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).
In Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Possibly, Elsberry, MO is close; compare it by distance against Mercy.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 218 cases per 100,000 residents (2023), below the Missouri average.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.