In Appleby, Texas, reported syphilis in Nacogdoches County runs about 91% lower than the US average. Whether you have symptoms or need peace of mind, you have options to weigh. At-home kits let you collect a sample when convenient before mailing it in, while clinics offer on-site answers and treatment. Find your choices below.
Available testing centers
7 testing options are listed for Appleby, TX. The nearest, ETCHS LittleJacks Pediatrics, is about 5.0 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.
A public safety-net federally qualified health center about 5 miles from Appleby. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Brown Family Health Center in Nacogdoches runs rapid tests for HIV, hepatitis C, syphilis, gonorrhea, and chlamydia on a sliding-scale fee, with HIV and hepatitis C tests free, and delivers same-visit treatment for bacterial infections by appointment, with all services provided at no fee.
Brown Family Health Center's standing policy is that no service carries a fee, not the rapid test, not the STI treatment, not PrEP counseling. For someone paying cash without a regular provider, that means walking out with medication and a follow-up plan rather than a bill.
When language support depends on a scheduled interpreter, gaps open between visits. Follow-up instructions blur, medication schedules slip. Brown Family Health Center provides Spanish and interpretation services directly, so nothing critical about a diagnosis or treatment plan has to wait for a third-party arrangement.
Ryan White Program funding at Brown Family Health Center means HIV care doesn't stop at a positive test: it extends through ongoing medical treatment and medication adherence education and counseling, keeping antiretroviral management and support in the same building where testing began.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Westside Community Clinic in Nacogdoches was built for patients navigating gaps in coverage: uninsured, underinsured, or paying out of pocket. Federal qualification anchors its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening genuinely affordable regardless of income or insurance status.
Tests offered
Fees & payment
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Appleby, 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 value: single tests
$49 & up
Best for simplicity & support
$89 & 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 Nacogdoches 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.
4920 Northeast Stallings Drive, Nacogdoches, TX 75965
CMS-certified lab Accredited · College of American Pathologists
4730 Northeast Stallings Drive, Nacogdoches, TX 75965
CMS-certified lab
1420 North Street, Nacogdoches, TX 75961
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Appleby. 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, 124 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Appleby. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 32 offer telehealth.
Mark Cline, MD Telehealth
Family medicine · 3900 Northeast Stallings Drive, Nacogdoches
Kyle Mcmorries, MD
OB-GYN · 4710 Northeast Stallings Drive, Nacogdoches
Rachel Head, MD Telehealth
Urology · 617 Russell Boulevard, Nacogdoches
Kavita Vyas, MD Telehealth
Internal medicine · 607 Russell Boulevard, Nacogdoches
David Vinther, MD
Internal medicine · 409 Russell Boulevard, Nacogdoches
Aaron Polk, MD
Family medicine · 212 Russell Boulevard, Nacogdoches
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 Appleby, TX 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.
Brookshire Brothers Pharmacy
7.2 mi
7.5 mi 
7.5 mi Stripling's Pharmacy
7.6 mi
7.6 mi The Medicine Shoppe
8.2 miShowing the 6 closest pharmacies to Appleby, TX.
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 Appleby, 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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Nacogdoches County, the county that includes Appleby, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#19 of 254 Texas counties for chlamydia, a higher rate than 93% of the state
| Infection | Nacogdoches County | Texas | United States |
|---|---|---|---|
| Chlamydia | 607.3 397 cases ▲ 23% | 491.9 | 492.2 |
| Gonorrhea | 136.1 89 cases ▼ 23% | 176.4 | 179.5 |
| Syphilis (P&S) | 1.5 1 cases ▼ 90% | 15 | 15.8 |
| Syphilis (early) | 6.1 4 cases ▼ 77% | 26.4 | 16 |
| Syphilis (late/unknown) | 67.3 44 cases ▲ 52% | 44.3 | 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 Nacogdoches County, chlamydia has fallen from 674.4 to 607.3 per 100,000 (10%), gonorrhea has fallen from 314 to 136.1 per 100,000 (57%), and P&S syphilis has fallen from 13.9 to 1.5 per 100,000 (89%).
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 Nacogdoches County.
Local HIV snapshot
Nacogdoches County HIV care continuum (2023)
Nacogdoches County recorded 12.8 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Nacogdoches County residents living with HIV, 81.3% are in care · 69.9% 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 Nacogdoches County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Appleby's name traces to early settlers who planted apple orchards in this stretch of East Texas, a legacy now scattered across the landscape near Lake Naconiche Park. That agricultural past has given way to a community where health needs are met with the same straightforward approach the town has always favored. STD testing in and around Appleby is available through the clinics and providers listed on this page, services designed for people who want results without delay or unnecessary complication. Young adults make up a significant part of Appleby's population, a demographic for whom routine sexual health screening fits naturally into regular medical care.
Testing here carries no gossip tax; the clinics that serve the area understand that confidentiality isn't theater but baseline practice. Whether someone is new to the area, between jobs, or simply due for a check-in, the testing sites accessible in and around Appleby keep that screening straightforward and private. Getting tested is as practical in Appleby as it was for earlier residents to tend their orchards, a thing you do because it matters, without fanfare. The providers listed on this page offer appointments that work around daily schedules, and results come back to you alone.
Getting there
At 7.43/20 on the EPA walkability index, day-to-day errands in Appleby 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 75965 snapshot
ZIP-level Census figures for the wider 75965 area around Appleby: a single ZIP can span several communities, so they describe the area, not Appleby alone.
Appleby sits in Nacogdoches County, ZIP 75965. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Appleby? 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 Nacogdoches County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Texas 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 Appleby-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 Appleby 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 Texas 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 Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Texas 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 TexasSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Nacogdoches County reported ~607 chlamydia cases per 100,000 in 2023, above the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
At-home kits mail to 75965: self-collect, send to the lab, results in ~2–5 days.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.