Gonorrhea cases in Little River County are currently about 13% higher than the US average. If you live in Ashdown, Arkansas, and are wondering about your STI status, whether you have symptoms or just want peace of mind, your options include same-day testing at local clinics or testing at home or at a lab on your own schedule.
Available testing centers
9 testing options are listed for Ashdown, AR. The nearest, Arkansas Department of Health, is about 0.2 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.
Sliding-scale fees and both Medicaid and private insurance are accepted at Arkansas Department of Health in Ashdown, where the testing panel spans HIV, rapid and conventional, syphilis, gonorrhea, chlamydia, herpes, and hepatitis B, with same-visit treatment for bacterial infections by appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
A public safety-net rural health clinic in Ashdown. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Genesis Prime Care in Texarkana screens for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee structure that applies regardless of insurance status, with Medicare and Medicaid also accepted. Walk-ins are welcome, and bacterial STIs can be treated the same visit.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Healthy Connections-Texarkana, in Texarkana, welcomes walk-ins for STI screening without an appointment. Federal qualification backs its sliding-scale fees, tying costs to income so a single visit can cover syphilis, gonorrhea, and chlamydia testing for virtually any patient, whatever their financial situation.
Tests offered
Fees & payment
Core Health Systems - Texarkana College, in Texarkana, welcomes walk-ins for STI screening without an appointment. Federal FQHC standing anchors its sliding-scale fees, letting one visit cover syphilis, gonorrhea, and chlamydia testing at a cost tied to what a patient actually earns.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Ashdown, 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 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 Little River 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.
451 West Locke Street, Ashdown, AR 71822
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Ashdown. 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, 133 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Ashdown. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 16 offer telehealth.
James Oglesby, MD
Family medicine · 418 North 2nd Street, Ashdown
Andrew Legrand, DO
Family medicine · 451 West Locke Street, Ashdown
Vernon Bowman, MD Telehealth
Family medicine · 146 Hwy 32 2A, Ashdown
Gregory White, MD
Internal medicine · 5730 Summerhill Road, Texarkana
James Hall, MD Telehealth
Internal medicine · 5904 Summerfield Drive, Texarkana
Paul Sarna, MD
Family medicine · 3515 Richmond Road, Texarkana
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 Ashdown, AR 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.
0.4 mi Peoples Health Mart
0.4 miBrookshires Pharmacy
0.8 mi
2.4 mi Showing the 4 closest pharmacies to Ashdown, AR.
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 Ashdown, 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.
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 Little River County, the county that includes Ashdown, compare with Arkansas 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.
#30 of 75 Arkansas counties for chlamydia, a higher rate than 60% of the state
| Infection | Little River County | Arkansas | United States |
|---|---|---|---|
| Chlamydia | 550.6 65 cases ▼ 5% | 579.6 | 492.2 |
| Gonorrhea | 203.3 24 cases ▲ 5% | 193.4 | 179.5 |
| Syphilis (P&S) | 16.9 2 cases ▼ 42% | 29.2 | 15.8 |
| Syphilis (early) | 8.5 1 cases ▼ 51% | 17.3 | 16 |
| Syphilis (late/unknown) | 50.8 6 cases ▲ 6% | 48 | 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 Little River County, chlamydia has fallen from 598.7 to 550.6 per 100,000 (8%), gonorrhea has fallen from 299.4 to 203.3 per 100,000 (32%), and P&S syphilis has risen from 16.6 to 16.9 per 100,000 (2%).
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 Little River County.
Local HIV snapshot
Federal priority area: Arkansas 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.
Little River County HIV care continuum (2022)
Little River County recorded 0 new HIV diagnoses per 100,000 (2022), against 11.8 statewide and 13.7 nationally. Among Little River County residents living with HIV, 55.6% are in care · 33.3% 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 Little River County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
South Constitution Avenue stretches out of town quickly, and reaching any of the options listed on this page means committing to a real drive. For nearly half of residents who rent rather than own, household budgets built around rents that leave little margin can make any appointment feel like a luxury, especially when unemployment here means a significant share of adults are already navigating irregular schedules or gaps between work. That economic texture matters most for younger adults, people in their late teens and twenties who make up a meaningful slice of Ashdown's population and who, nationally, account for the steepest concentration of new STI diagnoses. When a screening visit requires arranging a vehicle, burning gas on a rural highway, and carving out a weekday window, the practical weight adds up fast.
Low-cost or sliding-scale options among those listed here matter precisely because the typical rent in town leaves households running lean. Ashdown's household profile (average size above three, just over a third of adults married) reflects a community where people are raising families, forming partnerships, and sharing living spaces in ways that make routine screening a shared interest, not a solo errand. A household near Ashdown City Park and one out past North Park Avenue face the same road to a clinic; knowing the options exist is where it starts.
Getting there
At 4.89/20 on the EPA walkability index, day-to-day errands in Ashdown 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 71822 snapshot
ZIP-level Census figures for the wider 71822 area around Ashdown: a single ZIP can span several communities, so they describe the area, not Ashdown alone.
Ashdown sits in Little River County, ZIP 71822. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Ashdown? 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 Little River County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Arkansas 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 Ashdown-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 Ashdown 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 Arkansas 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 Arkansas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Arkansas 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 ArkansasSource: 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.
There are 8 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Little River County reported ~551 chlamydia cases per 100,000 in 2023, below the Arkansas average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Arkansas, people under 18 can consent to confidential STD testing and treatment on their own.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
No, most STIs have no visible signs, so the only way to know is to test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.