Chlamydia cases in Carroll County are about 58% lower than the US average. If you live in Breda, Iowa and need testing for a one-time concern or regular check-ups, weigh clinics that might bill insurance against private labs that usually offer a flat self-pay price. Below, find your options in the area.
Available testing centers
5 testing options are listed for Breda, IA. The nearest, Trinity Regional Medical Center, is about 9.2 miles away. Compare 2 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 community safety-net rural health clinic about 9 miles from Breda. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net rural health clinic about 9 miles from Breda. 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 9 miles away; if you'd rather skip the trip, an at-home kit ships to Breda, 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 for simplicity & support
$89 & 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 Carroll 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.
311 South Clark Street, Carroll, IA 51401
CMS-certified lab
1214 South Grant Road, Carroll, IA 51401
CMS-certified lab Accredited · COLA
311 South Clark Street, Suite 280, Carroll, IA 51401
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Breda. 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, 46 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Breda. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Bridget Shariat, DO
Family medicine · 311 South Clark Street, Carroll
Danielle Coffey, DO
Family medicine · 311 South Clark Street, Carroll
Sarah Hayes, MD Telehealth
Internal medicine · 1214 South Grant Road, Carroll
Michael Burns, MD
Family medicine · 1301 West Main Street, Lake City
Leszek Marczewski, MD
Family medicine · 211 Highland Avenue, Sac City
Thang Luong, DO
Family medicine · 1550 6th Street, Manning
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 Breda, IA 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.
8.3 mi St Anthony Wall Lake Phcy
8.5 miHy-Vee
9.3 miHy-Vee Pharmacy
9.3 miCommunity Pharmacy of Lake View
9.3 miCarroll Apothecary
9.6 miShowing the 6 closest pharmacies to Breda, IA.
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 Breda, 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
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 Carroll County, the county that includes Breda, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~32% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#58 of 99 Iowa counties for chlamydia, a higher rate than 41% of the state
| Infection | Carroll County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 204.7 42 cases ▼ 52% | 426.8 | 492.2 |
| Gonorrhea | 24.4 5 cases ▼ 79% | 116.8 | 179.5 |
| Syphilis (P&S) | — no data | 10.3 | 15.8 |
| Syphilis (early) | 4.9 1 cases ▼ 47% | 9.2 | 16 |
| Syphilis (late/unknown) | — no data | 9.9 | 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 Carroll County, chlamydia has fallen from 260.1 to 204.7 per 100,000 (21%), gonorrhea has fallen from 91.5 to 24.4 per 100,000 (73%), and P&S syphilis has held roughly steady from 4.8 to 4.8 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 Carroll County.
Local HIV snapshot
Carroll County HIV care continuum (2023)
Carroll County recorded 0 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Carroll County residents living with HIV, 64.3% are in care · 64.3% 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 Carroll County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along the quiet stretch near Breda Depot, the town reads like a place people settle into rather than pass through: more than four in five households own their homes, and nearly two-thirds of adults are married, with households that tend to run close to three people. That stability shapes everyday life here, but it doesn't erase the reality that a meaningful share of residents are young adults still in the relationship-forming years when STI transmission runs highest. People whose lives may look settled on the surface but who benefit from screening just as much as anyone. The workforce picture reinforces that point.
With most working-age adults employed and active in the labor force, free time is a genuine constraint; a medical errand competes with long shifts and family schedules, not just personal motivation. Rent here runs low enough that cost alone rarely blocks a visit, but hours and distance are a different story. Knowing ahead of time which location opens earliest, accepts walk-ins, or charges on a sliding scale is what turns "I should do that" into leaving the driveway with a plan already made.
Getting there
At 5.15/20 on the EPA walkability index, day-to-day errands in Breda 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 51436 snapshot
ZIP-level Census figures for the wider 51436 area around Breda: a single ZIP can span several communities, so they describe the area, not Breda alone.
Breda sits in Carroll County, ZIP 51436. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Breda? 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 Carroll County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa 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 a Breda-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 Breda 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 Iowa 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 Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.
Iowa 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 IowaSource: 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.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Carroll County reported ~205 chlamydia cases per 100,000 in 2023, below the Iowa average.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.