In Hunt County, reported gonorrhea runs about 37% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Commerce, Texas, weigh how you want to handle scheduling: some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. Here are some options for testing.
Available testing centers
9 testing options are listed for Commerce, TX. The nearest, Hunt Regional Medical Partners, is about 0.5 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 community safety-net rural health clinic in Commerce. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Carevide in Greenville runs appointments for gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, TB, and conventional HIV testing, with same-visit treatment for bacterial infections and fees adjusted on a sliding scale, and full care delivered in Spanish.
Plenty of testing sites cover gonorrhea, chlamydia, syphilis, and HIV and consider the job done. Herpes and hepatitis B and C require a separate trip somewhere else. Carevide folds all of those into a single appointment, so one visit captures a genuinely complete picture of sexual-health and bloodborne risk.
For someone navigating a gonorrhea or syphilis diagnosis, choosing a medication, or weighing hepatitis B vaccination in Spanish, Carevide carries that conversation through clinical staff, not a workaround, which means nothing gets lost between test result and treatment decision.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Integrity Urgent Care in Greenville schedules appointments for STI care that covers HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C in a single visit: bacterial infections treated the same day, with fees billed to Medicare or insurance, and Spanish-language care available.
For anyone without a regular provider, or whose last clinic only ran the basic panel, Integrity's testing menu includes herpes and both hepatitis B and C alongside HIV, syphilis, gonorrhea, and chlamydia. One appointment resolves questions that a shorter panel would leave open.
Spanish speakers who need to move through symptoms, treatment options, and follow-up without switching languages mid-visit will find that Integrity handles that conversation directly. For someone managing care without a primary doctor, having treatment and counseling in Spanish at the same appointment carries real practical weight.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Rains County Indigent Health Care in Emory tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee that applies to everyone, with Medicaid, Medicare, and private insurance also accepted. Appointments are required, and bacterial STIs are treated the same visit.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
A public safety-net rural health clinic about 31 miles from Commerce. 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Commerce, 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 Hunt 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.
5110 Wesley Street, Greenville, TX 75402
CMS-certified lab
8090 Monty Stratton Parkway, Greenville, TX 75402
CMS-certified lab Accredited · COLA
4818 Wellington Street Suite 4, Greenville, TX 75402
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Commerce. 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, 96 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Commerce. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 39 offer telehealth.
Thomas Selvaggi, MD
Family medicine · 1705 Live Oak Street, Commerce
Wajiuddin Khalfe, MD
Internal medicine · 301 Division Street, Greenville
Dee Mccrary, MD
Family medicine · 4101 Wesley Street, Greenville
Hassan Farooq, MD Telehealth
Internal medicine · 4812 Roberts Street, Greenville
Kenneth Archer, MD Telehealth
Family medicine · 5005 Live Oak Street, Greenville
Henry Underwood, DO
Family medicine · 3931 Joe Ramsey Boulevard East, Greenville
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 Commerce, 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.
0.5 mi Joe Pharmacy
0.5 miBrookshires Pharmacy
0.5 mi
0.8 mi 
0.9 mi Dallas County Mental Health & Mental Retardation Center
14 miShowing the 6 closest pharmacies to Commerce, 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 Commerce, 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 Hunt County, the county that includes Commerce, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~51% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#88 of 254 Texas counties for chlamydia, a higher rate than 65% of the state
| Infection | Hunt County | Texas | United States |
|---|---|---|---|
| Chlamydia | 371.4 421 cases ▼ 24% | 491.9 | 492.2 |
| Gonorrhea | 112.9 128 cases ▼ 36% | 176.4 | 179.5 |
| Syphilis (P&S) | 6.2 7 cases ▼ 59% | 15 | 15.8 |
| Syphilis (early) | 10.6 12 cases ▼ 60% | 26.4 | 16 |
| Syphilis (late/unknown) | 11.5 13 cases ▼ 74% | 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 Hunt County, chlamydia has risen from 326.1 to 371.4 per 100,000 (14%), gonorrhea has fallen from 130.1 to 112.9 per 100,000 (13%), and P&S syphilis has risen from 4 to 6.2 per 100,000 (55%).
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 Hunt County.
Local HIV snapshot
Hunt County HIV care continuum (2023)
Among Hunt County residents living with HIV, 82.4% are in care · 69.1% 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 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 Hunt County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
City Park sits near the center of Commerce's daily rhythm, and yet getting from there to a testing appointment means a car trip along Culver Street or out on State Highway 24: there's no walking this one out, and for a city where most residents rent rather than own, that reality compounds quickly. Renters here typically carry a monthly payment around $821 while navigating one of the higher unemployment rates in the region, which means discretionary spending on healthcare, even a routine screening, competes with real budget pressure. With fewer than a third of adults in a married household and an average household that skews larger than the national norm, many people in their late teens and twenties here are managing shared living arrangements, shifting schedules, and stretched finances all at once. That's the population that faces the steepest consequences from delayed screening, and also the one least likely to treat a clinic visit as a low-stakes errand.
The testing options listed on this page exist precisely because a single downtown option off Loop 178 wouldn't reach everyone. Checking hours, fees, and distance before committing to the drive is genuinely useful here. Finding the site that fits a work schedule and a tank of gas can be the entire equation.
Getting there
At 7.96/20 on the EPA walkability index, day-to-day errands in Commerce 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 75428 snapshot
ZIP-level Census figures for the wider 75428 area around Commerce: a single ZIP can span several communities, so they describe the area, not Commerce alone.
Commerce sits in Hunt County, ZIP 75428. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Commerce? 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 Hunt 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 a Commerce-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 Commerce 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+.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Hunt County reported ~371 chlamydia cases per 100,000 in 2023, below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Herpes isn't in standard panels unless you have symptoms, a sore can be swabbed, or a blood test discussed with a provider.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.