Gonorrhea cases in Dallas County are about 65% lower than the national average, but both this and other infections are also present in De Soto, Iowa. Whether you need testing after a possible exposure or as part of routine care, community and public clinics offer low-cost or free options, while private labs may provide faster results and more flexible scheduling. Find your testing options below.
Available testing centers
5 testing options are listed for De Soto, IA. The nearest, Madison County Memorial Hospital, is about 6.6 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 rural health clinic about 7 miles from De Soto. 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 11 miles from De Soto. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
MercyOne in Clive pairs same-visit treatment for bacterial STIs (gonorrhea, chlamydia, syphilis) with a full diagnostic panel and sliding-scale fees that apply to everyone. Appointments are required; insurance is accepted alongside fee-based options.
MercyOne carries both PrEP and PEP as standing services, including a dedicated PrEP program for uninsured patients, so anyone without a regular prescribing provider doesn't need to piece together care across multiple practices. Coverage, cost assistance, and the prescription itself are all handled at this clinic.
Direct-acting antivirals for hepatitis C are prescribed and managed at MercyOne, not handed off after a reactive result. That means the treatment relationship, monitoring included, stays within the same clinic where the hepatitis C test was run.
MercyOne tests for herpes simplex and both hepatitis B and C alongside the gonorrhea, chlamydia, syphilis, and HIV panel. Eight infections in total. Because hepatitis B and herpes are frequently excluded from basic STI panels, that coverage closes a diagnostic gap that would otherwise require a second appointment elsewhere.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
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 De Soto, 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 range: couples & full panels
$79 & 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 Dallas 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.
1025 Southeast Tallgrass Ln Suite 130, Waukee, IA 50263
CMS-certified lab
616 10th Street, Perry, IA 50220
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near De Soto. 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, 439 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of De Soto. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 57 offer telehealth.
Alexis Block
Family medicine · 2515 Grand Prairie Parkway, Waukee
Sarah Ling, DO
Family medicine · 25 West Hickman Road, Waukee
Tami Fahnlander, DO
OB-GYN · 30 East Hickman Road, Waukee
Jenna Kemp, MD Telehealth
Family medicine · 50 East Hickman Road, Waukee
William Schupp, MD
Family medicine · 842 Northeast Alices Road, Waukee
Jonathan Eller
Family medicine · 180 Jordan Creek Parkway, West Des Moines
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 De Soto, 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.
Herron Pharmacy
5.2 miSumpter Pharmacy
5.2 miAdel Healthmart
5.6 miMontross Pharmacy
6.7 mi
8.2 mi Medicap Pharmacy
8.9 miShowing the 6 closest pharmacies to De Soto, 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 De Soto, 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 $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
$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
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 Dallas County, the county that includes De Soto, compare with Iowa 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.
#28 of 99 Iowa counties for chlamydia, a higher rate than 72% of the state
| Infection | Dallas County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 305.2 339 cases ▼ 28% | 426.8 | 492.2 |
| Gonorrhea | 63 70 cases ▼ 46% | 116.8 | 179.5 |
| Syphilis (P&S) | 4.5 5 cases ▼ 56% | 10.3 | 15.8 |
| Syphilis (early) | 3.6 4 cases ▼ 61% | 9.2 | 16 |
| Syphilis (late/unknown) | 6.3 7 cases ▼ 36% | 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 Dallas County, chlamydia has risen from 289.9 to 305.2 per 100,000 (5%), gonorrhea has fallen from 104.3 to 63 per 100,000 (40%), and P&S syphilis has risen from 4 to 4.5 per 100,000 (13%).
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 Dallas County.
Local HIV snapshot
Dallas County HIV care continuum (2023)
Dallas County recorded 6.6 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Dallas County residents living with HIV, 86.4% are in care · 79% 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 Dallas County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Oak Hill Plantation's streets carry the rhythm of a town where most households own their homes and a majority of adults are married with kids underfoot, the kind of stable, rooted community where healthcare tasks still get postponed because the week fills up faster than anyone plans. De Soto runs on that high labor-force participation, and when most working-age adults are employed full-time, squeezing in a routine screening appointment means coordinating around shifts, school pickups, and a commute out on US 169 that reminds you this isn't a walk-to-anywhere kind of place. That commute reality matters most for younger adults: people in their late teens and twenties who are moving between relationships, establishing households, and may be renting at De Soto's relatively modest rates while still sorting out what regular healthcare even looks like for them.
The options listed on this page reach into Dallas County and beyond, making it worth comparing hours and cost before heading out rather than after. With nearly a quarter of households earning above six figures alongside a meaningful share working through tighter budgets, affordability looks different street to street. Little Bridge Park sits a short walk from the center of town, a useful landmark for orienting yourself before checking which listed clinic fits your schedule and what they charge upfront.
Getting there
At 6.85/20 on the EPA walkability index, day-to-day errands in De Soto 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 50003 snapshot
ZIP-level Census figures for the wider 50003 area around De Soto: a single ZIP can span several communities, so they describe the area, not De Soto alone.
De Soto sits in Dallas County, ZIP 50003. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside De Soto? 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 Dallas 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 De Soto-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 De Soto 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.
Closest is Madison County Memorial Hospital (6.6 mi), or order an at-home kit to 50003.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, community and public clinics test the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 305 cases per 100,000 residents (2023), below the Iowa average.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It's reassuring, but if you tested early in the window period, retest a few weeks later to be sure.
An exam can spot some signs, but most STIs are invisible without a lab test, an exam alone can't rule them out.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.