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STD Testing in Decatur City, IA: Free, Same-Day & Confidential

In Decatur City, Iowa, chlamydia cases run about 39% lower than the US average. Whether it's your first STI test or a routine screening in Decatur City, Iowa, you can choose between walk-in clinics for same-day testing or more flexible lab and at-home options. See below for more.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
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STD testing near Decatur City, IA

5 testing options are listed for Decatur City, IA. The nearest, Infinity Health, is about 4.7 miles away. Compare 2 community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Community health center 4.7 miles

Infinity Health

Where these reviews come from

Review sources

  • Google40
  • EasySTD5
Rated 3.3 out of 5 from 45 reviews

Infinity Health in Leon folds STI care into a full-service family planning practice, covering HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C on a sliding-scale fee with same-visit bacterial treatment; appointments are required.

Read full overview Show less

Language Gaps Create Untreated STIs, Infinity Closes Them

When a patient can't communicate fully with a provider, test results go unexplained and treatment decisions stall. Sometimes indefinitely. Infinity Health in Leon delivers care directly in American Sign Language and Spanish, and extends interpretation services for other languages, so nothing about your diagnosis or treatment plan gets lost or deferred.

Herpes and Hepatitis Testing Alongside the Standard Four

The typical STI clinic draws the line at four infections, leaving herpes and hepatitis to be chased down elsewhere. Infinity Health in Leon runs tests for herpes, hepatitis A, B, and C as part of its panel. Meaning one appointment can surface infections that a stripped-down clinic would simply miss.

Tests & treats Sliding-scale
Address
302 Northeast 14th Street, Leon, IA 50144
Booking
Appointment required
Opening hours
  • Monday 7:00 AM – 5:00 PM
  • Tuesday 7:00 AM – 5:00 PM
  • Wednesday 7:00 AM – 7:00 PM
  • Thursday 7:00 AM – 7:00 PM
  • Friday 7:00 AM – 7:00 PM
  • Saturday 8:00 AM – 12:00 PM
  • Sunday Closed
Website
Community health center 9.7 miles

Infinity Health - Lamoni Office

Where these reviews come from

Review sources

  • Google11
  • EasySTD2
Rated 3.9 out of 5 from 13 reviews

Infinity Health - Lamoni Office, serving Lamoni, welcomes walk-ins for STI screening without an appointment. Backed by federal FQHC designation, the clinic charges on a sliding scale tied to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing, making same-day care straightforward for anyone who walks through the door.

Sliding-scale
Address
802 Ackerley Street, Lamoni, IA 50140
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Every other option

More ways to get tested in Decatur City, IA

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.

At-home STD testing in Decatur City, IA

The nearest testing center is about 5 miles away; if you'd rather skip the trip, an at-home kit ships to Decatur City, 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.

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.

Other CLIA-certified labs near Decatur City, IA

Beyond the public testing sites above, these federally certified (CLIA) labs serve Decatur 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.

  • Decatur County Hospital

    1405 Northwest Church Street, Leon, IA 50144

    CMS-certified lab

    • STD testing
  • Infinity Health

    802 East Ackerly Street, Lamoni, IA 50140

    CMS-certified lab

    • STD testing

Showing the nearest 2 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Decatur City. 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.

Clinicians near Decatur City, IA who may help arrange STD testing

Beyond dedicated clinics, 49 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Decatur City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 10 offer telehealth.

  • David Zelinskas

    Family medicine · 1405 Northwest Church Street, Leon

  • Nathan Allen, DO

    Family medicine · 302 Northeast 14th Street, Leon

  • Benjamin Hicks, MD

    Family medicine · 800 South Fillmore Street, Osceola

  • Jaspreet Singh, MD

    Family medicine · 800 South Fillmore Street, Osceola

  • Colin Deford, DO

    Family medicine · 444 North West View Drive, Osceola

  • David Colvin

    Family medicine · 444 North West View Drive, Osceola

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.

Pharmacies near Decatur City, IA

No pharmacy near Decatur City, 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.

  • Hy-Vee Pharmacy

    4.5 mi
    Rx pickupCondoms / EC
  • Hy-Vee Clinic Pharmacy (3389)

    4.5 mi
    Rx pickupCondoms / EC
  • Decatur Family Pharmacy

    4.5 mi
    Rx pickupCondoms / EC
  • Hy-Vee

    9.8 mi
    Rx pickupCondoms / EC
  • Lamoni Varsity Drug

    9.8 mi
    Rx pickupCondoms / EC
  • Hy-Vee Clinic Pharmacy

    9.8 mi
    Rx pickupCondoms / EC

Showing the 6 closest pharmacies to Decatur City, IA.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Decatur City, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Decatur County: the local picture

How reported STI rates in Decatur County, the county that includes Decatur City, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#29 of 99 Iowa counties for chlamydia, a higher rate than 71% of the state

Reported STD rates per 100,000, Decatur County vs Iowa vs U.S.

Decatur County Iowa U.S. ▲▼ = Decatur County vs the state average
Infection Decatur County Iowa United States
Chlamydia
300.1 23 cases ▼ 30%
426.8 492.2
Gonorrhea
13 1 cases ▼ 89%
116.8 179.5
Syphilis (P&S) — no data 10.3 15.8
Syphilis (early) — no data 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.

Reported STD rates in Decatur County over time (per 100,000)

Chlamydia ▲ 21% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 175 350 2020202120222023

Between 2020 and 2023 in Decatur County, chlamydia has risen from 287.8 to 300.1 per 100,000 (4%), and gonorrhea has fallen from 104.6 to 13 per 100,000 (88%).

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

What shapes testing access in and around Decatur City, IA

Adults uninsured
8%
No routine checkup
22.6%
No transportation
7.5%
Binge drinking
18.5%
Frequent mental distress
17%
Depression
21.1%
Below poverty line
5.6%
Primary-care ratio
3,830 : 1
Decatur County
  • Primary-care shortage score 16 / 26
  • Medically Underserved Area · IMU 58
  • Social Vulnerability Index · 52nd percentile nationally

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 Decatur County.

Local HIV snapshot

HIV in Decatur County (2023)

People living with HIV
125 / 100k
PrEP users / 100k
109

Decatur County HIV care continuum (2021)

Decatur County recorded 0 new HIV diagnoses per 100,000 (2021), against 5.1 statewide and 13.7 nationally. Among Decatur County residents living with HIV, 100% are in care · 100% 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Decatur County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

17 Sources

Local resources & officials

Data & references

About Decatur City, IA

IA 2 cuts through Decatur City as both Vine Street and State Highway 2, framing a community where most households are owner-occupied and nearly two-thirds of adults are married: the kind of place where health decisions often get made as a household, factored into shared schedules and budgets rather than individual ones. With an average household running close to three people and home values well below state norms, the financial margin for unexpected medical costs is genuinely narrow, and that shapes what "getting around to it" actually looks like here. Labor-force participation running below sixty percent means a significant share of residents aren't on employer health plans, and the small fraction of households clearing six figures suggests that even modest out-of-pocket costs carry real weight. River Road and the surrounding area reflect a town built around cars, nothing here is a short walk, so accessing any clinic listed on this page means planning around a drive.

The options listed here range across the region, making appointment scheduling, not proximity, the practical variable. Decatur County's STI figures are already on this page, and they tell a story that applies to everyone, not just young adults in their late teens and twenties who statistically face the highest rates. For someone living along IA 2 in a fixed household with a set budget, staying current on screening is simply part of managing what's quietly knowable about your own health.

Getting there

How residents reach STD testing in Decatur City, IA

Walkability 6.24 / 20 · Below average

At 6.24/20 on the EPA walkability index, day-to-day errands in Decatur City 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.

Map of 5 STD & STI testing locations in Decatur City, Iowa, EasySTD

ZIP 50144 snapshot

Residents
2,715
Median age
38.4
Median income
$64,511

ZIP-level Census figures for the wider 50144 area around Decatur City: a single ZIP can span several communities, so they describe the area, not Decatur City alone.

Decatur City sits in Decatur County, ZIP 50144. Local context that shapes where residents test:

Major routes

  • IA 2 (Vine Street)
  • River Road

STD testing in Decatur City, IA: screening, costs & privacy

Everything to know before you test in Decatur 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.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Decatur City-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Decatur City 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.

TestReference priceCPT / 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.

Confidentiality & consent in Iowa

Minor consent and partner treatment (EPT) under state law, plus how to test privately

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).

Can a minor consent on their own?

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.

Can my partner be treated too? (EPT)

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 Iowa

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Decatur City, IA

Answers to the questions people ask most before getting tested.

Is walk-in STD testing available near Decatur City, IA?

Yes, several local labs offer same-day walk-in testing; best to call first.

Can I use Medicaid for testing?

Yes, Medicaid typically covers it.

Can I get tested in Decatur City, IA without insurance?

Public clinics serve people without insurance, often on a sliding scale.

What's included in a full panel near Decatur City, IA?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Decatur County?

Decatur County reported ~300 chlamydia cases per 100,000 in 2023, below the Iowa average.

Is there an at-home STD test for Decatur City, IA?

At-home kits mail to 50144: self-collect, send to the lab, results in ~2–5 days.

Can someone under 18 get tested in Iowa without a parent?

In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.

What happens if chlamydia goes untreated?

Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.

What samples are used for STD testing near Decatur City, IA?

Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.

What should I do after sexual assault?

Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.