Wise County sees about 32% fewer new HIV diagnoses than the nation-wide average. If you're in Decatur, Texas, and want testing before starting a new relationship or as part of ongoing care, choose between visiting a clinic for immediate attention and starting treatment or using an at-home kit for convenience and flexibility.
Available testing centers
9 testing options are listed for Decatur, TX. The nearest, Labcorp, 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 public safety-net rural health clinic about 19 miles from Decatur. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Texas Health Family Care in Justin covers gonorrhea, chlamydia, syphilis, HIV, hepatitis B, hepatitis C, and TB under a sliding-scale fee structure accepted by Medicaid, Medicare, and most insurance. Bacterial infections treated at the same visit, with an appointment required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Health Services of North Texas in Denton pairs rapid HIV testing with same-visit treatment for bacterial STIs like gonorrhea, chlamydia, and syphilis: all on a sliding-scale fee structure that accepts Medicaid, Medicare, and private insurance. Appointments are required. Care is delivered in Spanish.
When a language barrier stalls a follow-up question or a treatment instruction, the gap between diagnosis and resolved infection widens. Sometimes by weeks. At Health Services of North STI care is delivered directly in Spanish, so nothing in the clinical conversation gets lost between the exam room and the pharmacy.
Health Services of North Texas holds Ryan White funding, meaning HIV care doesn't stop at a positive result. Testing connects directly into ongoing medical treatment managed at the same clinic, keeping the relationship with a provider intact through every stage.
Health Services of North Texas prescribes both PrEP and PEP directly, which means prevention medication and the medical oversight that makes it effective come from the same clinical team handling your STI care.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Be Well Primary Care in Azle accepts Medicare and most insurance plans for STI testing covering HIV, gonorrhea, chlamydia, and syphilis. With fees determined by your coverage. Appointments are required, and STI treatment is available alongside family planning at the same visit.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
MEDI Care Clinics in Denton pairs STI testing with substance-use treatment in the same practice, a combination that shapes every service it offers. Walk-in appointments, sliding-scale fees, and same-visit treatment for bacterial infections like gonorrhea and chlamydia round out the panel.
Clinics that test only for gonorrhea, chlamydia, syphilis, and HIV leave herpes, hepatitis B, and hepatitis C unexamined. Gaps patients rarely realize exist until they ask. MEDI Care Clinics runs all of those tests, so a single visit produces a picture that the narrower panel simply cannot.
When substance-use treatment exists somewhere other than where STI care happens, the distance between the two becomes its own obstacle. Another intake, another wait, another chance for care to stall. At MEDI Care Clinics in Denton, both services operate together, so an STI diagnosis and the broader health work around it don't get separated.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Decatur, 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 Wise 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.
609 Medical Center Drive, Decatur, TX 76234
CMS-certified lab Accredited · Joint Commission
902 Preskitt Rd Suite 300, Decatur, TX 76234
CMS-certified lab
2202 US-380 East Unit 107, Bridgeport, TX 76426
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Decatur. 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, 293 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Decatur. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 75 offer telehealth.
John Richardson, MD Telehealth
Family medicine · 2301 South Fm, Decatur
Eduardo Jaramillo, MD
OB-GYN · 2451 South Fm, Decatur
Renee Smith, MD
OB-GYN · 2451 South Fm, Decatur
Douglas Kyle, MD
OB-GYN · 2451 South Fm, Decatur
Scott Van Poppel, MD
Internal medicine · 609 Medical Ctr Drive, Decatur
Srinivasa Mandadapu, MD
Internal medicine · 609 Medical Ctr Drive, Decatur
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 Decatur, 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.
Best Value Renshaw Drug
0.7 miBrookshire Pharmacy
9.6 mi
9.6 mi Boyd Medicine Store
10 miSolaris Pharmacy
10 miS and J Alvord Pharmacy
11 miShowing the 6 closest pharmacies to Decatur, 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 Decatur, 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 Wise County, the county that includes Decatur, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#222 of 254 Texas counties for chlamydia, a higher rate than 13% of the state
| Infection | Wise County | Texas | United States |
|---|---|---|---|
| Chlamydia | 153.7 120 cases ▼ 69% | 491.9 | 492.2 |
| Gonorrhea | 26.9 21 cases ▼ 85% | 176.4 | 179.5 |
| Syphilis (P&S) | 7.7 6 cases ▼ 49% | 15 | 15.8 |
| Syphilis (early) | 9 7 cases ▼ 66% | 26.4 | 16 |
| Syphilis (late/unknown) | 7.7 6 cases ▼ 83% | 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 Wise County, chlamydia has fallen from 192.3 to 153.7 per 100,000 (20%), gonorrhea has fallen from 67 to 26.9 per 100,000 (60%), and P&S syphilis has risen from 4.4 to 7.7 per 100,000 (75%).
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 Wise County.
Local HIV snapshot
Wise County HIV care continuum (2023)
Wise County recorded 9.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Wise County residents living with HIV, 89.2% are in care · 77.1% 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 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 Wise County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The neighborhood anchored by the Episcopal Mission of the Ascension draws a mix of long-term homeowners and younger renters who together make up much of Decatur's working core. With nearly two-thirds of adults in the labor force and a meaningful share holding jobs in trades, transport, or services that run on shift schedules rather than nine-to-five hours, squeezing a clinic visit into a weekday afternoon is rarely as simple as it sounds. That schedule reality lands hardest on people in their late teens and twenties, the years when STI transmission rates run highest and when relationship patterns shift most.
Decatur's household profile, with average households running above three people and just under half of adults married, suggests a community where overlapping households and new partnerships are common, making routine screening a practical form of care rather than a reactive one. The majority of residents own their homes, but for the third who rent, a monthly payment around a thousand dollars leaves limited room to absorb an unplanned medical bill, so low-cost or sliding-scale options on this page matter. That range is what lets Decatur residents match screening to their actual lives rather than bending their week around a single appointment.
Getting there
At 5/20 on the EPA walkability index, day-to-day errands in Decatur 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 76234 snapshot
ZIP-level Census figures for the wider 76234 area around Decatur: a single ZIP can span several communities, so they describe the area, not Decatur alone.
Decatur sits in Wise County, ZIP 76234. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Decatur? 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 Wise 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 Decatur-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 Decatur 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.
The closest is Labcorp (0.5 mi); 9 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 154 cases per 100,000 residents (2023), below the Texas average.
In Texas, 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.
Yes, at-home kits ship to 76234; you collect a sample, mail it back, and get results in about 2–5 days.
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.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.