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STD Testing in Decherd, TN: Free, Same-Day & Confidential

In Franklin County, Tennessee, gonorrhea rates are 59% lower than the national average. If you live in Decherd, Tennessee, and have symptoms or want routine screening, different options balance convenience and timing. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time.

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STD testing near Decherd, TN

5 testing options are listed for Decherd, TN. The nearest, American Esoteric Laboratories, is about 2.9 miles away. Compare community and public clinics, private labs, and at-home kits below.

Best for free testing 4.6 miles

Tennessee Department of Health

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Tennessee Department of Health in Winchester tests for gonorrhea, syphilis, chlamydia, and HIV, treating confirmed bacterial infections the same visit on a sliding-scale fee, and for many patients, every service costs nothing at all.

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Every Service Carries a Zero Dollar Price

The Tennessee Department of Health in Winchester operates under a complete fee waiver: Medicaid, Medicare, and insurance are accepted, sliding-scale pricing covers the gap, and for patients who qualify, the total charge across testing, treatment, and vaccination is zero. No partial carve-outs.

Spanish-Speaking Staff Serve Clinical Needs Directly

Spanish is a working clinical language at Tennessee Department of Health in Winchester, which means symptom histories, treatment instructions, and follow-up plans are communicated directly. Not delayed while waiting for outside assistance to arrange.

Tests & treats Sliding-scale
Address
266 Joyce Lane, Winchester, TN 37398
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
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 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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More ways to get tested in Decherd, TN

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 Decherd, TN

The nearest testing center is about 3 miles away; if you'd rather skip the trip, an at-home kit ships to Decherd, 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 Decherd, TN

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

  • Associated Pathologist

    183 Hospital Road, Suite East, Winchester, TN 37398

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • High

    185 Hospital Road, Winchester, TN 37398

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • Qualderm Partners

    2092 Cowan Highway, Winchester, TN 37398

    CMS-certified lab

    • STD testing

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Decherd. 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 Decherd, TN who may help arrange STD testing

Beyond dedicated clinics, 88 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Decherd. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.

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 Decherd, TN

No pharmacy near Decherd, TN 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.

  • Kroger Pharmacy 1.3 mi
    Rx pickupHPV & Hep B vaccinesCondoms / EC
  • Walgreens 1.3 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • CVS Pharmacy 1.4 mi
    Rx pickupOTC HIV self-testAt-home STI kitsMinuteClinic STI careHPV & Hep B vaccinesCondoms / EC
  • Walmart Pharmacy 1.6 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
  • Bennett's Pharmacy

    1.9 mi
    Rx pickupCondoms / EC
  • Blue Front Drug

    2.9 mi
    Rx pickupCondoms / EC

Showing the 6 closest pharmacies to Decherd, TN.

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 Decherd, 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 Franklin County: the local picture

How reported STI rates in Franklin County, the county that includes Decherd, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#43 of 95 Tennessee counties for chlamydia, a higher rate than 55% of the state

Reported STD rates per 100,000, Franklin County vs Tennessee vs U.S.

Franklin County Tennessee U.S. ▲▼ = Franklin County vs the state average
Infection Franklin County Tennessee United States
Chlamydia
284.4 127 cases ▼ 45%
517.4 492.2
Gonorrhea
73.9 33 cases ▼ 60%
186.4 179.5
Syphilis (P&S) — no data 14.8 15.8
Syphilis (early) — no data 11.5 16
Syphilis (late/unknown)
6.7 3 cases ▼ 75%
26.4 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 Franklin County over time (per 100,000)

Chlamydia ▲ 15% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 175 350 2020202120222023

Between 2020 and 2023 in Franklin County, chlamydia has fallen from 320.3 to 284.4 per 100,000 (11%), gonorrhea has fallen from 210.4 to 73.9 per 100,000 (65%), and P&S syphilis has fallen from 9.4 to 6.8 per 100,000 (28%).

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 Decherd, TN

Adults uninsured
11.2%
No routine checkup
20.3%
Binge drinking
13.1%
Frequent mental distress
19.1%
Depression
29.5%
Below poverty line
12.4%
Primary-care ratio
1,801 : 1
Franklin County
  • Primary-care shortage score 14 / 26
  • Medically Underserved Area · IMU 54
  • Social Vulnerability Index · 42nd 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 Franklin County.

Local HIV snapshot

HIV in Franklin County (2023)

People living with HIV
86 / 100k
PrEP users / 100k
73

Franklin County HIV care continuum (2023)

Among Franklin County residents living with HIV, 78.1% are in care · 68.8% 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.

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 Franklin County tests for syphilis.

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

18 Sources

Local resources & officials

Data & references

About Decherd, TN

SR 50 splits Decherd into its daily rhythms (East Main Street catching the morning shift traffic, West Main Street quieter by comparison) and somewhere along that corridor, more than half of residents are renting, most at rents that leave little room for unexpected healthcare costs. That financial tightness is real: with few households earning above the high-earner threshold and a majority renting rather than owning, an out-of-pocket clinic visit can feel like a genuine budget decision, not a trivial errand. That calculus hits hardest for younger adults, people in their mid-twenties navigating shared households and early careers, who also happen to be in the years when STIs spread most readily and when regular screening matters most.

Larger-than-average household sizes mean people are often living with family or roommates, which shapes what privacy looks like and when a private appointment feels possible. None of the options listed on this page sit in Decherd itself: every one requires a real drive out, likely along SR 50 toward Winchester or beyond. Knowing which option fits your route on a specific day, and whether it accepts your coverage, is the practical groundwork that actually determines whether screening happens.

Getting there

How residents reach STD testing in Decherd, TN

Walkability 5.16 / 20 · Least walkable

At 5.16/20 on the EPA walkability index, day-to-day errands in Decherd 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 Decherd, Tennessee, EasySTD

ZIP 37398 snapshot

Residents
15,712
Median age
44.1
Median income
$63,542

ZIP-level Census figures for the wider 37398 area around Decherd: a single ZIP can span several communities, so they describe the area, not Decherd alone.

Decherd sits in Franklin County, ZIP 37398. Local context that shapes where residents test:

Local landmarks

  • Little Mountain
  • Penile Hill
  • City of Decherd Babe Ruth Ball Park
  • Hank Weddington Park
  • Harvey's Garden
  • Old Jail museum

Neighborhoods & communities

  • Winchester

Major routes

  • SR 50 (East Main Street)
  • US 41A (Decherd Boulevard)

STD testing in Decherd, TN: screening, costs & privacy

Everything to know before you test in Franklin County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee 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 Decherd-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 Decherd 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 Tennessee

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

Two things that actually depend on Tennessee 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 Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

Tennessee 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 Tennessee

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

STD testing FAQs for Decherd, TN

Answers to the questions people ask most before getting tested.

How many places can I test near Decherd, TN?

There are 4 options within a 30-mile drive.

Does insurance cover STD testing near Decherd, TN?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Is there free HIV testing near Decherd, TN?

Yes, free HIV testing is available at public clinics in the area.

What's included in a full panel near Decherd, TN?

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

How common is chlamydia in Franklin County?

Franklin County reported ~284 chlamydia cases per 100,000 in 2023, below the Tennessee average.

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

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

Is there an at-home STD test for Decherd, TN?

At-home kits mail to 37398: self-collect, send to the lab, results in ~2–5 days.

How do I prepare for an STD test near Decherd, TN?

Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.

How do I tell a partner I tested positive?

Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.

Is STD testing part of prenatal care?

Pregnancy screening is standard; ask about an early-pregnancy STI panel.

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