Sanford Health Laboratories
- Address
- 521 East Sioux Avenue, Pierre, SD 77.7 miles away
- Phone
- 605‑945‑5560
- Chlamydia
- Gonorrhea
- Syphilis
- Herpes
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Rapid HIV
- Conventional HIV
Ziebach County reports about 1507 chlamydia cases per 100,000 residents. If you live in Dupree, South Dakota, consider getting tested before starting a new relationship or as part of ongoing care. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. Check the options listed below.
Available testing centers
No STD testing centers are located in Dupree, SD. The nearest, Sanford Health Laboratories, is about 77.7 miles away. At-home STD kits and online lab tests ship to your ZIP; compare private labs and at-home kits below.
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 78 miles away; if you'd rather skip the trip, an at-home kit ships to Dupree, 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 for simplicity & support
$89 & 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.
Nearby pharmacies
No pharmacy near Dupree, SD 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.
Vilas Health & Variety
18 miShowing the 1 closest pharmacy to Dupree, SD.
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 Dupree, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
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 Ziebach County, the county that includes Dupree, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~34% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#5 of 66 South Dakota counties for chlamydia, a higher rate than 92% of the state
| Infection | Ziebach County | South Dakota | United States |
|---|---|---|---|
| Chlamydia | 1507.3 35 cases ▲ 184% | 531.6 | 492.2 |
| Gonorrhea | 602.9 14 cases ▲ 138% | 253.3 | 179.5 |
| Syphilis (P&S) | 516.8 12 cases ▲ 604% | 73.4 | 15.8 |
| Syphilis (early) | 818.3 19 cases ▲ 965% | 76.8 | 16 |
| Syphilis (late/unknown) | 129.2 3 cases ▲ 77% | 72.9 | 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 Ziebach County, chlamydia has risen from 704.5 to 1507.3 per 100,000 (114%), gonorrhea has risen from 497.3 to 602.9 per 100,000 (21%), and P&S syphilis has risen from 375.8 to 516.8 per 100,000 (38%).
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 Ziebach County.
Local HIV snapshot
Ziebach County HIV care continuum (2021)
Ziebach County recorded 0 new HIV diagnoses per 100,000 (2021), against 6.8 statewide and 13.7 nationally. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · 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 Ziebach County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Dupree is a place where the open plains meet the rural landscape, and residents often find themselves traveling long distances to access essential services. With a mix of homeowners and renters, the community has a strong sense of roots, as over half of the residents own their homes. However, for those who rent, the typical monthly rent can be a significant expense, and one that may take priority over other aspects of life.
The town's workforce is a key part of its character, with a relatively high labor-force participation rate and a notable share of households earning higher incomes. Many households in Dupree are larger, with an average size that reflects the community's strong family ties. Married couples make up a smaller share of households, and with a relatively high unemployment rate, many residents may be juggling multiple priorities. For young adults still forming relationships and building their careers, accessing healthcare services can be a challenge, especially when daily life is busy and the county's rural spread means that services are not always close by.
As residents navigate their daily lives, staying current with health check-ups can make a big difference – especially in a community where the younger adult population is a significant share of the overall population. In Ziebach County, the local health landscape is an important part of life, and taking care of one's health is essential for being able to work, care for family, and enjoy the community's rural beauty.
Getting there
At 4.1/20 on the EPA walkability index, day-to-day errands in Dupree 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 57623 snapshot
ZIP-level Census figures for the wider 57623 area around Dupree: a single ZIP can span several communities, so they describe the area, not Dupree alone.
Nearby cities & towns
Just outside Dupree? 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 Ziebach County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under South Dakota 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 Dupree-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 Dupree 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 South Dakota 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 South Dakota, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Expedited Partner Therapy (EPT) is potentially allowable in South Dakota: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.
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 South DakotaSource: 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.
Nearest is Sanford Health Laboratories, about 77.7 mi away. An at-home kit shipped to 57623 also works.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Ziebach County reported ~1,507 chlamydia cases per 100,000 in 2023, above the South Dakota average.
Most results are ready in about 1–2 days.
In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 57623: self-collect, send to the lab, results in ~2–5 days.
It's a common STI symptom; test for chlamydia and gonorrhea and have a provider check you.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Many STIs are fully cured with antibiotics; others, like HIV and herpes, are well managed with treatment.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.