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STD Testing in Fayetteville, TX: Free, Same-Day & Confidential

Fayette County has about 57% fewer reported cases of chlamydia than the national average. If you live in Fayetteville, Texas and want options for either a one-time concern or regular check-ups, consider whether you prefer same-day testing at local clinics that accept walk-ins, or the flexibility of labs and at-home kits that fit your schedule. We list your options below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

STD testing near Fayetteville, TX

6 testing options are listed for Fayetteville, TX. The nearest, Tejas Health Care Medical Center, is about 11.5 miles away. Compare 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 11.5 miles

Tejas Health Care Medical Center

Where these reviews come from

Review sources

  • Google27
  • EasySTD3
Rated 3.7 out of 5 from 30 reviews

Tejas Health Care Medical Center in La Grange meets people where they are (uninsured, between providers, or paying cash) through federally qualified standing that ties fees to income. Walk-ins can access sliding-scale STI screening for syphilis, gonorrhea, and chlamydia without an appointment.

Sliding-scale
Address
890 East Travis Street, La Grange, TX 78945
Website
Community health center 11.6 miles

Tejas Health Care

Where these reviews come from

Review sources

  • Google4
  • EasySTD1
Rated 5 out of 5 from 5 reviews

Tejas Health Care in La Grange structures its fees on a sliding scale tied to income, so cost is never a barrier to care. Federal qualification backs that commitment. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia.

Sliding-scale
Address
753 East Travis Street, La Grange, TX 78945
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 Fayetteville, TX

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 Fayetteville, TX

The nearest testing center is about 12 miles away; if you'd rather skip the trip, an at-home kit ships to Fayetteville, 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 Fayetteville, TX

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

  • Ctvhcs - LA Grange Cboc

    2 St Mark'S Place, La Grange, TX 78945

    CMS-certified lab

    • STD testing
  • TRU-Skin Dermatology-LA Grange

    2 St Marks Place Suite 140, La Grange, TX 78945

    CMS-certified lab

    • STD testing

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

Beyond dedicated clinics, 71 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fayetteville. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 26 offer telehealth.

  • Troy Millican, MD

    Family medicine · 2122 Hwy 71 South, Columbus

  • Kyle Hudson, MD

    Family medicine · 890 East Travis Street, La Grange

  • Jeff Ethridge, MD

    Family medicine · 1 Saint Marks Place, La Grange

  • Shannon Juno, MD Telehealth

    OB-GYN · 1720 Von Minden Road, La Grange

  • Hans Raj, MD Telehealth

    Family medicine · 1253 North Von Minden Street, La Grange

  • Curtis Vanhouten, DO

    Family medicine · 206 East Jackson Street, Weimar

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 Fayetteville, TX

No pharmacy near Fayetteville, 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.

  • Walmart Pharmacy 9.5 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
  • Winns Discount Pharmacy

    11 mi
    Rx pickupCondoms / EC
  • H-E-B Pharmacy 12 mi
    Rx pickupHPV & Hep B vaccinesCondoms / EC
  • Pharm House Drug - la Grange

    12 mi
    Rx pickupCondoms / EC
  • Lifechek

    12 mi
    Rx pickupCondoms / EC
  • Schroeder Drug

    12 mi
    Rx pickupCondoms / EC

Showing the 6 closest pharmacies to Fayetteville, TX.

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 Fayetteville, 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 Fayette County: the local picture

How reported STI rates in Fayette County, the county that includes Fayetteville, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~12% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#184 of 254 Texas counties for chlamydia, a higher rate than 28% of the state

Reported STD rates per 100,000, Fayette County vs Texas vs U.S.

Fayette County Texas U.S. ▲▼ = Fayette County vs the state average
Infection Fayette County Texas United States
Chlamydia
212 54 cases ▼ 57%
491.9 492.2
Gonorrhea
66.7 17 cases ▼ 62%
176.4 179.5
Syphilis (P&S)
7.9 2 cases ▼ 47%
15 15.8
Syphilis (early)
15.7 4 cases ▼ 41%
26.4 16
Syphilis (late/unknown) — no data 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.

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

Chlamydia ▼ 40% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 200 400 2020202120222023

Between 2020 and 2023 in Fayette County, chlamydia has fallen from 237.4 to 212 per 100,000 (11%), gonorrhea has risen from 45 to 66.7 per 100,000 (48%), and P&S syphilis has held roughly steady from 7.9 to 7.9 per 100,000.

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 Fayetteville, TX

Adults uninsured
10.1%
No routine checkup
20%
Binge drinking
14.8%
Frequent mental distress
14.3%
Depression
21.3%
Below poverty line
7.7%
Primary-care ratio
3,086 : 1
Fayette County
  • Primary-care shortage score 19 / 26
  • Medically Underserved Area · IMU 59
  • 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 Fayette County.

Local HIV snapshot

HIV in Fayette County (2023)

People living with HIV
169 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
78

Fayette County HIV care continuum (2023)

Fayette County recorded 0 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Fayette County residents living with HIV, 83.8% are in care · 78.4% 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 Fayette County tests for syphilis.

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

17 Sources

Local resources & officials

Data & references

About Fayetteville, TX

St. John the Baptist Catholic Church anchors the west end of East Main Street the way Fayetteville itself feels, rooted, owner-occupied, mostly settled in place. More than four in five households here own their homes, and the majority of adults are married, which shapes how people think about health decisions: quietly, within families, without much urgency around routine screening. For younger adults still figuring out relationships and coverage, that drive is the whole story. With nearly half the working-age population outside the labor force and a modest unemployment rate suggesting those who do work are often fully committed to those hours, carving out a weekday appointment requires actual planning.

Not just intention. Cost compounds the distance. At $875 a month for renters (a thin slice of Fayetteville households, but a real one) out-of-pocket testing fees land differently than they do for the larger share of homeowners with household incomes in the six figures. The sliding-scale and low-cost options flagged in the clinic cards here exist precisely for that gap, and knowing which ones accept walk-ins before making the drive down FM 955 is worth a phone call first.

Getting there

How residents reach STD testing in Fayetteville, TX

Walkability 5.49 / 20 · Least walkable

At 5.49/20 on the EPA walkability index, day-to-day errands in Fayetteville 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 6 STD & STI testing locations in Fayetteville, Texas, EasySTD

ZIP 78940 snapshot

Residents
2,284
Median age
56.1
Median income
$90,431

ZIP-level Census figures for the wider 78940 area around Fayetteville: a single ZIP can span several communities, so they describe the area, not Fayetteville alone.

Fayetteville sits in Fayette County, ZIP 78940. Local context that shapes where residents test:

Local landmarks

  • The Reverend Joseph Chromcik
  • St. John The Baptist Catholic church
  • Site of Svrcek Building
  • Fayetteville SPJST
  • Site of Svrcek Garage
  • Fayette County Precinct No. 2 Courthouse

Major routes

  • TX 159 (East Main Street)
  • FM 955 (West Market Street)

STD testing in Fayetteville, TX: screening, costs & privacy

Everything to know before you test in Fayette 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.

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 Fayetteville-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 Fayetteville 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 Texas

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

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).

Can a minor consent on their own?

In Texas, 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)

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 Texas

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

STD testing FAQs for Fayetteville, TX

Answers to the questions people ask most before getting tested.

Where can I get tested for STDs in Fayetteville, TX?

The closest is Tejas Health Care Medical Center (11.5 mi); 3 options are within 30 miles.

Does insurance cover STD testing near Fayetteville, TX?

Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.

Can I get tested in Fayetteville, TX without insurance?

Yes, community and public clinics test the uninsured, with sliding-scale fees.

Which tests are offered near Fayetteville, TX?

Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.

How common is chlamydia in Fayette County?

About 212 cases per 100,000 residents (2023), below the Texas average.

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

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

What's included in a standard STD panel?

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

Should I test again after being treated?

A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.

Can syphilis be treated?

It's curable with antibiotics; catching it early avoids serious complications.

Can rectal pain or discharge be an STD?

Yes, rectal symptoms can come from chlamydia or gonorrhea; ask for a rectal swab if you had anal exposure.

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