Syphilis recently ran about 18% lower in Pulaski County than the US average. If you live in Fort Leonard Wood, Missouri, and need an STI test whether a first time or a routine screening, weigh whether you'd prefer an insurance-billing clinic or a flat self-pay lab. See your choices below.
Available testing centers
8 testing options are listed for Fort Leonard Wood, MO. The nearest, Four Rivers Community Health Center, is about 4.5 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.
Four Rivers Community Health Center in Saint Robert runs on a sliding-scale fee structure and accepts Medicaid and insurance, covering gonorrhea, chlamydia, syphilis, herpes, rapid and conventional HIV, and hepatitis A, B, and C. With same-visit treatment for bacterial STIs and appointments required. PrEP and PEP are both available.
Plenty of testing sites leave HIV prevention medication to infectious-disease offices or primary care referrals. Four Rivers prescribes both PrEP and PEP directly, keeping ongoing HIV prevention, whether a standing daily regimen or a post-exposure course, inside the same appointment where testing happens.
Four Rivers treats hepatitis C on-site, which means a confirmed diagnosis doesn't end with a lab result and a waiting game. The treatment relationship starts at the same clinic. Patients move from viral detection to a managed care plan without changing providers or navigating a separate specialty system.
Four Rivers tests for herpes and all three hepatitis strains (A, B, and C) alongside the standard gonorrhea, chlamydia, syphilis, and HIV screen. That seven-pathogen panel means a single appointment surfaces exposures that a narrower clinic would simply leave undetected.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Mercy in Saint Robert pairs same-visit treatment for bacterial STIs like gonorrhea and chlamydia with a panel that extends beyond the basics to include herpes, hepatitis A, B, and C, and TB. Appointments are required, fees slide with income, and Medicare and Medicaid are accepted.
Post-exposure doxycycline for STI prevention, DoxyPEP, remains unavailable at most sexual health clinics, which still treat it as a specialist concern. Mercy prescribes it directly, meaning the gap between exposure and prevention doesn't require a separate appointment elsewhere.
Mercy's testing extends to herpes, hepatitis A, B, and C, and TB alongside the standard bacterial and HIV tests. Each of those additional pathogens has its own specimen type, detection window, and follow-up pathway. Staffing that workup in-house means results and next steps come from the same clinical team.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Phelps Health in Waynesville requires an appointment for STI care, so scheduling ahead is the move, but that single visit covers the standard panel for HIV, syphilis, gonorrhea, and chlamydia, same-visit treatment for bacterial infections, and fees scaled to income with Medicaid and insurance accepted.
Languages
English
Tests offered
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Pulaski County Health Department in Waynesville tests for gonorrhea, chlamydia, syphilis, HIV, and hepatitis C, with TB screening alongside, on a sliding-scale fee. Bacterial infections are treated the same visit, and HPV, hepatitis A, and hepatitis B vaccines are available. An appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Central Ozarks Medical Center - Crocker, serving Crocker, earned its federal qualification by tying fees to income. No one is turned away for inability to pay. STI screening here covers syphilis, gonorrhea, and chlamydia, with no appointment needed to get started.
Tests offered
Fees & payment
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Fort Leonard Wood, 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 for simplicity & support
$89 & 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 Pulaski 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.
304 West Washington Avenue, Richland, MO 65556
CMS-certified lab
700 Gw Lane, Waynesville, MO 65583
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Fort Leonard Wood. 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, 109 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fort Leonard Wood. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 21 offer telehealth.
Jerry Seiler, MD
Family medicine · 4430 Missouri Avenue, Fort Leonard Wood
James Eikermann, DO
Family medicine · 165 Park Drive, Saint Robert
Saima Jabeen, MD
Internal medicine · 608 Old Route 66, Saint Robert
Linda Morgan-Evans, MD
Family medicine · 881 Old Route 66, Saint Robert
Benny Thomas, DO
Family medicine · 215 North Street, Waynesville
Jeffrey Semeyn, DO
Family medicine · 904 South Pine Street, Richland
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 Fort Leonard Wood, MO 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.
4.8 mi Mercy Pharmacy Services
4.9 miMedley Pharmacy
6.0 miRPCS
6.3 miThe Health Pals Company
6.5 miHometown Pharmacy
16 miShowing the 6 closest pharmacies to Fort Leonard Wood, MO.
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 Fort Leonard Wood, 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
$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
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 Pulaski County, the county that includes Fort Leonard Wood, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~76% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#21 of 115 Missouri counties for chlamydia, a higher rate than 82% of the state
| Infection | Pulaski County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 407 219 cases ▼ 18% | 498.6 | 492.2 |
| Gonorrhea | 92.9 50 cases ▼ 54% | 201.9 | 179.5 |
| Syphilis (P&S) | 13 7 cases ▼ 40% | 21.5 | 15.8 |
| Syphilis (early) | 9.3 5 cases ▼ 25% | 12.4 | 16 |
| Syphilis (late/unknown) | 20.4 11 cases ▼ 40% | 33.8 | 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 Pulaski County, chlamydia has fallen from 572.7 to 407 per 100,000 (29%), gonorrhea has fallen from 155.7 to 92.9 per 100,000 (40%), and P&S syphilis has risen from 3.7 to 13 per 100,000 (251%).
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 Pulaski County.
Local HIV snapshot
Federal priority area: Missouri is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Pulaski County HIV care continuum (2023)
Among Pulaski County residents living with HIV, 75% are in care · 65.6% 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.
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 Pulaski County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The U.S. Army Engineer, Chemical, and Military Police Museum sits as a landmark of Fort Leonard Wood's identity, marking a place where people arrive, serve, and move through. Often in quick succession.
That transient rhythm shapes health needs differently than in towns where most residents stay put for decades. Young adults cycle through constantly, whether stationed here or passing through, and many live as renters or in shared housing. For this population, confidential STI testing becomes straightforward practical healthcare, not something that requires navigating social weight or worrying about who might notice a visit. Testing in and around Fort Leonard Wood serves people who value efficiency and privacy equally.
A clinic visit doesn't carry the same texture it might in a tight-knit community; getting screened is simply part of staying healthy, without the undercurrent of small-town visibility. That matters for adults who've just arrived, those in nontraditional households, and anyone who prefers to keep medical decisions entirely their own. The clinics and providers listed on this page understand the Fort Leonard Wood demographic, people in transition, people building lives that don't fit a single mold, people who need quick, discreet access to care. Results remain confidential; appointments can be scheduled without delay; and testing happens on a schedule that fits work rotations and unpredictable timelines.
Getting there
At 6.53/20 on the EPA walkability index, day-to-day errands in Fort Leonard Wood 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 65473 snapshot
ZIP-level Census figures for the wider 65473 area around Fort Leonard Wood: a single ZIP can span several communities, so they describe the area, not Fort Leonard Wood alone.
Fort Leonard Wood sits in Pulaski County, ZIP 65473. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Fort Leonard Wood? 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 Pulaski County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri 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 Fort Leonard Wood-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 Fort Leonard Wood 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 Missouri 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 Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: 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.
Possibly, St. Robert, MO is close; compare it by distance against Four Rivers Community Health Center.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 407 cases per 100,000 residents (2023), below the Missouri average.
In Missouri, 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.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.