Shelby County runs about 45% lower than the US average in new HIV diagnoses. If you're in Fourmile, Alabama, and need testing after a possible exposure or as part of routine care, you'll find clinics that may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. We list options below.
Available testing centers
7 testing options are listed for Fourmile, AL. The nearest, The Sylacauga Health Care Authority, is about 11.7 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 12 miles from Fourmile. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Lyons Primary Care in Birmingham accepts Medicaid and private insurance, with a fee schedule for others, and runs a panel spanning HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, plus TB: by appointment, with same-visit treatment for bacterial infections and HPV and hepatitis vaccines on-site. Services are available in Tagalog.
Lyons Primary Care delivers care in Tagalog, meaning clinical conversations (about symptoms, treatment, and next steps) happen in that language without any layer in between. The result is that nothing gets simplified or deferred because of how it had to be communicated.
The panel at Lyons Primary Care includes herpes and hepatitis A, B, and C alongside the core four bacterial STIs and HIV. infections in a single appointment. Catching hepatitis C, in particular, enables on-site management of an infection that often goes undetected without explicit testing.
Languages
English, Tagalog
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Cahaba Medical Care - Alabaster, in Alabaster, welcomes walk-ins for STI screening without an appointment. As a federally qualified health center, it ties fees to income on a sliding scale, covering syphilis, gonorrhea, and chlamydia in a single visit.
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 12 miles away; if you'd rather skip the trip, an at-home kit ships to Fourmile, 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 value: single tests
$49 & 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 Shelby 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.
632 2nd Street Northeast, Alabaster, AL 35007
CMS-certified lab
7131 Cahaba Valley Road, Birmingham, AL 35242
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Fourmile. 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, 895 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fourmile. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 189 offer telehealth.
Austin Gauldin, DO
Family medicine · 247 Walton Street, Columbiana
Anthony Ciulla, MD
Family medicine · 22969, Columbiana
Randolph Lamberson, MD
Family medicine · 331 Chelsea Corners Way, Chelsea
Wilbur Wells, MD
Urology · 109 Foothills Parkway, Chelsea
Megan Poston, MD
OB-GYN · 398 Chesser Drive, Chelsea
Gordon Connor, MD Telehealth
Internal medicine · 33637 US Hwy 280, Childersburg
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 Fourmile, AL 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.
Wilsonville Pharmacy
4.1 mi
5.9 mi Sniders Discount Pharmacy
7.9 mi
7.9 mi 
8.2 mi Chelsea Apothecary
8.2 miShowing the 6 closest pharmacies to Fourmile, AL.
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 Fourmile, 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.
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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Shelby County, the county that includes Fourmile, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#58 of 67 Alabama counties for chlamydia, a higher rate than 13% of the state
| Infection | Shelby County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 293.6 684 cases ▼ 55% | 651.1 | 492.2 |
| Gonorrhea | 81.1 189 cases ▼ 64% | 226.9 | 179.5 |
| Syphilis (P&S) | 10.7 25 cases ▼ 63% | 28.6 | 15.8 |
| Syphilis (early) | 11.2 26 cases ▼ 45% | 20.4 | 16 |
| Syphilis (late/unknown) | 9 21 cases ▼ 63% | 24.5 | 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 Shelby County, chlamydia has risen from 273.5 to 293.6 per 100,000 (7%), gonorrhea has fallen from 96.4 to 81.1 per 100,000 (16%), and P&S syphilis has risen from 3.6 to 10.7 per 100,000 (197%).
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 Shelby County.
Local HIV snapshot
Federal priority area: Alabama 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.
Shelby County HIV care continuum (2023)
Shelby County recorded 7.6 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Shelby County residents living with HIV, 73.9% are in care · 54.7% 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 Shelby County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Fourmile skews heavily toward homeowners: the kind of place where most households have put down roots, settled into a mortgage, and built their lives around staying put. That stability shapes who's actually navigating the healthcare landscape here: a relatively small share of residents are renting, moving frequently, or piecing together temporary situations, which means the younger adults still forming relationships, the people statistically most likely to encounter an STI, are often embedded in tight-knit, marriage-centered households where testing can feel like a private undertaking rather than a routine errand. That privacy concern meets a practical one. With unemployment running notably high and more than four in ten working-age residents outside the labor force entirely, scheduling around clinic hours is a real constraint for a lot of people.
Not just an inconvenience. Columbiana Mountain and Oak Meadow Park mark a place that feels settled and unhurried, but settled doesn't mean shielded. Finding a nearby option and confirming its hours before you drive out is the most practical first step anyone can take.
Getting there
At 4.85/20 on the EPA walkability index, day-to-day errands in Fourmile 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 35186 snapshot
ZIP-level Census figures for the wider 35186 area around Fourmile: a single ZIP can span several communities, so they describe the area, not Fourmile alone.
Fourmile sits in Shelby County, ZIP 35186. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Fourmile? 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 Shelby County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alabama 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 Fourmile-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 Fourmile 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 Alabama 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 Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Alabama 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 AlabamaSource: 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 The Sylacauga Health Care Authority, about 11.7 mi away; 7 are within 30 miles. An at-home kit shipped to 35186 also works.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Shelby County reported ~294 chlamydia cases per 100,000 in 2023, below the Alabama average.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
At-home kits mail to 35186: self-collect, send to the lab, results in ~2–5 days.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
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.