Franklin, Tennessee, reported syphilis rates are 76% lower than the US average. If you've had a recent risk or need regular testing, Williamson County has options. Community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. See the listings to find the right fit.
Available testing centers
11 testing options are listed for Franklin, TN. The nearest, Mercy Health Services, is about 1.8 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.
Mercy Health Services in Franklin structures its fees on a sliding scale tied to income, ensuring cost is not a barrier to care. Federally qualified and open without appointment requirements, it offers STI screening for syphilis, gonorrhea, and chlamydia to patients across the income spectrum.
Tests offered
Fees & payment
Vanderbilt Health in Franklin charges standard fees with insurance accepted, covering gonorrhea, chlamydia, syphilis, HIV, hepatitis B, hepatitis C, and TB. A panel that goes well beyond the basic four. Appointments are required, and bacterial STIs can be treated the same visit.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Williamson County Health Department in Franklin requires an appointment and covers gonorrhea, chlamydia, syphilis, and HIV testing, with same-visit treatment for bacterial infections, alongside family planning and hepatitis C care, all provided at no fee on a sliding scale.
Every service at Williamson County Health Department (testing, treatment, vaccines, family planning) carries no charge, which means a single visit can address multiple concerns without budgeting one against another.
Spanish-language care at Williamson County Health Department spans the full service menu (testing, counseling, treatment, and prevention) so clinical decisions, follow-up plans, and medication instructions are communicated in the same language from start to finish.
Williamson County Health Department provides hepatitis C treatment directly, meaning the care relationship that begins with a diagnosis continues through the treatment course at the same location, without redirecting patients elsewhere to access curative therapy.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
A public STD-testing location about 4 miles from Franklin.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Middle Tennessee Internal Medicine Associates in Nashville tests for gonorrhea, chlamydia, syphilis, and HIV on a fee-based model that accepts Medicare and most insurance: appointments are required, and bacterial STIs can be treated the same visit.
Middle Tennessee Internal Medicine Associates carries PrEP as a standing service, meaning anyone without a primary care relationship who needs ongoing HIV prevention medication can establish care here and get it prescribed and managed in one place, without piecing together multiple providers.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Neighborhood Health @ Welshwood, Nashville, calibrates fees to income so cost isn't a barrier to STI care. As a Title X grantee, it extends legally confidential services to minors seeking family-planning support. Screening covers syphilis, gonorrhea, and chlamydia, with no appointment needed.
Tests offered
Fees & payment
Nashville CARES tests for HIV, hepatitis C, syphilis, gonorrhea, and chlamydia, all at no charge, with sliding-scale fees applied across every other service. Bacterial infections are treated same visit, HPV and hepatitis vaccines are on hand, and an appointment is required.
A bill that arrives weeks after a diagnosis can quietly delay follow-through, a prescription not filled, a partner not notified, a return visit skipped. Nashville CARES absorbs that risk entirely: testing, treatment, vaccines, and prevention services all carry no fee, so the care you leave with is the care you actually use.
Plenty of clinics flag Spanish as a service, then route it through a staffer who handles scheduling calls. Nashville CARES delivers clinical care in Spanish directly, meaning the exam, the counseling, and the treatment conversation all happen in the same language. Nothing summarized, nothing lost in relay.
Nashville CARES prescribes and manages both PrEP and PEP in-house, which means your prevention regimen and your testing history live in the same record, and any adjustment to one can immediately inform the other.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
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 2 miles away; if you'd rather skip the trip, an at-home kit ships to Franklin, 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 value: single tests
$49 & 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 Williamson 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.
400 Sugartree Lane, Suite 510, Franklin, TN 37064
CMS-certified lab Accredited · College of American Pathologists
357 Riverside Drive, Suite 1005, Franklin, TN 37064
CMS-certified lab Accredited · College of American Pathologists
4037 Rural Plains Circle Suite 150, Franklin, TN 37064
CMS-certified lab Accredited · College of American Pathologists
357 Riverside Dr Suite 214, Franklin, TN 37064
CMS-certified lab Accredited · College of American Pathologists
357 Riverside Dr Suite 204, Franklin, TN 37064
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Franklin. 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, 1,377 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Franklin. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 411 offer telehealth.
Doak Phillips
Internal medicine · 4020 Aspen Grove Drive, Franklin
Michelle Roach, MD
OB-GYN · 2009 Mallory Lane, Franklin
Leah Cordovez, MD
Internal medicine · 580 Franklin Road, Franklin
Lynn Holliday, MD
Family medicine · 919 Murfreesboro Road, Franklin
Samuel Rosenbloom, MD
Internal medicine · 919 Murfreesboro Road, Franklin
Jose Irizarry, MD
OB-GYN · 124 1st Avenue South, Franklin
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 Franklin, 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.
1.0 mi Pharmblue Tennessee
1.2 mi
1.2 mi Southern Family Market
1.3 mi
1.3 mi Showing the 5 closest pharmacies to Franklin, TN.
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 Franklin, 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 $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
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 Williamson County, the county that includes Franklin, 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.
#81 of 95 Tennessee counties for chlamydia, a higher rate than 15% of the state
| Infection | Williamson County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 168.6 446 cases ▼ 67% | 517.4 | 492.2 |
| Gonorrhea | 41.2 109 cases ▼ 78% | 186.4 | 179.5 |
| Syphilis (P&S) | 3.8 10 cases ▼ 74% | 14.8 | 15.8 |
| Syphilis (early) | 2.3 6 cases ▼ 80% | 11.5 | 16 |
| Syphilis (late/unknown) | 2.6 7 cases ▼ 90% | 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.
Between 2020 and 2023 in Williamson County, chlamydia has fallen from 184.1 to 168.6 per 100,000 (8%), gonorrhea has fallen from 47.2 to 41.2 per 100,000 (13%), and P&S syphilis has risen from 1.2 to 3.8 per 100,000 (217%).
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 Williamson County.
Local HIV snapshot
Williamson County HIV care continuum (2023)
Williamson County recorded 4.1 new HIV diagnoses per 100,000 (2023), against 14.8 statewide and 13.7 nationally. Among Williamson County residents living with HIV, 83.2% are in care · 76.8% 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 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 Williamson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Carter House sits near the center of Franklin's story, a place where the past is kept close and the community around it is built around long-term roots. That stability shapes how health decisions get made here. With nearly two-thirds of residents owning their homes and most households built around families, health tends to get filtered through routines: school schedules, work commutes along Mack C Hatcher Memorial Parkway, and the practical math of managing a household that, on average, holds three people. Screening often waits not out of indifference, but because it genuinely competes with a full calendar. That calendar is a real factor.
Franklin's workforce participation is high and its unemployment rate reflects a community where most people are working steadily, often full schedules that leave narrow windows for appointments. Rent near $1,500 a month means that even in a high-earner city, younger adults and those still building their footing can feel the pressure of every out-of-pocket cost. People in their late teens and twenties are precisely the group where STI transmission is most concentrated, and for them, finding a clinic that fits geographically and financially is what determines whether testing actually happens. The options listed on this page span different hours, fee structures, and locations across the city, including areas around TN 96, so there's a realistic path to getting screened without rearranging a week built around Sturbridge Pointe or Rolling Rivers.
Getting there
At 7.52/20 on the EPA walkability index, day-to-day errands in Franklin 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 37064 snapshot
ZIP-level Census figures for the wider 37064 area around Franklin: a single ZIP can span several communities, so they describe the area, not Franklin alone.
Franklin sits in Williamson County, ZIP 37064. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Franklin? 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 Williamson 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.
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 Franklin-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 Franklin 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 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).
In Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
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 TennesseeSource: 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Williamson County reported ~169 chlamydia cases per 100,000 in 2023, below the Tennessee average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, sores or ulcers can indicate herpes or syphilis and should be evaluated quickly, ideally while a sore is present.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Sexually active people, especially under 25 or with new/multiple partners; everyone 13–64 should test for HIV at least once.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.