In Boone County, reported syphilis runs about 76% lower than the US average. Whether you have symptoms or just want peace of mind in Fraser, Iowa, public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. Here are your options.
Available testing centers
5 testing options are listed for Fraser, IA. The nearest, Boone County Hospital, is about 6.7 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 7 miles from Fraser. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 10 miles from Fraser. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Community Health Center in Dayton requires an appointment, so scheduling ahead means arriving to a visit that covers rapid HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C testing, same-visit treatment for bacterial STIs, and HPV and hepatitis A and B vaccines. All on a sliding-scale fee, with care available in Spanish.
Community Health Center's panel extends to seven pathogens: adding herpes simplex and both hepatitis B and hepatitis C to the standard gonorrhea, chlamydia, syphilis, and HIV screen. Testing for herpes and hepatitis C at the same appointment means those results inform the same clinical picture, not a separate follow-up elsewhere.
Spanish-language care at Community Health Center is an operational fact of service delivery: counseling, treatment decisions, and medication adherence education are conducted directly in Spanish. That means clinical nuance around STI treatment regimens and prevention options reaches Spanish-speaking patients without loss of detail.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
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 7 miles away; if you'd rather skip the trip, an at-home kit ships to Fraser, 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 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 Boone 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.
1015 Union Street, Boone, IA 50036
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Fraser. 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, 111 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Fraser. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 24 offer telehealth.
Trishia Filipiak, MD
Family medicine · 120 South Story Street, Boone
Chad Stocker, DO
Internal medicine · 1015 Union Street, Boone
Charles Paul, MD Telehealth
Urology · 1015 Union Street, Boone
Haydee Hernandez, DO
Family medicine · 320 West Walnut Street, Ogden
Elizabeth Stoebe, DO
Family medicine · 24 South Main Street, Dayton
Laura Moeller, MD
Family medicine · 3600 West Lincolnway, Ames
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 Fraser, IA 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.
Hy-Vee Pharmacy
6.3 miHy-Vee
6.3 miMedicap Pharmacy
6.4 miHerrald Drug
6.4 mi
6.5 mi Showing the 5 closest pharmacies to Fraser, IA.
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 Fraser, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 Boone County, the county that includes Fraser, compare with Iowa 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.
#54 of 99 Iowa counties for chlamydia, a higher rate than 45% of the state
| Infection | Boone County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 210.6 56 cases ▼ 51% | 426.8 | 492.2 |
| Gonorrhea | 52.7 14 cases ▼ 55% | 116.8 | 179.5 |
| Syphilis (P&S) | 3.8 1 cases ▼ 63% | 10.3 | 15.8 |
| Syphilis (early) | 3.8 1 cases ▼ 59% | 9.2 | 16 |
| Syphilis (late/unknown) | 3.8 1 cases ▼ 62% | 9.9 | 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 Boone County, chlamydia has fallen from 351.9 to 210.6 per 100,000 (40%), gonorrhea has fallen from 93.6 to 52.7 per 100,000 (44%), and P&S syphilis has held roughly steady from 3.8 to 3.8 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
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 Boone County.
Local HIV snapshot
Boone County HIV care continuum (2023)
Boone County recorded 0 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Boone County residents living with HIV, 86.4% are in care · 81.8% 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 Boone County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Founders Rock and Pilot Mound anchor a community where nearly two-thirds of adults are married and households run close to three people, the kind of place where health decisions often get folded into family routines rather than made solo. That stability shows in the numbers: homeownership here is nearly universal, and a solid share of households bring in comfortable incomes. With most working-age residents actively employed and unemployment vanishingly low, people are busy, schedules are full, and a weekday clinic appointment is the kind of thing that competes with real obligations. A genuine logistical consideration in a small rural community, not just a minor inconvenience.
That distance matters most for younger adults still forming relationships, the people in their twenties and early thirties for whom routine screening is most consequential. When the nearest option requires coordinating a car and a block of time, the likelihood of follow-through drops unless the visit fits cleanly inside an existing errand or workday. Boone County's STI figures are visible elsewhere on this page, and they're the useful context for anyone living near Don Williams Park or out past Inspiration Point: knowing where the county stands makes staying current feel less abstract and more like something with a clear local reason behind it.
Getting there
At 8.06/20 on the EPA walkability index, day-to-day errands in Fraser 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 50036 snapshot
ZIP-level Census figures for the wider 50036 area around Fraser: a single ZIP can span several communities, so they describe the area, not Fraser alone.
Fraser sits in Boone County, ZIP 50036. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Fraser? 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 Boone County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa 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 Fraser-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 Fraser 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 Iowa 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 Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.
Iowa 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 IowaSource: 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.
There are 3 options within a 30-mile drive.
Yes, Medicaid typically covers it.
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.
Boone County reported ~211 chlamydia cases per 100,000 in 2023, below the Iowa average.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
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.