ACL Laboratories
- Address
- 4061 Old Peshtigo Road, Marinette, WI 72.2 miles away
- Phone
- 715‑732‑8000
- Chlamydia
- Gonorrhea
- Syphilis
- Herpes
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Rapid HIV
- Conventional HIV
In Delta County, reported gonorrhea runs about 86% lower than the country's average. If you are in Garden, Michigan, whether you have symptoms or just want peace of mind, consider that community and public clinics are often low-cost or free but private labs tend to offer faster results and more flexible scheduling.
Available testing centers
No STD testing centers are located in Garden, MI. The nearest, ACL Laboratories, is about 72.2 miles away. At-home STD kits and online lab tests ship to your ZIP; compare private labs and at-home kits below.
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 72 miles away; if you'd rather skip the trip, an at-home kit ships to Garden, 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 Delta 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.
610 South Lincoln Road, Escanaba, MI 49829
CMS-certified lab
710 South Lincoln Street Suite 300, Escanaba, MI 49829
CMS-certified lab Accredited · Joint Commission
3401 Ludington Street, Escanaba, MI 49829
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Garden. 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, 74 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Garden. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 4 offer telehealth.
Robert Louis-Ferdinand
Nurse practitioner · 520 Main Street, Manistique
Sarah Unger, NP
Nurse practitioner · 7870W US Hwy 2, Manistique
Breanne Gendron
Nurse practitioner · 145 4th Avenue North, Gladstone
Michaela Nelson
Nurse practitioner · 2500 7th South Avenue, Escanaba
Carole Spickerman, NP
Nurse practitioner · 2525 5th Avenue South, Escanaba
Hayley Dunlap-Zacek, NP
Nurse practitioner · 319 North Lincoln Road, Escanaba
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 Garden, MI 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.
Shopko Pharmacy 2621
19 miCurtis Family Pharmacy
19 miPutvin Drug Store
19 miPeninsula Pharmacy Gladstone
23 miGladstone Pharmacy
23 miShowing the 6 closest pharmacies to Garden, MI.
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 Garden, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Delta County, the county that includes Garden, compare with Michigan and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~18% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#66 of 83 Michigan counties for chlamydia, a higher rate than 20% of the state
| Infection | Delta County | Michigan | United States |
|---|---|---|---|
| Chlamydia | 125 46 cases ▼ 71% | 429.5 | 492.2 |
| Gonorrhea | 24.5 9 cases ▼ 84% | 152.2 | 179.5 |
| Syphilis (P&S) | 2.7 1 cases ▼ 68% | 8.4 | 15.8 |
| Syphilis (early) | 2.7 1 cases ▼ 69% | 8.7 | 16 |
| Syphilis (late/unknown) | — no data | 13 | 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 Delta County, chlamydia has fallen from 132.8 to 125 per 100,000 (6%), gonorrhea has risen from 5.4 to 24.5 per 100,000 (354%), and P&S syphilis has held roughly steady from 2.7 to 2.7 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 Delta County.
Local HIV snapshot
Delta County HIV care continuum (2023)
Delta County recorded 0 new HIV diagnoses per 100,000 (2023), against 8.1 statewide and 13.7 nationally. Among Delta County residents living with HIV, 77.8% are in care · 77.8% 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 Delta County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Garden sits at the end of a real drive: the highway out of town leads to the nearest testing options listed on this page, and in a community this spread out across Delta County's rural landscape, that distance is the first thing anyone weighing a screening appointment has to reckon with. Layer on the fact that fewer than one in five households here rent, which speaks to deep roots and long tenures, but also to a workforce picture where participation is low and unemployment runs high. Meaning a significant share of residents are working around constrained schedules and tight budgets, with $875 a month in typical rent still representing a real line item when household income is concentrated well below six figures for most families. That combination (distance, limited work hours, cost awareness) lands unevenly on younger adults still forming relationships, the group that historically sees the sharpest uptick in STI diagnoses.
When reaching a clinic means clearing time to travel rather than walking a few blocks, a test that should be routine can sit unscheduled for months. Delta County's STI figures reflect what happens in communities where those small logistical gaps accumulate over time. For anyone living in Garden, staying current with screening means treating the drive as a planned errand. Because the county numbers are a reminder that the gap between "meaning to go" and actually going carries its own health cost.
Getting there
At 5.04/20 on the EPA walkability index, day-to-day errands in Garden 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 49835 snapshot
ZIP-level Census figures for the wider 49835 area around Garden: a single ZIP can span several communities, so they describe the area, not Garden alone.
Nearby cities & towns
Just outside Garden? 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 Delta County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Michigan 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 Garden-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 Garden 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 Michigan 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 Michigan, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Michigan 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 MichiganSource: 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, Escanaba, MI is close; compare it by distance against ACL Laboratories.
Private labs ~$24–$139, at-home kits $49+.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 125 cases per 100,000 residents (2023), below the Michigan average.
In Michigan, people under 18 can consent to confidential STD testing and treatment on their own.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
They can, swollen groin nodes can accompany herpes, syphilis, or early HIV, so mention them when you test.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Syphilis is found with a simple blood test; a reactive screen is confirmed with a second blood test.
Screening checks when you have no symptoms; diagnostic testing confirms a cause when you do. The lab tests are often the same.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.