Sampson County reported syphilis rates are about 17% higher than the national average. If you're planning to start a new relationship or managing ongoing care in Garland, North Carolina, know that clinics may bill insurance or offer sliding-scale fees, while many private labs have a flat self-pay price. Use the listings below to find an option that suits you.
Available testing centers
7 testing options are listed for Garland, NC. The nearest, Goshen Medical Center, is about 0.2 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.
Goshen Medical Center, a full-service medical clinic in Garland, brings appointment-based STI care alongside primary medicine: testing for HIV, syphilis, gonorrhea, chlamydia, and hepatitis A, B, and C, with same-visit treatment for bacterial infections, HPV and hepatitis vaccines, and sliding-scale fees for all, with Spanish and interpretation services on-site.
Goshen Medical Center carries Spanish-language services and broader interpretation access as part of its standing clinical operation: meaning counseling, exposure history, and treatment conversations happen in the language a patient speaks, without routing through an outside service or scheduling around availability.
Beyond the standard bacterial and HIV screen, Goshen tests for hepatitis A, B, and C in the same visit, so a single appointment can surface liver-affecting infections that share transmission routes with other STIs, and vaccination for hepatitis A and B is available on-site to close gaps the test reveals.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
A public safety-net rural health clinic about 11 miles from Garland. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
CommWell Health in Harrells tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis A, B, and C, the full panel, at no cost, with sliding-scale fees for other services. Bacterial infections are treated the same visit, and HPV and hepatitis vaccines are available by appointment.
CommWell Health covers every service it provides at no fee, testing, treatment, vaccines, counseling. For anyone without a regular provider or paying entirely out of pocket, that means walking in for gonorrhea treatment or a hepatitis B vaccine without calculating what you can afford before you arrive.
When language support is patched in through a third step, results get delayed and treatment gaps open up. At CommWell Health in Harrells, STI care (counseling, test results, treatment decisions) is delivered directly in Spanish, so nothing is lost between the conversation and the care.
CommWell Health is built for someone without a primary care physician who needs a complete picture in one visit: rapid and conventional HIV, the bacterial infections, and hepatitis A, B, and C testing all happen here, so a single appointment closes more questions than the stripped-down panel alone.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Garland, 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 for simplicity & support
$89 & 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 Sampson 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.
1021 Beaman Street, Clinton, NC 28328
CMS-certified lab
211 Beaman Street, Clinton, NC 28328
CMS-certified lab Accredited · COLA
417 Vance Street 2nd Floor, Clinton, NC 28328
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Garland. 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, 130 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Garland. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 29 offer telehealth.
Sahar Safaee, DO
Family medicine · 304 West Nc Hwy 24, Roseboro
Robert Clinton, MD
Family medicine · 120 Southwood Drive, Clinton
Elizabeth Bryan, MD
Family medicine · 227 Beaman Street, Clinton
Kimberly Grigsby Sessoms, MD Telehealth
Internal medicine · 500 Beaman Street, Clinton
Shawn Howerton, MD
Family medicine · 516 Beaman Street, Clinton
Scott Augustine, MD
OB-GYN · 603 Beaman Street, Clinton
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 Garland, NC 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.
Tart and West Druggists
13 mi
14 mi Kerr Drug
14 mi
14 mi Butlers Pharmacy
15 miShowing the 5 closest pharmacies to Garland, NC.
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 Garland, 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 $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Sampson County, the county that includes Garland, compare with North Carolina and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~42% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#30 of 100 North Carolina counties for chlamydia, a higher rate than 70% of the state
| Infection | Sampson County | North Carolina | United States |
|---|---|---|---|
| Chlamydia | 617.4 368 cases ▲ 2% | 607.9 | 492.2 |
| Gonorrhea | 152.7 91 cases ▼ 37% | 243.2 | 179.5 |
| Syphilis (P&S) | 18.5 11 cases ▼ 7% | 19.9 | 15.8 |
| Syphilis (early) | 16.8 10 cases ▲ 6% | 15.8 | 16 |
| Syphilis (late/unknown) | 33.6 20 cases ▲ 40% | 24 | 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 Sampson County, chlamydia has risen from 572.5 to 617.4 per 100,000 (8%), gonorrhea has fallen from 267.6 to 152.7 per 100,000 (43%), and P&S syphilis has risen from 6.8 to 18.5 per 100,000 (172%).
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 Sampson County.
Local HIV snapshot
Sampson County HIV care continuum (2023)
Sampson County recorded 22.3 new HIV diagnoses per 100,000 (2023), against 15.1 statewide and 13.7 nationally. Among Sampson County residents living with HIV, 68.5% are in care · 61.1% 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 Sampson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 701, Ingold Avenue as it cuts through the center of Garland, doesn't offer a clinic on every corner, and for a town this size, that's simply the reality: the nearest testing options require a drive, whatever direction you head out on the highway. That reality lands differently here than in a larger city. With unemployment running high and fewer than half of working-age residents currently in the labor force, schedules are rarely the predictable nine-to-five kind: they're shaped by seasonal work, part-time hours, and the financial tightness that comes with modest home values and rents that stay low precisely because incomes do too. Large households averaging more than four people mean one car often serves multiple adults, and coordinating that isn't trivial.
For the sizable share of residents in their late teens and twenties, a population where chlamydia and gonorrhea move fastest, those logistics can quietly stack up into reasons a screening appointment never gets made. What helps is that options listed on this page include evening and weekend availability alongside sliding-scale and low-cost fees. For someone whose schedule opens up after five on a weekday, or whose week only frees up on Saturday, that range of hours means testing off Garland Highway doesn't require rearranging everything else to make it happen.
Getting there
At 3.43/20 on the EPA walkability index, day-to-day errands in Garland 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 28441 snapshot
ZIP-level Census figures for the wider 28441 area around Garland: a single ZIP can span several communities, so they describe the area, not Garland alone.
Garland sits in Sampson County, ZIP 28441. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Garland? 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 Sampson County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Carolina 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 Garland-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 Garland 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 North Carolina 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 North Carolina, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Carolina 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 North CarolinaSource: 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
CommWell Health, about 12.1 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Sampson County reported ~617 chlamydia cases per 100,000 in 2023, above the North Carolina average.
Most results are ready in about 1–2 days.
In North Carolina, people under 18 can consent to confidential STD testing and treatment on their own.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
It's a common STI symptom; test for chlamydia and gonorrhea and have a provider check you.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.