Chlamydia in Nance County is reported at a rate around 69% lower than that in the US. Whether it's your first STI test or a routine screening in Genoa, Nebraska, you have a choice between clinics that may take insurance and private labs where you can pay a flat self-pay price. We list both types below.
Available testing centers
6 testing options are listed for Genoa, NE. The nearest, City of Genoa, is about 0.2 miles away. Compare 3 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 community safety-net rural health clinic in Genoa. 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 11 miles from Genoa. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net rural health clinic about 14 miles from Genoa. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Genoa, 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 Nance 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.
706 Ewing Avenue, Genoa, NE 68640
CMS-certified lab
405 Broadway Street, Fullerton, NE 68638
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Genoa. 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, 33 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Genoa. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Vilma Rodriguez Cline, MD
Family medicine · 4508 38th Street, Columbus
Christine Inguanzo, MD
Family medicine · 4508 38th Street, Columbus
Kara Weishaar, MD
OB-GYN · 4508 38th Street, Columbus
Kipton Anderson, MD
Family medicine · 4214 38th Street, Columbus
Luke Lemke, MD Telehealth
Family medicine · 3100 23rd Street, Columbus
Ajit Chary, MD Telehealth
Internal medicine · 4471 41st Avenue, Columbus
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 Genoa, NE 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.
Genoa Community Pharmacy
0.2 miKD Drug
0.2 miMarshall Pharmacy
11 miReimer Pharmacy
14 miTooley Clinic Pharmacy Vital Care
18 miShowing the 5 closest pharmacies to Genoa, NE.
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 Genoa, 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
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
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 Nance County, the county that includes Genoa, compare with Nebraska and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~20% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#54 of 93 Nebraska counties for chlamydia, a higher rate than 42% of the state
| Infection | Nance County | Nebraska | United States |
|---|---|---|---|
| Chlamydia | 152.7 5 cases ▼ 67% | 468.8 | 492.2 |
| Gonorrhea | 61.1 2 cases ▼ 47% | 115.5 | 179.5 |
| Syphilis (P&S) | — no data | 10.4 | 15.8 |
| Syphilis (early) | — no data | 6 | 16 |
| Syphilis (late/unknown) | — no data | 21.7 | 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 Nance County, chlamydia has fallen from 207.1 to 152.7 per 100,000 (26%), and gonorrhea has risen from 30.1 to 61.1 per 100,000 (103%).
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 Nance County.
Local HIV snapshot
Nance County HIV care continuum (2023)
Nance County recorded 0 new HIV diagnoses per 100,000 (2023), against 6 statewide and 13.7 nationally. 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 Nance County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Genoa's residential neighborhoods are anchored by long-term homeowners, the kind of households where families have put down roots and daily life runs on a working person's schedule rather than a flexible one. With nearly two-thirds of residents in the labor force and a meaningful share working the kinds of jobs that don't offer easy mid-week flexibility, carving out time for a clinic visit takes real planning, especially for younger adults in their late teens and twenties who are statistically most likely to need STI screening and least likely to prioritize it when a Tuesday is already spoken for. That working-household reality matters here. The strong ownership rate reflects a stable, rooted community, but stability doesn't automatically mean access.
Fewer than one in eight households clears a six-figure income, so out-of-pocket testing costs are a genuine consideration for many residents, not a minor inconvenience. A community organized around Genoa City Park and the quiet history visible at the Genoa Indian Industrial School Museum is also a community without dense commercial corridors, which means the closest testing option often requires a deliberate drive rather than a detour. For someone living near the park's residential blocks, that range is what makes finding a workable fit realistic, not just a possibility on paper.
Getting there
At 6.01/20 on the EPA walkability index, day-to-day errands in Genoa 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 68640 snapshot
ZIP-level Census figures for the wider 68640 area around Genoa: a single ZIP can span several communities, so they describe the area, not Genoa alone.
Genoa sits in Nance County, ZIP 68640. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Genoa? 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 Nance County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Nebraska 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 Genoa-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 Genoa 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 Nebraska 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 Nebraska, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Nebraska 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 NebraskaSource: 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.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Nance County reported ~153 chlamydia cases per 100,000 in 2023, below the Nebraska average.
In Nebraska, people under 18 can consent to confidential STD testing and treatment on their own.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Most HIV tests detect infection about 2–6 weeks out depending on the test type; a later retest confirms a negative.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.