You can test for gonorrhea in Poweshiek County, Iowa today, as reported gonorrhea there runs about 73% lower than the US average. Whether you're starting a new relationship in Guernsey, Iowa or as part of ongoing care, weigh the trade-offs between walk-ins for same-day testing and labs and at-home kits that let you plan around your own time. See your options below.
Available testing centers
3 testing options are listed for Guernsey, IA. The nearest, Marengo Memorial Hospital, is about 6.2 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.
A community safety-net rural health clinic about 6 miles from Guernsey. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A public safety-net rural health clinic about 11 miles from Guernsey. 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 about 6 miles away; if you'd rather skip the trip, an at-home kit ships to Guernsey, 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 Poweshiek 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.
128 Jackson Street, Brooklyn, IA 52211
CMS-certified lab
210 Fourth Avenue, Grinnell, IA 50112
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Guernsey. 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, 57 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Guernsey. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2 offer telehealth.
Brian Heineman, DO
Family medicine · 128 Jackson Street, Brooklyn
Brandon Phelps, DO
Family medicine · 402 South Walnut Street, North English
Benjamin Miller, DO
Family medicine · 498 North Highland Street, Williamsburg
Jaspreet Singh, MD
Family medicine · 300 West May Street, Marengo
Vincent Taeger, MD
Family medicine · 300 West May Street, Marengo
Richard Powers, MD
Family medicine · 213 West Street South, Grinnell
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 Guernsey, 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 (3235)
6.2 miVillage Pharmacy Victor
6.2 miVictor Drug
6.2 miNudak Ventures
7.6 miBrooklyn Family Pharmacy
7.6 miShowing the 5 closest pharmacies to Guernsey, 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 Guernsey, 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 Poweshiek County, the county that includes Guernsey, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~13% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#25 of 99 Iowa counties for chlamydia, a higher rate than 75% of the state
| Infection | Poweshiek County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 325.2 60 cases ▼ 24% | 426.8 | 492.2 |
| Gonorrhea | 48.8 9 cases ▼ 58% | 116.8 | 179.5 |
| Syphilis (P&S) | 5.4 1 cases ▼ 48% | 10.3 | 15.8 |
| Syphilis (early) | 10.8 2 cases ▲ 17% | 9.2 | 16 |
| Syphilis (late/unknown) | 10.8 2 cases ▲ 9% | 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 Poweshiek County, chlamydia has risen from 246.5 to 325.2 per 100,000 (32%), gonorrhea has fallen from 117.9 to 48.8 per 100,000 (59%), and P&S syphilis has fallen from 10.8 to 5.4 per 100,000 (50%).
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 Poweshiek County.
Local HIV snapshot
Poweshiek County HIV care continuum (2022)
Poweshiek County recorded 0 new HIV diagnoses per 100,000 (2022), against 5.1 statewide and 13.7 nationally. Among Poweshiek County residents living with HIV, 83.3% are in care · 72.2% 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 Poweshiek County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Guernsey sits quietly along IA 21, the kind of small Iowa town where most residents have put down roots: four in five own their homes, and that stability shapes daily life in real ways. But settled doesn't mean everything is close. Poweshiek County's STI picture matters most for younger adults still moving through their twenties and early relationships, precisely the residents who often don't have the scheduling flexibility that makes a clinic visit easy. With unemployment running notably higher than state norms, and two-thirds of the local population actively in the workforce, many people here are either juggling irregular hours or managing the financial pressure that comes with being between jobs.
Both situations can make a routine screening feel lower-stakes than it actually is. For the household that rents at Guernsey's typical rate and isn't among the smaller share earning six figures, cost is the concrete question worth checking before booking. Options listed here offer sliding-scale or no-cost visits, which can make the difference for an uninsured working adult driving in from along 220th Street.
Getting there
At 5.65/20 on the EPA walkability index, day-to-day errands in Guernsey 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 52221 snapshot
ZIP-level Census figures for the wider 52221 area around Guernsey: a single ZIP can span several communities, so they describe the area, not Guernsey alone.
Guernsey sits in Poweshiek County, ZIP 52221. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Guernsey? 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 Poweshiek 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 Guernsey-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 Guernsey 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.
Closest is Marengo Memorial Hospital (6.2 mi), or order an at-home kit to 52221.
Medicaid generally covers STD testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 325 cases per 100,000 residents (2023), below the Iowa average.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 52221; you collect a sample, mail it back, and get results in about 2–5 days.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.
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.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.