In Alabama's Lawrence, gonorrhea is reported about 38% higher than the US average. If you've had a recent risk, or simply test on a regular schedule in Hillsboro, Alabama, weigh the options: public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. We list the choices below.
Available testing centers
7 testing options are listed for Hillsboro, AL. The nearest, HH Health System - Morgan, is about 7.5 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 8 miles from Hillsboro. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Central North Alabama Health Services in Athens tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C on a sliding scale accepted alongside Medicaid, Medicare, and private insurance. Bacterial infections treated the same visit, by appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
HAPPI Health-Decatur, in Decatur, carries federal qualification as a community health center. Meaning STI screening fees slide with your income. Syphilis, gonorrhea, and chlamydia testing is available to anyone, regardless of ability to pay, with no appointment required.
Tests offered
Fees & payment
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 8 miles away; if you'd rather skip the trip, an at-home kit ships to Hillsboro, 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 value: single tests
$49 & 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.
Local clinicians
Beyond dedicated clinics, 179 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hillsboro. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 23 offer telehealth.
Samuel Gillespie, MD
Family medicine · 350 Tennessee Street, Courtland
Alexander Mcqueen, MD
Family medicine · 2422 Danville Road Southwest, Decatur
Bernice Swain, DO
Family medicine · 2424 Danville Road Southwest, Decatur
Micah Howard, MD
Family medicine · 2699 Sandlin Road Southwest, Decatur
Chad Mcelroy, MD Telehealth
Family medicine · 122 Medical Circle, Moulton
Charles Coffey, MD
Family medicine · 40 Medical Circle, Moulton
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 Hillsboro, AL 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.
Trinity Discount Drugs
6.4 miInverness Apothecary - Trinity
6.9 miMedtown Pharmacy
7.0 miTown and Country Pharmacy
7.2 miMoultrie Pharmacy at Caddo
7.2 miBrackin Drugs
7.4 miShowing the 6 closest pharmacies to Hillsboro, AL.
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 Hillsboro, 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.
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
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
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 Lawrence County, the county that includes Hillsboro, compare with Alabama 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.
#16 of 67 Alabama counties for chlamydia, a higher rate than 76% of the state
| Infection | Lawrence County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 838.8 281 cases ▲ 29% | 651.1 | 492.2 |
| Gonorrhea | 247.7 83 cases ▲ 9% | 226.9 | 179.5 |
| Syphilis (P&S) | 6 2 cases ▼ 79% | 28.6 | 15.8 |
| Syphilis (early) | 11.9 4 cases ▼ 42% | 20.4 | 16 |
| Syphilis (late/unknown) | 6 2 cases ▼ 76% | 24.5 | 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 Lawrence County, chlamydia has risen from 266.1 to 838.8 per 100,000 (215%), gonorrhea has risen from 105.8 to 247.7 per 100,000 (134%), and P&S syphilis has fallen from 15.1 to 6 per 100,000 (60%).
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 Lawrence County.
Local HIV snapshot
Federal priority area: Alabama is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Lawrence County HIV care continuum (2023)
Among Lawrence County residents living with HIV, 85.2% are in care · 74.1% 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 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 Lawrence County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Bald Knob rising to the east sets the tone for Hillsboro: a place where most households own their homes, families run large, and health decisions tend to get made collectively rather than alone. With nearly nine in ten residents owning rather than renting, and average households stretching across more than three people, this is a community where a single adult navigating a clinic visit often does so against the backdrop of shared schedules, shared vehicles, and the kind of quiet domestic inertia that comes with stability. That stability shapes access in practical ways. Hillsboro offers no walking routes to care, every appointment requires a car and a commitment of real time, which bears most directly on younger adults, people still in their twenties, whose lives haven't yet settled into the rhythms that make scheduling easier.
For them, options listed on this page represent genuine choices, even if the nearest one sits a meaningful drive from town. Lawrence County's STI figures are already visible on this page, and they reflect a broader regional pattern that doesn't exempt smaller, rooted communities like Hillsboro. Someone living here, between Flat Rock and Union Hill Mountain, who stays current with routine screening is simply accounting for what the county data confirm. That transmission moves through all kinds of households, including the settled ones.
Getting there
At 3.27/20 on the EPA walkability index, day-to-day errands in Hillsboro 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 35643 snapshot
ZIP-level Census figures for the wider 35643 area around Hillsboro: a single ZIP can span several communities, so they describe the area, not Hillsboro alone.
Hillsboro sits in Lawrence County, ZIP 35643. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Hillsboro? 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 Lawrence County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alabama 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 Hillsboro-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 Hillsboro 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 Alabama 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 Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Alabama 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 AlabamaSource: 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 HH Health System - Morgan (7.5 mi), or order an at-home kit to 35643.
Medicaid generally covers STD testing.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 839 cases per 100,000 residents (2023), above the Alabama average.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, HSV-1 from the mouth can spread to the genital area through oral sex.
It's cured with antibiotics; treating partners together prevents reinfection.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
The gap between exposure and when a test can reliably detect the infection; testing inside it can miss a real infection.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.