In Hardeman County, gonorrhea rates run about 20% higher than the US average. Whether it's your first STI test or routine screening in Hornsby, Tennessee, your time and wait preferences will help you choose from local clinics, labs, or at-home kits. Some clinics take walk-ins, while others let you plan around your own time. See your options below.
Available testing centers
7 testing options are listed for Hornsby, TN. The nearest, Bolivar General Hospital, is about 10.0 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 safety-net federally qualified health center about 10 miles from Hornsby. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Hardeman County Community Health Center in Bolivar meets patients where they are (uninsured, cash-paying, or caught between providers) through federally qualified health center standing that mandates sliding-scale fees. STI screening here covers syphilis, gonorrhea, and chlamydia, and no appointment is required to get started.
Tests offered
Fees & payment
Tennessee Department of Health in Bolivar runs STI care through its public health infrastructure, pairing gonorrhea, chlamydia, syphilis, herpes, and HIV testing with same-visit bacterial treatment, HPV and hepatitis A and B vaccines, and sliding-scale fees accepted alongside Medicaid, Medicare, and private insurance. An appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Hornsby, 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 range: couples & full panels
$79 & 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 Hardeman 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.
650 Nuckolls Road/PO Box 509, Bolivar, TN 38008
CMS-certified lab Accredited · College of American Pathologists
622 West Market Street, Bolivar, TN 38008
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hornsby. 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, 206 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hornsby. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 20 offer telehealth.
Joseph Fouche, MD
Internal medicine · 650 Nuckolls Road, Bolivar
Caitlin Black, MD
Internal medicine · 650 Nuckolls Road, Bolivar
Felix Nnaji, MD
Internal medicine · 650 Nuckolls Road, Bolivar
Armie Walker, MD
OB-GYN · 627 Nuckolls Road, Bolivar
Thomas Caruthers, MD
OB-GYN · 629 Nuckolls Road, Bolivar
John Vinson, MD
Family medicine · 270 East Court Avenue, Selmer
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 Hornsby, TN 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.
Medical Arts Pharmacy
9.4 miExpress Save-on Drugs
9.5 miFreds Pharmacy 3534
9.5 miHudson Drug Store
10.0 miShowing the 4 closest pharmacies to Hornsby, TN.
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 Hornsby, 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 Hardeman County, the county that includes Hornsby, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 95 Tennessee counties for chlamydia, among the very highest in the state
| Infection | Hardeman County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 954.4 244 cases ▲ 84% | 517.4 | 492.2 |
| Gonorrhea | 215.1 55 cases ▲ 15% | 186.4 | 179.5 |
| Syphilis (P&S) | 11.7 3 cases ▼ 21% | 14.8 | 15.8 |
| Syphilis (early) | 15.6 4 cases ▲ 36% | 11.5 | 16 |
| Syphilis (late/unknown) | 35.2 9 cases ▲ 33% | 26.4 | 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 Hardeman County, chlamydia has risen from 930.8 to 954.4 per 100,000 (3%), gonorrhea has fallen from 514.5 to 215.1 per 100,000 (58%), and P&S syphilis has fallen from 11.8 to 11.7 per 100,000 (1%).
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 Hardeman County.
Local HIV snapshot
Hardeman County HIV care continuum (2023)
Hardeman County recorded 0 new HIV diagnoses per 100,000 (2023), against 14.8 statewide and 13.7 nationally. Among Hardeman County residents living with HIV, 90% are in care · 75% 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 Hardeman County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Hornsby runs at a pace set by its working households: most adults here are in the labor force, and with unemployment running notably high, the calculus around discretionary time and out-of-pocket costs lands differently than it might in a bigger center. Rent stays modest by most measures, which helps, but a household budget that's already stretched by economic uncertainty makes even a small co-pay feel like a decision worth postponing. That tension is worth naming, because Hardeman County's STI landscape doesn't pause for tight months. The community skews toward homeowners and married households, with families averaging close to three people per home.
A structure that can make health decisions feel like they involve the whole unit rather than just one person. Young adults still navigating relationships and forming new ones are precisely the group where routine screening does the most preventive work, and for that crowd especially, access that doesn't require taking a full day off or covering complicated logistics is the difference between intention and follow-through, which is a real distinction in a place where most people are already stretched. The options listed on this page extend across Hardeman County and beyond, so knowing they exist and planning around them, rather than assuming something is nearby, is what actually puts screening within reach.
Getting there
At 5.01/20 on the EPA walkability index, day-to-day errands in Hornsby 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 38008 snapshot
ZIP-level Census figures for the wider 38008 area around Hornsby: a single ZIP can span several communities, so they describe the area, not Hornsby alone.
Nearby cities & towns
Just outside Hornsby? 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 Hardeman County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee 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 Hornsby-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 Hornsby 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 Tennessee 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 Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Tennessee 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 TennesseeSource: 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.
5 testing options are within 30 miles of Hornsby, TN.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 954 cases per 100,000 residents (2023), above the Tennessee average.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Yes, at-home kits ship to 38008; you collect a sample, mail it back, and get results in about 2–5 days.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.