Reported chlamydia in Macon County runs about 48% lower than the US average. If you've had a recent risk or simply test on a regular schedule, you'll find local clinics and at-home kits for STI testing in Horsleys, Tennessee. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time — see your options below.
Available testing centers
7 testing options are listed for Horsleys, TN. The nearest, Tennessee Department of Health, is about 5.8 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.
Tennessee Department of Health in Hartsville tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis C, and TB, and treats bacterial STIs the same visit. Fees run on a sliding scale with Medicaid, Medicare, and insurance accepted. An appointment is required.
The Department of Health in Hartsville carries hepatitis C treatment on-site, meaning a confirmed diagnosis moves directly into a managed care plan without transferring to a separate provider. That continuity keeps the treatment timeline shorter and the patient relationship intact from first test through clearance.
Alongside gonorrhea, chlamydia, syphilis, and HIV, the clinic runs hepatitis C antibody tests and TB screening. Each backed by on-site treatment protocols and follow-up capacity. Hepatitis A and B vaccines and HPV vaccination are also administered here, with clinical staff managing the dosing schedule directly.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
HOPE Family Health - Westside, serving Westmoreland as a federally qualified health center, ties STI screening costs directly to household income through a sliding-scale fee structure. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening. No appointment needed to get tested.
Tests offered
Fees & payment
Macon County Health Department Community Health Center in Lafayette carries federal qualification that ties its STI screening fees to a sliding income scale, making syphilis, gonorrhea, and chlamydia testing genuinely reachable for cash-paying patients, those between providers, and anyone whose coverage has gaps. No appointment needed to get started.
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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Horsleys, 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 Macon 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.
500 Church Street, Hartsville, TN 37074
CMS-certified lab Accredited · Joint Commission
305 West Locust Street, Lafayette, TN 37083
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Horsleys. 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, 163 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Horsleys. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 33 offer telehealth.
Philip Hunt, MD
Family medicine · 420 College Street, Lafayette
Hanna Ilia, MD
Family medicine · 207 West Locust Street, Lafayette
Tony Freeman, MD
Family medicine · 12124 Hwy 52 West, Westmoreland
Ginger Smith, MD Telehealth
Family medicine · 21 Dixon Springs Hwy D, Carthage
Morlee Burgess, DO
Family medicine · 158 Hospital Drive, Carthage
Michael Pippin, MD
OB-GYN · 133 Hospital Drive, Carthage
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 Horsleys, 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.
5.7 mi 
5.8 mi 
5.8 mi Ballou Pharmaceutical Services
6.0 miKC
6.3 miShowing the 5 closest pharmacies to Horsleys, 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 Horsleys, 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 $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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Macon County, the county that includes Horsleys, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~38% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#55 of 95 Tennessee counties for chlamydia, a higher rate than 42% of the state
| Infection | Macon County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 253.8 68 cases ▼ 51% | 517.4 | 492.2 |
| Gonorrhea | 70.9 19 cases ▼ 62% | 186.4 | 179.5 |
| Syphilis (P&S) | 3.7 1 cases ▼ 75% | 14.8 | 15.8 |
| Syphilis (early) | — no data | 11.5 | 16 |
| Syphilis (late/unknown) | 7.5 2 cases ▼ 72% | 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 Macon County, chlamydia has fallen from 321.2 to 253.8 per 100,000 (21%), gonorrhea has fallen from 91.2 to 70.9 per 100,000 (22%), and P&S syphilis has fallen from 4 to 3.7 per 100,000 (7%).
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 Macon County.
Local HIV snapshot
Macon County HIV care continuum (2021)
Macon County recorded 0 new HIV diagnoses per 100,000 (2021), against 14.8 statewide and 13.7 nationally. Among Macon County residents living with HIV, 78.6% are in care · 57.1% 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 Macon County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Getting tested in Horsleys means working beyond the immediate area. The town itself does not host a dedicated clinic, so residents rely on providers in and around Horsleys listed on this page. Most located in neighboring communities where a fuller range of sexual health services operate. For those accustomed to the stability of owning land here near Hard Scratch Hill and Millstone Knob, that distance is simply part of the landscape.
Young adults in their late teens through their thirties have particular reason to make the trip. Routine screening, done confidentially and without fanfare, catches infections early and prevents them from spreading to partners. A single test (quick, straightforward, private) is the practical move when you're establishing yourself in a new relationship or want baseline assurance before moving forward with someone. The clinics that serve Horsleys understand that confidentiality is not negotiable for residents in a place where families have been neighbors for generations.
Results are yours alone. Testing is available without any automatic alert to a spouse, employer, or anyone else in your life, and scheduling can happen by phone or online if you prefer to keep the visit quiet.
Getting there
At 5.26/20 on the EPA walkability index, day-to-day errands in Horsleys 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 37074 snapshot
ZIP-level Census figures for the wider 37074 area around Horsleys: a single ZIP can span several communities, so they describe the area, not Horsleys alone.
Horsleys sits in Macon County, ZIP 37074. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Horsleys? 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 Macon 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 Horsleys-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 Horsleys 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.
Possibly, Hartsville, TN is close; compare it by distance against Tennessee Department of Health.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV 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 254 cases per 100,000 residents (2023), below 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.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Yes if the first test was early; recheck a few weeks out for chlamydia/gonorrhea and up to ~3 months for HIV/syphilis.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.