In Carroll County, gonorrhea rates run about 21% lower than the US average. In Howley, Tennessee, options for one-time or regular STI testing include both walk-in clinics and at-home kits, with the choice depending on whether you prioritize planning or same-day results.
Available testing centers
6 testing options are listed for Howley, TN. The nearest, American Esoteric Laboratories, is about 11.9 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 rural health clinic about 12 miles from Howley. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Tennessee Department of Health in Huntingdon operates as Carroll County's public health department, where HIV, syphilis, gonorrhea, and chlamydia testing, STI treatment, and family planning run on a sliding scale. With HIV testing and STI tests provided at no fee. Appointments are required.
The department structures its budget so that HIV testing, STI testing, and vaccines including HPV, hepatitis A, hepatitis B, and mpox carry no charge to the patient. Medicaid and Medicare are accepted where applicable, and a sliding scale governs remaining services. Meaning the fee schedule is built to reach zero before a visit ends, not as an exception.
Interpretation services for non-English languages are built into how appointments are staffed and scheduled at this location, so clinical conversations about test results, treatment instructions, and prevention options move through a live interpreter rather than a workaround. That staffing decision happens before the visit, not during it.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 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 12 miles away; if you'd rather skip the trip, an at-home kit ships to Howley, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Carroll 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.
22 2nd Avenue, Huntingdon, TN 38344
CMS-certified lab
631 R B Wilson Drive, Huntingdon, TN 38344
CMS-certified lab Accredited · College of American Pathologists
3493 Veteran'S Drive North Suite C, Huntingdon, TN 38344
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Howley. 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, 221 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Howley. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 27 offer telehealth.
Phillip Coy, DO Telehealth
Family medicine · 22 2nd Avenue, Huntingdon
Keith Mosher, MD
Family medicine · 15463 South 1st Street, Milan
Thomas Evans, MD Telehealth
Internal medicine · 3493 Veterans Drive North, Huntingdon
Wyman Gilmore, MD
Internal medicine · 631 R B Wilson Drive, Huntingdon
Elizabeth Lund, MD
OB-GYN · 641 Rb Wilson Drive, Huntingdon
Todd Teague, MD
Internal medicine · 4039 South Highland Street, Milan
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 Howley, 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.
Phipps Pharmacy, Huntingdon
11 mi
12 mi 
12 mi Ew James Pharmacy 74
12 miFlippin Drug Company
12 miMilan Hometown Pharmacy
12 miShowing the 6 closest pharmacies to Howley, 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 Howley, 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 Carroll County, the county that includes Howley, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~19% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#15 of 95 Tennessee counties for chlamydia, a higher rate than 84% of the state
| Infection | Carroll County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 467.8 135 cases ▼ 10% | 517.4 | 492.2 |
| Gonorrhea | 142.1 41 cases ▼ 24% | 186.4 | 179.5 |
| Syphilis (P&S) | 10.4 3 cases ▼ 30% | 14.8 | 15.8 |
| Syphilis (early) | 6.9 2 cases ▼ 40% | 11.5 | 16 |
| Syphilis (late/unknown) | 17.3 5 cases ▼ 34% | 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 Carroll County, chlamydia has fallen from 527.4 to 467.8 per 100,000 (11%), gonorrhea has fallen from 355.1 to 142.1 per 100,000 (60%), and P&S syphilis has fallen from 14.1 to 10.4 per 100,000 (26%).
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 Carroll County.
Local HIV snapshot
Carroll County HIV care continuum (2023)
Among Carroll County residents living with HIV, 96.9% are in care · 90.6% 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 Carroll County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Howley sits in Carroll County, Tennessee: a small, rural community, where work is steady, unemployment runs about 1.5%. It's more working-class than college-credentialed (about 9.9% hold a degree), and most residents own their homes. A clinic visit usually means leaving town, so home test kits and telehealth do a lot of the work here.
Getting there
At 3.01/20 on the EPA walkability index, day-to-day errands in Howley 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 38321 snapshot
ZIP-level Census figures for the wider 38321 area around Howley: a single ZIP can span several communities, so they describe the area, not Howley alone.
Howley sits in Carroll County, ZIP 38321. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Howley? 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 Carroll 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 Howley-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 Howley 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.
Nearest is American Esoteric Laboratories, about 11.9 mi away; 6 are within 30 miles. An at-home kit shipped to 38321 also works.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Carroll County reported ~468 chlamydia cases per 100,000 in 2023, below the Tennessee average.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
At-home kits mail to 38321: self-collect, send to the lab, results in ~2–5 days.
Yes, sores or ulcers can indicate herpes or syphilis and should be evaluated quickly, ideally while a sore is present.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.