Webb County reports about 17 syphilis cases per 100,000 residents, near the US average. Whether you live in La Coma, Texas and have symptoms or just want peace of mind, you can weigh the value of an in-person consultation and immediate treatment with the convenience of testing on your own schedule with an at-home kit.
Available testing centers
6 testing options are listed for La Coma, TX. The nearest, ASAS Health, 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.
ASAS Health in Laredo covers gonorrhea, chlamydia, syphilis, conventional HIV, and hepatitis A, B, and C testing, with same-visit treatment for bacterial STIs confirmed on the spot. Fees run on a sliding scale, and Medicaid, Medicare, and most insurance are accepted. An appointment is required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Gateway Community Health Center in Laredo scales fees to income for everyone (Medicaid, Medicare, and major insurance also accepted) and tests for HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB, with same-visit treatment for bacterial STIs. Appointments are required; care is delivered in Spanish.
Gateway runs ten distinct tests (among them herpes simplex and separate antibody screens for hepatitis A, B, and C) alongside the standard bacterial and HIV workup. That count means a single appointment can resolve uncertainty across infections that a shorter panel would leave unaddressed.
Substance-use treatment at Gateway is a staffed clinical program, not a handoff: the center employs providers who can assess, prescribe, and monitor treatment within the same facility where STI care is delivered. For patients whose substance use intersects with sexual health risk, both lines of care are managed by the same organization.
Gateway's clinical staff delivers care in Spanish, which means medical history, test results, and treatment instructions are communicated directly. No relay, no lag. That directness sharpens the accuracy of everything from exposure history to follow-up instructions.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Pillar in Laredo covers HIV, syphilis, gonorrhea, chlamydia, and hepatitis C on a sliding-scale fee, with HIV testing and STI testing available at no charge, accepts insurance, treats bacterial infections the same visit, and takes walk-ins.
Sliding-scale clinics typically still land some patients with a bill at checkout. At Pillar, the floor is zero: no service carries a charge, regardless of income or coverage, making the sliding scale a guarantee rather than a variable.
Pillar prescribes and manages both PrEP and PEP directly, which means a patient building a long-term prevention strategy and one needing a time-sensitive response after an exposure are both handled within the same clinic relationship.
A bare-bones STI panel stops at the four bacterial and viral staples. Pillar adds hepatitis C to that list, catching an infection that shares transmission routes with the rest but often gets screened elsewhere only on request.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · 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 La Coma, 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 Webb 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.
2901 Jaime Zapata Memorial Highway, Laredo, TX 78043
CMS-certified lab Accredited · Joint Commission
6551 Star Court, Laredo, TX 78043
CMS-certified lab Accredited · Joint Commission
1023 Bob Bullock Loop, Laredo, TX 78043
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near La Coma. 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, 76 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of La Coma. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 10 offer telehealth.
Andres Garcia Zuniga, MD Telehealth
Internal medicine · 6416 Polaris, Laredo
Jennifer Garcia-Davalos, MD
Internal medicine · 6416 Polaris Drive, Laredo
Pablo Martinez, MD Telehealth
Family medicine · 2324 Jacaman Road, Laredo
Horacio Diaz, MD
Family medicine · 3402 East Del Mar Boulevard, Laredo
Liz Millan, MD
OB-GYN · 7109 North Bartlett Avenue, Laredo
Ricardo Cigarroa, MD
Internal medicine · 7105 North Bartlett Avenue, Laredo
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 La Coma, TX 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.
9.1 mi 
9.1 mi Lakeside Pharmacy South
9.2 miLakeside Pharmacy
10 miThe Medicine Shoppe
10 miShowing the 5 closest pharmacies to La Coma, TX.
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 La Coma, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$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
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 Webb County, the county that includes La Coma, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data.
#49 of 254 Texas counties for chlamydia, a higher rate than 81% of the state
| Infection | Webb County | Texas | United States |
|---|---|---|---|
| Chlamydia | 474.1 1,276 cases ▼ 4% | 491.9 | 492.2 |
| Gonorrhea | 87.3 235 cases ▼ 51% | 176.4 | 179.5 |
| Syphilis (P&S) | 16.7 45 cases ▲ 11% | 15 | 15.8 |
| Syphilis (early) | 20.8 56 cases ▼ 21% | 26.4 | 16 |
| Syphilis (late/unknown) | 55 148 cases ▲ 24% | 44.3 | 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 Webb County, chlamydia has risen from 387.1 to 474.1 per 100,000 (22%), gonorrhea has risen from 52.4 to 87.3 per 100,000 (67%), and P&S syphilis has risen from 2.6 to 16.7 per 100,000 (542%).
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 Webb County.
Local HIV snapshot
Webb County HIV care continuum (2023)
Webb County recorded 17.1 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Webb County residents living with HIV, 59.2% are in care · 52.5% 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 Webb County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Las Blancas Park sits at the quieter edge of La Coma, and the community around it reflects a place where every household rents and no household clears six figures, which shapes how people think about discretionary spending, including health care. When rent consumes the whole housing budget and there is no ownership equity to fall back on, a testing fee that seems modest elsewhere can feel like a real calculation. The household structure here leans toward families rather than solo adults, with an average of three people per home and just over a third of adults married, meaning many residents are navigating health decisions alongside partners and children rather than independently.
That context matters for STI screening: a positive result in a shared household carries relational weight, and knowing sooner rather than later allows for quieter, more deliberate follow-up. For the younger adults in La Coma, people in their late teens and twenties who are still building relationships, access to testing that does not require rearranging a complicated household schedule makes a genuine difference. Webb County's STI numbers give the regional context; what La Coma adds is a tight-budget, fully renting community where low-cost and after-hours availability are not conveniences but practical necessities.
Getting there
At 7.87/20 on the EPA walkability index, day-to-day errands in La Coma 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 78043 snapshot
ZIP-level Census figures for the wider 78043 area around La Coma: a single ZIP can span several communities, so they describe the area, not La Coma alone.
La Coma sits in Webb County, ZIP 78043. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside La Coma? 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 Webb County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Texas 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 La Coma-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 La Coma 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 Texas 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 Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Texas 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 TexasSource: 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.
Ranchitos East, TX is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Webb County reported ~474 chlamydia cases per 100,000 in 2023, below the Texas average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.