Bexar County reports about 166 gonorrhea cases per 100,000 residents. If you are in Lackland AFB, Texas and wondering about STI testing whether you have symptoms or just want peace of mind, there are trade-offs. Visiting a clinic lets a provider answer questions and start treatment, while an at-home kit lets you collect a sample on your own schedule and mail it in. See your options below.
Available testing centers
9 testing options are listed for Lackland AFB, TX. The nearest, Centromed Women's Shelter Clinic - la Paloma de Paz, is about 1.4 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.
Centromed Women's Shelter Clinic - la Paloma de Paz, in San Antonio, calibrates fees to each patient's income through its federally qualified health center standing. Meaning cost doesn't bar the door. Walk-ins can access sliding-scale STI screening for syphilis, gonorrhea, and chlamydia without an appointment.
Tests offered
Fees & payment
CentroMed in San Antonio pairs same-visit treatment for bacterial STIs (gonorrhea, chlamydia, syphilis) with testing for hepatitis A, B, and C alongside TB screening, all on a sliding-scale fee. Appointments are required; Medicaid, Medicare, and private insurance are accepted.
Leaving a clinic with bacterial results but no hepatitis screening means a second appointment, a second copay, and a gap in the picture. CentroMed tests for hepatitis A, B, and C in the same visit, so a full infectious-disease workup doesn't require splitting care across multiple providers.
Many clinics accommodate Spanish speakers through ad hoc arrangements that keep the clinical relationship at arm's length. At CentroMed in San Antonio, Spanish is a primary language of care: history, counseling, and treatment decisions happen directly, without an intermediary layered into the conversation.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
University Health in San Antonio requires an appointment, so scheduling ahead is the move, and that visit covers gonorrhea, chlamydia, syphilis, HIV, hepatitis B and C testing, same-visit treatment for bacterial infections, HPV and hepatitis B vaccines, and sliding-scale fees accepted by most budgets.
University Health conducts care in Spanish and provides interpretation for other languages, which means clinical conversations about symptoms, treatment plans, and follow-up happen in the language a patient uses at home, not a summarized version of them.
When a hepatitis C test comes back reactive, University Health can prescribe direct-acting antivirals and monitor treatment progress in-house. That means a clinician is tracking viral load response and adjusting the course rather than handing the case off to a separate specialist practice.
University Health tests for hepatitis B and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, so a single appointment produces a clearer picture of overall status, and any hepatitis finding is addressed by the same clinical team already handling the visit.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Planned Parenthood South Texas in San Antonio runs on a sliding scale open to everyone, accepting Medicaid and private insurance, with appointments required. The standard panel covers gonorrhea, chlamydia, syphilis, herpes, and rapid HIV testing, with same-visit treatment for bacterial infections and HPV and hepatitis B vaccination on site.
Planned Parenthood South Texas staffs Spanish natively and keeps interpretation services available for other languages: meaning a patient discussing PrEP eligibility, DoxyPEP dosing, or a syphilis diagnosis works through the actual clinical conversation, not a simplified version of it.
Without Title X standing, a minor needing STI testing or treatment often hits a wall. Parental consent requirements that delay or derail care entirely. Planned Parenthood South Texas holds Title X status, which makes its family planning and STI services legally confidential for minors, removing that barrier before it becomes a gap in treatment.
Planned Parenthood South Texas prescribes PrEP with the required baseline HIV and renal labs, manages ongoing monitoring visits, dispenses PEP, and prescribes DoxyPEP, the post-exposure doxycycline regimen for bacterial STI prevention, all within the same clinical team rather than across separate providers.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
A public safety-net federally qualified health center about 5 miles from Lackland AFB. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Lackland AFB, 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 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 Bexar 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.
3208 Napier Park, Suite 1, Station B, San Antonio, TX 78231
CMS-certified lab
701 South Zarzamora, San Antonio, TX 78207
CMS-certified lab Accredited · College of American Pathologists
720 Pleasanton Road, San Antonio, TX 78214
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lackland AFB. 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, 1,393 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lackland AFB. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 406 offer telehealth.
Trevor Colwell, DO
Internal medicine · 1100 Wilford Hall Loop, Jbsa Lackland
Ricardo Aguilar, MD Telehealth
Family medicine · 2515 Castroville Road, San Antonio
Grace Onuma, MD Telehealth
Family medicine · 2121 Southwest 36th Street, San Antonio
John Franka, MD
OB-GYN · 1831 South General Mcmullen Drive, San Antonio
Edmundo Garcia, MD
Family medicine · 9673 Marbach Road, San Antonio
Gustavo Velasquez, MD
Family medicine · 806 Cupples Road, San Antonio
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 Lackland AFB, 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.
1.3 mi 
1.6 mi 
2.2 mi 
2.8 mi Ortiz Pharmacy
3.0 miShowing the 5 closest pharmacies to Lackland AFB, 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 Lackland AFB, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Bexar County, the county that includes Lackland AFB, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~86% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#74 of 254 Texas counties for chlamydia, a higher rate than 71% of the state
| Infection | Bexar County | Texas | United States |
|---|---|---|---|
| Chlamydia | 399.2 8,333 cases ▼ 19% | 491.9 | 492.2 |
| Gonorrhea | 165.7 3,459 cases ▼ 6% | 176.4 | 179.5 |
| Syphilis (P&S) | 18.4 384 cases ▲ 23% | 15 | 15.8 |
| Syphilis (early) | 40.4 844 cases ▲ 53% | 26.4 | 16 |
| Syphilis (late/unknown) | 64.8 1,352 cases ▲ 46% | 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 Bexar County, chlamydia has fallen from 594.7 to 399.2 per 100,000 (33%), gonorrhea has fallen from 259.5 to 165.7 per 100,000 (36%), and P&S syphilis has risen from 16.9 to 18.4 per 100,000 (9%).
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 Bexar County.
Local HIV snapshot
Federal priority area: Bexar County is one of 48 U.S. counties prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Bexar County HIV care continuum (2023)
Bexar County recorded 22.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bexar County residents living with HIV, 82.9% know their status · 77.4% are in care · 67.6% 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 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 Bexar County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Married couples make up fewer than one in five households here, yet the average home holds more than four people. A dynamic that shapes how health decisions get made. In Lackland Terrace and Westwood Village, most of those households are young, transient, and entirely composed of renters paying close to market rate. When everyone under one roof is active-duty or closely tied to the base, health conversations tend to happen quickly or not at all, crowded out by rotations, duty schedules, and the particular social pressure of communal military life.
That context matters because the community skews almost entirely toward the late-teens-and-twenties end of the age spectrum, the years when STI transmission is most concentrated and relationship patterns are most in flux. Loop 13 and the Cleto Rodriguez Freeway put most of the listed clinics within a reasonable drive or walk, which helps. But with unemployment running meaningfully higher than the state norm and rent absorbing a significant share of household budgets, out-of-pocket testing costs genuinely factor into whether someone follows through. For a base population where nearly everyone is employed, scheduled, and mobile, the practical question is usually which clinic fits a window between formations, and this page is built to answer that.
Getting there
Lackland AFB scores 13.04/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 78236 snapshot
ZIP-level Census figures for the wider 78236 area around Lackland AFB: a single ZIP can span several communities, so they describe the area, not Lackland AFB alone.
Lackland AFB sits in Bexar County, ZIP 78236. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Lackland AFB? 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 Bexar 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 Lackland AFB-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 Lackland AFB 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.
There are 9 options within a 30-mile drive.
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.
Bexar County reported ~399 chlamydia cases per 100,000 in 2023, below the Texas average.
At-home kits mail to 78236: self-collect, send to the lab, results in ~2–5 days.
Most results are ready in about 1–2 days.
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.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.