Chlamydia cases in Nicollet County run about 46% lower than the US average. If you live in Lafayette, Minnesota, and want to get tested before starting a new relationship or as part of ongoing care, consider that community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling.
Available testing centers
6 testing options are listed for Lafayette, MN. The nearest, Sibley Medical Center, is about 6.3 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 community safety-net rural health clinic about 6 miles from Lafayette. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Brown County Public Health in New Ulm tests for syphilis, chlamydia, and HIV, and treats bacterial infections the same day they're confirmed. Fees follow a sliding scale, with Medicaid and private insurance also accepted. An appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Sibley County Public Health Department in Gaylord tests for gonorrhea and chlamydia, treats bacterial STIs the same visit, and covers family planning. All on a sliding scale that bottoms out at no fee for those who qualify.
Carrying no insurance, paying out of pocket, or working without a regular provider. Those are exactly the circumstances where Sibley County Public Health's no-fee structure does the most work. Testing, treatment, and family planning services are all available at no charge, with nothing owed at the end of the visit.
Spanish-speaking patients at most local health settings get routed through workarounds that slow everything down and flatten the conversation. Sibley County Public Health delivers care directly in Spanish, the clinical conversation, not a stripped-down version of it.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Lafayette, 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 Nicollet 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.
1900 North Sunrise Drive, St Peter, MN 56082
CMS-certified lab
1575 Lookout Drive, North Mankato, MN 56003
CMS-certified lab
100 Freeman Drive, Saint Peter, MN 56082
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lafayette. 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, 191 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lafayette. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 80 offer telehealth.
Michelle Wilkening, MD Telehealth
Family medicine · 1324 5th Street North, New Ulm
Francille Knowles, MD Telehealth
Family medicine · 1324 5th Street North, New Ulm
Ashenafi Tamene, MD Telehealth
Internal medicine · 1324 5th Street North, New Ulm
Diana Benson, MD
Internal medicine · 1324 5th Street North, New Ulm
Thomas Gilles, MD
Family medicine · 300 Park Street South, Fairfax
Kyle Mairose, MD
Internal medicine · 601 West Chandler Street, Arlington
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 Lafayette, MN 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.
Hanson Drug
6.6 miCoborns
9.5 mi
9.6 mi 
9.9 mi Allina Health New Ulm Pharmacy
9.9 miShowing the 5 closest pharmacies to Lafayette, MN.
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 Lafayette, 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
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
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 Nicollet County, the county that includes Lafayette, compare with Minnesota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#27 of 87 Minnesota counties for chlamydia, a higher rate than 69% of the state
| Infection | Nicollet County | Minnesota | United States |
|---|---|---|---|
| Chlamydia | 265.8 91 cases ▼ 30% | 379.5 | 492.2 |
| Gonorrhea | 23.4 8 cases ▼ 83% | 134.5 | 179.5 |
| Syphilis (P&S) | — no data | 8.7 | 15.8 |
| Syphilis (early) | — no data | 6.7 | 16 |
| Syphilis (late/unknown) | 2.9 1 cases ▼ 80% | 14.7 | 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 Nicollet County, chlamydia has risen from 249.6 to 265.8 per 100,000 (6%), and gonorrhea has fallen from 92.9 to 23.4 per 100,000 (75%).
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 Nicollet County.
Local HIV snapshot
Nicollet County HIV care continuum (2023)
Nicollet County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.7 statewide and 13.7 nationally. Among Nicollet County residents living with HIV, 77.8% are in care · 77.8% 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 Nicollet County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Lafayette's rhythm follows the seasons (spring planting, summer fieldwork, autumn harvest) and the steady pulse of small-town commerce that keeps pace with the land. For the young adults who move through here for work, school, or family, that rhythm can leave health appointments feeling like one more thing to fit in. Confidential STI screening doesn't have to wait for a slower week; clinics and health services in and around Lafayette are listed on this page, with options that work around your actual schedule. Testing here stays between you and your provider: no notification to employers, family, or neighbors unless you choose it. That privacy is especially valuable in a place where people tend to stay rooted, where familiar faces show up at the same stores and churches year after year.
Knowing your status matters regardless of whether you're passing through or settling in, and the ability to get screened without your decision becoming local knowledge is real. The young adults in Lafayette, those in their late teens through their thirties, are the ones for whom routine screening makes the most difference. Whether you're here full-time or seasonally, whether you're partnered or dating, the clinics accessible from Lafayette offer straightforward, confidential care. Results are yours alone.
Getting there
At 4.65/20 on the EPA walkability index, day-to-day errands in Lafayette 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 56054 snapshot
ZIP-level Census figures for the wider 56054 area around Lafayette: a single ZIP can span several communities, so they describe the area, not Lafayette alone.
Lafayette sits in Nicollet County, ZIP 56054. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Lafayette? 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 Nicollet County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Minnesota 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 Lafayette-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 Lafayette 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 Minnesota 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 Minnesota, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Minnesota 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 MinnesotaSource: 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.
Closest is Sibley Medical Center (6.3 mi), or order an at-home kit to 56054.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 266 cases per 100,000 residents (2023), below the Minnesota average.
In Minnesota, people under 18 can consent to confidential STD testing and treatment on their own.
That's a myth; STIs need sexual contact to spread, not surfaces.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
HPV is checked through cervical screening (often with a Pap test); there's no routine HPV test for men.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.