In Charles Mix County, reported chlamydia runs about 28% higher than the US average. If you live in Lake Andes, South Dakota, and are wondering about STI testing whether you have symptoms or just want peace of mind, community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. See your options below.
Available testing centers
4 testing options are listed for Lake Andes, SD. The nearest, Platte Community Memorial Hospital, is about 10.5 miles away. Compare 2 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 public safety-net rural health clinic about 11 miles from Lake Andes. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Indian Health Service in Wagner extends its full medical infrastructure to STI care: conventional HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB testing on a sliding-scale basis, with same-visit treatment for bacterial infections and no appointment required. Every service carries no fee.
Every service at Indian Health Service in Wagner (testing, treatment, vaccines, PrEP) is provided at no charge, which means the full scope of care is available without financial trade-offs shaping which tests get ordered or which follow-up appointments actually happen.
Indian Health Service in Wagner prescribes and manages both PrEP and PEP directly, a meaningful fit for anyone without a regular primary care provider or who would otherwise need multiple appointments across separate practices just to access HIV prevention medication.
Hepatitis C treatment is handled on-site at Indian Health Service in Wagner, so a reactive antibody result doesn't send a patient elsewhere to find a specialist. Care continues in the same place the diagnosis was made.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
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 11 miles away; if you'd rather skip the trip, an at-home kit ships to Lake Andes, 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 value: single tests
$49 & 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 Charles Mix 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.
756 East Lake Street, Lake Andes, SD 57356
CMS-certified lab
513 3rd Street Southwest, Wagner, SD 57380
CMS-certified lab Accredited · COLA
400 West Hwy 46-50, Wagner, SD 57380
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lake Andes. 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, 8 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lake Andes. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2 offer telehealth.
Maurice Chessmore, MD
Family medicine · 513 3rd Street Southwest, Wagner
Emma Bye, MD
OB-GYN · 111 Washington Avenue Northwest, Wagner
Barbara Gutshall, MD
Internal medicine · 103 South Thayer Street, Spencer
Xenofon Papadopoulos, MD Telehealth
Urology · 601 East 7th Street, Platte
Mary Lee Villanueva, MD Telehealth
Internal medicine · 730 Wilson Street, Butte
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 Lake Andes, SD 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.
Wollman Andes Pharmacy
0.2 miPrairie Pharmacy
15 miPrairie Pharmacy Corsica
20 miHoffman Drug
22 miParkston Drug
32 miShowing the 5 closest pharmacies to Lake Andes, SD.
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 Lake Andes, 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
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 Charles Mix County, the county that includes Lake Andes, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#14 of 66 South Dakota counties for chlamydia, a higher rate than 79% of the state
| Infection | Charles Mix County | South Dakota | United States |
|---|---|---|---|
| Chlamydia | 627.7 58 cases ▲ 18% | 531.6 | 492.2 |
| Gonorrhea | 378.8 35 cases ▲ 50% | 253.3 | 179.5 |
| Syphilis (P&S) | 140.7 13 cases ▲ 92% | 73.4 | 15.8 |
| Syphilis (early) | 162.3 15 cases ▲ 111% | 76.8 | 16 |
| Syphilis (late/unknown) | 64.9 6 cases ▼ 11% | 72.9 | 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 Charles Mix County, chlamydia has risen from 426.8 to 627.7 per 100,000 (47%), gonorrhea has risen from 256.1 to 378.8 per 100,000 (48%), and P&S syphilis has risen from 10.7 to 140.7 per 100,000 (1215%).
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 Charles Mix County.
Local HIV snapshot
Charles Mix County HIV care continuum (2023)
Charles Mix County recorded 0 new HIV diagnoses per 100,000 (2023), against 6.8 statewide and 13.7 nationally. 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 Charles Mix County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Young adults in Lake Andes often stay because the land itself keeps them: family farms, inherited property, or the decision to raise kids where grandparents already live. That rootedness means confidential health care matters more, not less. Testing for STIs in and around Lake Andes is available through providers listed on this page, and the choice to get screened stays between you and the clinic; there's no reporting to employers, family, or neighbors, and results are protected by the same privacy laws that shield any medical record. The area draws people across a range of living situations: long-established families in multi-generational homes, single adults building independent lives, couples without children. Each circumstance calls for straightforward access to testing without judgment or unnecessary complexity.
Clinics serving Lake Andes understand that confidentiality isn't performative, it's how people actually use the system. Getting tested is practical and direct. Whether you're near SD Highway 50, US Highway 281, or elsewhere in Charles Mix County, the clinics and urgent-care centers listed here offer routine screening on schedules that fit working people and farm schedules alike. Early detection matters most, and knowing your status, whether negative or positive, is the only way to move forward with real information and real options.
Getting there
At 5.92/20 on the EPA walkability index, day-to-day errands in Lake Andes 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 57356 snapshot
ZIP-level Census figures for the wider 57356 area around Lake Andes: a single ZIP can span several communities, so they describe the area, not Lake Andes alone.
Lake Andes sits in Charles Mix County, ZIP 57356. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Lake Andes? 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 Charles Mix County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under South Dakota 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 Lake Andes-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 Lake Andes 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 South Dakota 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 South Dakota, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Expedited Partner Therapy (EPT) is potentially allowable in South Dakota: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.
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 South DakotaSource: 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.
Platte Community Memorial Hospital, about 10.5 mi away, with 2 options within 30 miles.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Charles Mix County reported ~628 chlamydia cases per 100,000 in 2023, above the South Dakota average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.