Syphilis in Columbia County is reported as about 13% lower than the US average. If you need testing after a possible exposure or as part of routine care in Lake City, Florida, consider whether you prefer clinics that may bill insurance or labs that offer a flat self-pay price. We list your options below.
Available testing centers
9 testing options are listed for Lake City, FL. The nearest, Andres R Villar MD, is about 0.1 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 in Lake City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Florida Department of Health in Columbia County, Lake City's public health department, tests for gonorrhea, chlamydia, syphilis, herpes, and HIV, treating bacterial infections the same visit, with all services available at no fee and on a sliding scale, by appointment.
The Florida Department of Health in Columbia County carries no charge for any service on its list, TB testing, STI treatment, herpes testing, HIV counseling, HPV vaccine, hepatitis vaccines. That zero-dollar figure applies across the board, not selectively, so nothing on the care menu costs more than another.
Spanish is spoken on-site at the Florida Department of Health in Columbia County, and interpretation services extend to other languages as well. That means clinical conversations (exposure history, treatment instructions, follow-up plans) happen in the language you use, without a relay delay mid-appointment.
Without Ryan White support, a positive HIV test at one clinic often means weeks of cost uncertainty before ongoing care begins elsewhere. The Florida Department of Health in Columbia County is Ryan White-funded, so HIV management, from initial testing through continued treatment, stays in one place, with no financial cliff between diagnosis and care.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Palms Medical Group in Lake City runs STI testing through a full medical clinic practice, where appointments keep care structured and provider-guided. The sliding-scale fee applies across all services, with Medicaid, Medicare, and insurance accepted. Same-visit treatment is available for bacterial infections, and HPV, hepatitis A, and hepatitis B vaccines are on-site.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
A community safety-net rural health clinic about 4 miles from Lake City. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Palms Medical Group - Lake City West welcomes walk-ins for STI screening, no appointment needed. Sliding-scale fees tied to income apply at this federally qualified health center, and a single visit can cover syphilis, gonorrhea, and chlamydia testing in one stop.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Lake City, 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 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 Columbia 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.
340 Northwest Commerce Drive, Lake City, FL 32055
CMS-certified lab Accredited · College of American Pathologists
801 South Main St 3rd Floor, Lake City, FL 32025
CMS-certified lab Accredited · College of American Pathologists
1283 Southwest Sr 47 Suite 104, Lake City, FL 32025
CMS-certified lab
1722 Southwest Newland Way, Lake City, FL 32025
CMS-certified lab
795 Southwest State Road 47, Lake City, FL 32025
CMS-certified lab Accredited · COLA
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lake City. 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, 151 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lake City. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 13 offer telehealth.
Tohmina Begum, MD
Internal medicine · 1283 Southwest State Road, Lake City
Miguel Tepedino, MD
Family medicine · 1722 Southwest Newland Way, Lake City
Michael Ukaegbu, MD Telehealth
Internal medicine · 1465 West US Hwy 90, Lake City
Amber Pitman, MD
Family medicine · 755 Southwest State Road, Lake City
J. Trott, MD
Internal medicine · 480 Southwest Main Boulevard, Lake City
Jihad Mustapha, MD
Internal medicine · 1211 Southwest Bascom Norris Drive, Lake City
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 City, FL 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.
North Florida Pharmacy
0.5 mi
0.6 mi Desoto Drug Store
0.6 miMayo Pharmacy and Wellness Center
0.7 mi
1.2 mi Showing the 5 closest pharmacies to Lake City, FL.
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 City, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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
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 Columbia County, the county that includes Lake City, compare with Florida and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 67 Florida counties for chlamydia, a higher rate than 85% of the state
| Infection | Columbia County | Florida | United States |
|---|---|---|---|
| Chlamydia | 611.8 447 cases ▲ 23% | 498.9 | 492.2 |
| Gonorrhea | 302.5 221 cases ▲ 46% | 206.7 | 179.5 |
| Syphilis (P&S) | 13.7 10 cases ▼ 29% | 19.3 | 15.8 |
| Syphilis (early) | 12.3 9 cases ▼ 51% | 25.1 | 16 |
| Syphilis (late/unknown) | 12.3 9 cases ▼ 67% | 37.7 | 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 Columbia County, chlamydia has risen from 579.6 to 611.8 per 100,000 (6%), gonorrhea has risen from 281.2 to 302.5 per 100,000 (8%), and P&S syphilis has risen from 11.5 to 13.7 per 100,000 (19%).
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 Columbia County.
Local HIV snapshot
Columbia County HIV care continuum (2022)
Columbia County recorded 16.5 new HIV diagnoses per 100,000 (2022), against 22.7 statewide and 13.7 nationally. Among Columbia County residents living with HIV, 85.4% are in care · 78.8% 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 Columbia County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Lake City reads as more settled than it is: nearly half the households own their homes, modest values that make purchase genuinely possible, green anchors like Annie Mattox Park and Five Points Park stitched into daily life. But underneath that surface, most residents rent at rates that leave little room for discretionary spending, and a labor-force participation figure well below the national norm tells a quieter story: a significant share of adults here are outside regular employment schedules, whether through caregiving, disability, or the kind of job-hopping that comes with a tight local economy. Those realities shape what STI screening actually looks like in practice.
Younger adults in their late teens and twenties (the years when new partnerships, transitions, and infections are most concentrated) face that calculus most acutely, especially in households averaging more than three people, where privacy and scheduling both require negotiation. The clinics and services listed on this page include options built around exactly these constraints: sliding-scale fees, hours that extend past the standard workday, and locations reachable from the US 90 corridor without a long detour.
Getting there
At 6.98/20 on the EPA walkability index, day-to-day errands in Lake City 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 32025 snapshot
ZIP-level Census figures for the wider 32025 area around Lake City: a single ZIP can span several communities, so they describe the area, not Lake City alone.
Lake City sits in Columbia County, ZIP 32025. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Lake City? 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 Columbia County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Florida 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 City-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 City 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 Florida 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 Florida, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Florida 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 FloridaSource: 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.
The closest is Andres R Villar MD (0.1 mi); 9 options are within 30 miles.
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 612 cases per 100,000 residents (2023), above the Florida average.
In Florida, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.