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STD Testing in Le Grand, IA: Free, Same-Day & Confidential

Syphilis in Marshall County runs about 74% higher than the US average. If you've had a recent risk or simply test on a regular schedule in Le Grand, Iowa, you have options. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. See the list below.

Find a lab
  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Le Grand, IA

5 testing options are listed for Le Grand, IA. The nearest, Meskwaki Tribal Health Center, is about 6.9 miles away. Compare 3 community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Community health center 6.9 miles

Meskwaki Tribal Health Center

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Review sources

  • Google4
  • EasySTD1
Rated 5 out of 5 from 5 reviews

Meskwaki Tribal Health Center in Tama runs STI care (gonorrhea, chlamydia, syphilis, and HIV testing plus same-visit bacterial treatment) with no fee for any service, on a sliding-scale basis, by appointment.

Read full overview

Zero Cost Across Every Service Offered

When a fee stands between someone and treatment, gonorrhea or chlamydia goes untreated, and at Meskwaki Tribal Health Center, that gap simply doesn't exist. Testing, treatment, vaccines: the full scope of care here carries no charge, with no income verification required to access it.

Tests & treats Sliding-scale
Address
1646 305th Street, Tama, IA 52339
Booking
Appointment required
Opening hours
  • Monday 7:30 AM – 4:30 PM
  • Tuesday 7:30 AM – 4:30 PM
  • Wednesday 7:30 AM – 4:30 PM
  • Thursday 7:30 AM – 7:30 PM
  • Friday 7:30 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 7.2 miles

Primary Health Care

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Review sources

  • Google46
  • EasySTD5
Rated 2.7 out of 5 from 51 reviews

Primary Health Care in Marshalltown accepts Medicaid, Medicare, and most insurance, with a sliding scale extending to everyone else: covering gonorrhea, chlamydia, syphilis, herpes, and HIV testing, with same-visit treatment for bacterial infections; appointments are required.

Read full overview

Herpes Testing Added to the Standard Panel

Primary Health Care runs herpes testing through the same appointment as the core bacterial panel, no separate referral or scheduling. The result is a clinician who can interpret herpes serology alongside syphilis, gonorrhea, chlamydia, and HIV findings at once, adjusting counseling and treatment planning in a single visit.

PrEP and PEP Prescribed On-Site in Marshalltown

Without on-site PrEP and PEP prescribing, prevention often stalls at a recommendation that needs to be acted on somewhere else. Another appointment, another provider, time lost. Primary Health Care writes and manages both PrEP and PEP prescriptions directly, keeping prevention continuous rather than contingent on a second clinic.

Spanish-Speaking Staff Deliver Full Clinical Care

Spanish-language care at Primary Health Care is staffed capacity: clinicians conduct the exam, explain results, and walk through medication adherence counseling in Spanish without a relay. That means treatment instructions, PrEP monitoring conversations, and follow-up plans are communicated directly, with no translation layer between the provider and the patient.

Tests & treats Sliding-scale PrEP
Address
101 Iowa Avenue West, Suite 102 Marshalltown, IA 50158
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 8:00 PM
  • Tuesday 8:00 AM – 8:00 PM
  • Wednesday 8:00 AM – 8:00 PM
  • Thursday 8:00 AM – 8:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday 9:00 AM – 1:00 PM
  • Sunday Closed
Website
Community health center 7.4 miles

Unitypoint Health - Marshalltown

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Review sources

  • Google14
  • EasySTD1
Rated 3.6 out of 5 from 15 reviews

A community safety-net rural health clinic about 7 miles from Le Grand. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.

Address
303 Nicholas Dr Suite 100, Marshalltown, IA 50158
Website
Premium Partner
Labcorp

Labcorp

Results in 1–2 days
?

Review sources

  • Google59
  • EasySTD5
Rated 2.9 out of 5 from 64 reviews
Address
11208 Aurora Avenue, Urbandale, IA 50322 57.4 miles away
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner
Quest Diagnostics

Quest Diagnostics

Most reviewed Results in 1–2 days
?

Review sources

  • Google99
  • EasySTD5
Rated 3.5 out of 5 from 104 reviews
Address
11319 Aurora Avenue, Urbandale, IA 50322 57.4 miles away
Opening hours
  • Monday 7:30 AM – 3:30 PM
  • Tuesday 7:30 AM – 3:30 PM
  • Wednesday 7:30 AM – 3:30 PM
  • Thursday 7:30 AM – 3:30 PM
  • Friday 7:30 AM – 3:30 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Find your match in 10 seconds

What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

Every other option

More ways to get tested in Le Grand, IA

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.

At-home tests Certified labs Doctors Pharmacies Online PrEP & treatment

Test from home

At-home STD testing in Le Grand, IA

The nearest testing center is about 7 miles away, if you'd rather skip the trip, an at-home kit ships to Le Grand, 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 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

    Quest Diagnostics

    Quest Diagnostics

    $79 & up

    Panel:
    8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
    Sample:
    Quest Mobile: a phlebotomist collects your sample at home
    Results:
    1–3 days, online: physician-reviewed
    • In-home sample collection
    • Nationwide Quest lab network
    • Physician-reviewed results
    • FSA/HSA eligible
    Order online Quest Diagnostics review

  • Best range: couples & full panels

    myLAB Box

    myLAB Box

    $79 & up

    Panel:
    Up to 14 infections, incl. HIV, syphilis, chlamydia, gonorrhea, hepatitis & herpes
    Sample:
    Self-collect: swab, urine, finger-prick
    Results:
    2–5 days, online
    • Free phone consult if positive
    • CLIA-certified labs
    • Couples & subscription options
    • Discreet packaging
    Order online myLAB Box review

  • Best for simplicity & support

    LetsGetChecked

    LetsGetChecked

    $89 & up

    Panel:
    5–6 common STIs incl. chlamydia, gonorrhea, HIV, syphilis & trichomoniasis
    Sample:
    Finger-prick + urine/swab
    Results:
    2–5 days, online
    • 24/7 nurse support
    • Prescription for positives
    • CLIA-certified labs
    • Free shipping both ways
    Order online LetsGetChecked review

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

Other CLIA-certified labs near Le Grand, IA

Beyond the public testing sites above, these federally certified (CLIA) labs serve Marshall 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.

  • Unitypoint Health Marshalltown

    55 Unitypoint Way, Marshalltown, IA 50158

    CMS-certified lab

    • STD testing
    Call Directions

  • Marshalltown VA Clinic

    201 East Merle Hibbs Boulevard, Marshalltown, IA 50158

    CMS-certified lab

    • STD testing
    Call Directions

  • McFarland Clinic Marshalltown

    421 East Merle Hibbs Boulevard, Marshalltown, IA 50158

    CMS-certified lab Accredited · COLA

    • STD testing
    Call Directions

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Le Grand. 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

Clinicians near Le Grand, IA who may help arrange STD testing

Beyond dedicated clinics, 51 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Le Grand. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 4 offer telehealth.

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

Pharmacies near Le Grand, IA

Compare the pharmacies closest to Le Grand, IA. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.

  • Walmart Pharmacy 7.1 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
    Directions

  • Genoa Healthcare

    7.1 mi
    Rx pickupCondoms / EC
    Directions

  • Hy-Vee Pharmacy

    7.1 mi
    Rx pickupCondoms / EC
    Directions
  • Walgreens 7.3 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
    Directions

Showing the 4 closest pharmacies to Le Grand, IA.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

Prevention & treatment

PrEP, prevention & online treatment

Testing is one step. For residents of Le Grand, 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.

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

STDs & HIV in Marshall County: the local picture

How reported STI rates in Marshall County, the county that includes Le Grand, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~17% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#13 of 99 Iowa counties for chlamydia, a higher rate than 87% of the state

Reported STD rates per 100,000, Marshall County vs Iowa vs U.S.

Marshall County Iowa U.S. ▲▼ = Marshall County vs the state average
Infection Marshall County Iowa United States
Chlamydia
482.3 193 cases ▲ 13%
426.8 492.2
Gonorrhea
120 48 cases ▲ 3%
116.8 179.5
Syphilis (P&S)
27.5 11 cases ▲ 167%
10.3 15.8
Syphilis (early)
10 4 cases ▲ 9%
9.2 16
Syphilis (late/unknown)
15 6 cases ▲ 52%
9.9 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.

Reported STD rates in Marshall County over time (per 100,000)

Chlamydia ▼ 2% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 275 550 2020202120222023

Between 2020 and 2023 in Marshall County, chlamydia has fallen from 506.2 to 482.3 per 100,000 (5%), gonorrhea has fallen from 199.5 to 120 per 100,000 (40%), and P&S syphilis has risen from 2.5 to 27.5 per 100,000 (1000%).

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

What shapes testing access in and around Le Grand, IA

Adults uninsured
6%
No routine checkup
19.9%
No transportation
5.4%
Binge drinking
20.9%
Frequent mental distress
15.1%
Depression
20.3%
Below poverty line
11.8%
Primary-care ratio
2,344 : 1
Marshall County

Primary-care shortage score 16 / 26

Medically Underserved Area · IMU 61.3

Social Vulnerability Index · 68th percentile nationally

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 Marshall County.

Local HIV snapshot

HIV in Marshall County (2023)

People living with HIV
121 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
91

Marshall County HIV care continuum (2023)

Marshall County recorded 0 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Marshall County residents living with HIV, 80% are in care · 77.5% 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.

Pregnant or planning to be? Congenital syphilis is the fastest-rising STI: what to test, and when

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 Marshall County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Editorially Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team

Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →

17 Sources

Local resources & officials

Data & references

Local context

About Le Grand, IA

US 30 cuts straight through Le Grand, and for most residents a clinic visit means committing to a real stretch of Lincoln Highway. This is a town where you drive, not walk, to get anything done. That reality lands differently when you're also carrying a monthly rent or a mortgage on a modest home, and where a meaningful share of households are one job disruption away from rethinking discretionary spending, including health appointments that feel postponable. Le Grand skews toward owners and established households (nearly half of adults are married, and average households run just over three people) so the community reads, on the surface, as settled.

But young adults in their late teens and twenties are still here, still forming relationships, and still the group most likely to encounter a new STI without knowing it. For them, the distance to options listed on this page isn't an abstraction; it's a Tuesday afternoon off work, a tank of gas, and a mental calculation about whether the trip fits the week. With unemployment running at a level that keeps some households stretched, and labor-force participation meaning most adults here are working, after-hours or lower-cost options among the clinics listed here do the practical work of keeping screening realistic for a household balancing two schedules, three people, and one car.

Getting there

How residents reach STD testing in Le Grand, IA

Walkability 3.9 / 20 · Least walkable

At 3.9/20 on the EPA walkability index, day-to-day errands in Le Grand 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.

Map of 5 STD & STI testing locations in Le Grand, Iowa, EasySTD

ZIP 50142 snapshot

Residents
779
Median age
48.4
Median income
$68,438

ZIP-level Census figures for the wider 50142 area around Le Grand: a single ZIP can span several communities, so they describe the area, not Le Grand alone.

Le Grand sits in Marshall County, ZIP 50142. Local context that shapes where residents test:

Local landmarks

  • Three Bridges County Park
  • McCoy Landing

Major routes

  • US 30 (Lincoln Highway)
  • IA 146 (Zeller Avenue)
  • Three Bridges Road

Reference

STD testing in Le Grand, IA: screening, costs & privacy

Everything to know before you test in Marshall County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when CDC screening schedule + each infection's detection window

Who should get tested, and how often

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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Le Grand-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
Browse all STD & STI guides
What each STD test costs Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Le Grand 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.

Confidentiality & consent in Iowa Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on Iowa 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).

Can a minor consent on their own?

In Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.

Can my partner be treated too? (EPT)

Iowa 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 Iowa

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Le Grand, IA

Answers to the questions people ask most before getting tested.

Is walk-in STD testing available near Le Grand, IA?

Yes, several local labs offer same-day walk-in testing; best to call first.

How much does STD testing cost near Le Grand, IA?

Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.

Can I get tested in Le Grand, IA without insurance?

Public clinics serve people without insurance, often on a sliding scale.

What's included in a full panel near Le Grand, IA?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Marshall County?

Marshall County reported ~482 chlamydia cases per 100,000 in 2023, above the Iowa average.

Can I get PrEP near Le Grand, IA?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

Can someone under 18 get tested in Iowa without a parent?

In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.

Is there an at-home STD test for Le Grand, IA?

At-home kits mail to 50142: self-collect, send to the lab, results in ~2–5 days.

Where can teens get STD testing near Le Grand, IA?

Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.

Can you tell if someone has an STD by looking?

No, most STIs have no visible signs, so the only way to know is to test.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.