Gonorrhea reports in St. Francois County are about 55% lower than the US average, but knowing your status is key whether it's your first STI test or a routine screening. In Leadwood, Missouri, clinics offer same-day testing, while at-home kits and labs let you choose your timing. Review the options below.
Available testing centers
7 testing options are listed for Leadwood, MO. The nearest, Great Mines-West County Community Hope Center Clinic, is about 0.2 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.
Great Mines-West County Community Hope Center Clinic in Leadwood earns its federal qualification by tying fees to income, no one is turned away for inability to pay. Walk-ins are welcome for sliding-scale STI screening covering syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
St Francois County Health Center in Park Hills tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis B, hepatitis C, and TB on a sliding-scale basis, with HIV testing free; same-visit treatment is available for bacterial STIs, and an appointment is required.
All services at St Francois County Health Center are provided at no fee, which means the full scope of testing, treatment, and prevention is available without any cost weighing against the decision to come in.
St Francois County Health Center tests for hepatitis B and hepatitis C in addition to HIV, syphilis, gonorrhea, and chlamydia, so a single visit can surface liver infections that often go undetected alongside the more routinely screened STIs.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Great Mines Health Center in Farmington carries federally qualified health center designation, which anchors its sliding-scale fee structure to household income: meaning the same syphilis, gonorrhea, and chlamydia screening is priced across a broad range of what patients actually earn, with no appointment required.
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 Leadwood, 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 for simplicity & support
$89 & 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 St. Francois 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.
1580 West Columbia, Farmington, MO 63640
CMS-certified lab
1223 Maple Street, Farmington, MO 63640
CMS-certified lab
1101 West Liberty Street, Farmington, MO 63640
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Leadwood. 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, 110 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Leadwood. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 19 offer telehealth.
Chandra Dommaraju, MD
Infectious disease · 1025 West Main Street, Park Hills
Andy Nguyen, DO Telehealth
Internal medicine · 801 Brim Street, Desloge
Laurence Lum, DO Telehealth
Family medicine · 330 North State Street, Desloge
Scott Kirkley, MD
Internal medicine · 7245 Raider Road, Bonne Terre
Jennifer Crouch, MD
Internal medicine · 1106 Hazel Lane, Farmington
Hannah Kertz, MD
OB-GYN · 550 Maple Valley Drive, Farmington
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 Leadwood, MO 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.
Harps Pharmacy
3.8 miCountry Mart
3.8 miParkland Pharmacy
4.0 mi
4.4 mi 
4.4 mi Community Care Pharmacy of Desloge
4.5 miShowing the 6 closest pharmacies to Leadwood, MO.
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 Leadwood, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 St. Francois County, the county that includes Leadwood, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~28% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#51 of 115 Missouri counties for chlamydia, a higher rate than 56% of the state
| Infection | St. Francois County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 253.5 170 cases ▼ 49% | 498.6 | 492.2 |
| Gonorrhea | 80.5 54 cases ▼ 60% | 201.9 | 179.5 |
| Syphilis (P&S) | 22.4 15 cases ▲ 4% | 21.5 | 15.8 |
| Syphilis (early) | 8.9 6 cases ▼ 28% | 12.4 | 16 |
| Syphilis (late/unknown) | 122.3 82 cases ▲ 262% | 33.8 | 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 St. Francois County, chlamydia has risen from 237.6 to 253.5 per 100,000 (7%), gonorrhea has fallen from 153.9 to 80.5 per 100,000 (48%), and P&S syphilis has risen from 10.5 to 22.4 per 100,000 (113%).
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 St. Francois County.
Local HIV snapshot
Federal priority area: Missouri is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
St. Francois County HIV care continuum (2022)
St. Francois County recorded 14 new HIV diagnoses per 100,000 (2022), against 10.6 statewide and 13.7 nationally. Among St. Francois County residents living with HIV, 82.9% are in care · 76.4% 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 St. Francois County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Leadwood's mining heritage shaped its landscape and its people: many young adults stay or return because the cost of living lets them build something here, or they drift in for work that doesn't require leaving the state. That stability, modest as it is, matters most when life gets complicated. Routine STI testing is healthcare that fits into a real budget, and the clinics and providers listed on this page understand that Leadwood residents don't have the luxury of traveling far for confidential care or absorbing unexpected costs. The town's young adult population, people in their late teens through early thirties, knows that screening happens quietly and stays private.
A test result doesn't announce itself to coworkers at the plant or to extended family. The providers in and around Leadwood respect that boundary completely; what you learn about your sexual health is yours alone to act on. Finding a testing site that matches your schedule and comfort level matters in a place where tight finances mean you can't afford to take time off work or pay out of pocket for something your insurance should cover. The clinics available nearby take both those concerns seriously, and they're accustomed to patients who need straightforward, affordable care without ceremony or delay.
Getting there
At 7.12/20 on the EPA walkability index, day-to-day errands in Leadwood 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 63601 snapshot
ZIP-level Census figures for the wider 63601 area around Leadwood: a single ZIP can span several communities, so they describe the area, not Leadwood alone.
Leadwood sits in St. Francois County, ZIP 63601. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Leadwood? 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 St. Francois County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri 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 Leadwood-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 Leadwood 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 Missouri 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 Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: 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 5 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
St Francois County Health Center, about 3 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
St. Francois County reported ~254 chlamydia cases per 100,000 in 2023, below the Missouri average.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.