In Letcher, Alabama, reported gonorrhea rates in Jackson County run about 66% lower than the US average. Whether you're establishing a new relationship or managing ongoing care, Letcher, Alabama, offers both low-cost public clinics and private labs that may offer faster results and scheduling.
Available testing centers
7 testing options are listed for Letcher, AL. The nearest, Northeast Alabama Health Services, - Skyline, is about 4.2 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.
Northeast Alabama Health Services – Skyline, in Scottsboro, earns its federally qualified status by tying fees to income across the board. Walk-ins included. Sliding-scale rates apply to STI screening for syphilis, gonorrhea, and chlamydia, making that care reachable regardless of what you earn or carry for insurance.
Tests offered
Fees & payment
A public safety-net rural health clinic about 9 miles from Letcher. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net rural health clinic about 9 miles from Letcher. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 4 miles away; if you'd rather skip the trip, an at-home kit ships to Letcher, 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 Jackson 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.
380 Woods Cove Road, Scottsboro, AL 35768
CMS-certified lab Accredited · College of American Pathologists
331 Parks Ave Suite B, Scottsboro, AL 35768
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Letcher. 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, 356 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Letcher. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 72 offer telehealth.
Mark Cooper, MD
Family medicine · 505 Burlington Street, Scottsboro
Charles Bradford, MD Telehealth
Family medicine · 508 Harley Street, Scottsboro
Anand Shanker Balachandran, MD Telehealth
Internal medicine · 506 Harley Street, Scottsboro
Richard Baird, MD
Internal medicine · 380 Woods Cove Road, Scottsboro
Richard Fikes, MD Telehealth
Internal medicine · 380 Woods Cove Road, Scottsboro
Abiola Familusi, MD Telehealth
Internal medicine · 380 Woods Cove Road, Scottsboro
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 Letcher, AL 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.
Big C Skyline
4.1 miGenoa Healthcare
8.1 miParks Avenue Drugs
9.0 miBig C Scottsboro
9.3 miShowing the 4 closest pharmacies to Letcher, AL.
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 Letcher, 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.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
$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 Jackson County, the county that includes Letcher, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#63 of 67 Alabama counties for chlamydia, a higher rate than 6% of the state
| Infection | Jackson County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 213.2 114 cases ▼ 67% | 651.1 | 492.2 |
| Gonorrhea | 61.7 33 cases ▼ 73% | 226.9 | 179.5 |
| Syphilis (P&S) | 13.1 7 cases ▼ 54% | 28.6 | 15.8 |
| Syphilis (early) | 3.7 2 cases ▼ 82% | 20.4 | 16 |
| Syphilis (late/unknown) | 7.5 4 cases ▼ 69% | 24.5 | 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 Jackson County, chlamydia has fallen from 247.2 to 213.2 per 100,000 (14%), gonorrhea has fallen from 110.3 to 61.7 per 100,000 (44%), and P&S syphilis has risen from 1.9 to 13.1 per 100,000 (589%).
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 Jackson County.
Local HIV snapshot
Federal priority area: Alabama 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.
Jackson County HIV care continuum (2023)
Jackson County recorded 0 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Jackson County residents living with HIV, 75% are in care · 69.4% 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 Jackson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Fork Mountain and Jacobs Mountain frame a community where most households are owner-occupied and more than half of married adults make health decisions together, which means screening often depends on a shared calendar, a shared car, and a shared willingness to make the drive. That drive matters here more than almost anywhere. The workforce participation picture adds another layer: just under half of residents are in the labor force at all, a mix of retirees, caregivers, and part-time workers whose schedules aren't the predictable nine-to-five that makes clinic hours easy to meet.
The low typical rent signals that cost probably isn't the main barrier, distance and time are. For younger adults in Letcher, people in their late teens and twenties whose relationship lives are often in flux, Jackson County's STI figures make routine screening genuinely worthwhile rather than a precaution for edge cases. The county data already visible on this page shows why staying current isn't overcaution for someone living in the shadow of Fork Mountain; it's simply what the numbers suggest is reasonable.
Getting there
At 3.4/20 on the EPA walkability index, day-to-day errands in Letcher 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 35776 snapshot
ZIP-level Census figures for the wider 35776 area around Letcher: a single ZIP can span several communities, so they describe the area, not Letcher alone.
Letcher sits in Jackson County, ZIP 35776. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Letcher? 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 Jackson County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alabama 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 Letcher-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 Letcher 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 Alabama 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 Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Alabama 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 AlabamaSource: 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 Northeast Alabama Health Services, - Skyline (4.2 mi); 7 options are within 30 miles.
Medicaid generally covers STD testing.
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 213 cases per 100,000 residents (2023), below the Alabama average.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, at-home kits ship to 35776; you collect a sample, mail it back, and get results in about 2–5 days.
Definitely worth testing; abnormal discharge often points to a treatable STI.
HPV and hepatitis B vaccines prevent those infections, ask a provider if you're due.
Syphilis is found with a simple blood test; a reactive screen is confirmed with a second blood test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.