Marshall County has 29% fewer chlamydia cases than the US average. Whether you're in Lewisburg, Tennessee, and need testing after a possible exposure or as part of routine care, your options include visiting a clinic to get answers and start treatment or using an at-home kit for on-demand sample collection and mail-in convenience. Take your pick from the options below.
Available testing centers
9 testing options are listed for Lewisburg, TN. The nearest, Mercy Marshall County, 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.
Mercy Marshall County in Lewisburg extends its federally funded sliding-scale model to anyone paying out of pocket, between insurance plans, or stretching a tight budget. No appointment is needed to be screened for syphilis, gonorrhea, and chlamydia, with fees adjusted to income.
Tests offered
Fees & payment
Tennessee Department of Health in Lewisburg requires an appointment and covers gonorrhea, chlamydia, syphilis, and HIV testing alongside STI treatment, family planning, and vaccines for HPV, hepatitis A and B, and mpox. All provided at no fee.
The clinic is staffed and funded to absorb the full cost of every service it delivers (testing, treatment, vaccines, counseling) without billing the patient at any point. That operational model means the sliding scale bottoms out at zero across the board, not just for selected services.
Staff provide care directly in Spanish, which means clinical conversations (symptom history, treatment instructions, follow-up expectations) happen in the same language throughout. That continuity keeps nothing lost between a question and its answer.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Lewisburg Family Practice, in Lewisburg, meets patients wherever they are financially: uninsured, cash-paying, or caught between coverage gaps. Federal qualification backs its sliding-scale structure, making syphilis, gonorrhea, and chlamydia screening genuinely affordable for anyone who walks in, regardless of income.
Tests offered
Fees & payment
Pregnancy Centers of Middle Tennessee in Columbia sees STI patients by appointment, allowing a single scheduled visit to address syphilis, gonorrhea, and chlamydia screening. Services are provided free of charge, making cost no barrier regardless of income.
Languages
English
Tests offered
Serves
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Primary Care & Hope Clinic of Shelbyville charges on a sliding scale tied to income, so cost is rarely a barrier to STI screening. Federally qualified funding backs that commitment, covering syphilis, gonorrhea, and chlamydia testing. No appointment needed to get started.
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 Lewisburg, 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 range: couples & full panels
$79 & 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 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.
1080 North Ellington Parkway, Lewisburg, TN 37091
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 Lewisburg. 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, 128 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lewisburg. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 20 offer telehealth.
Charles Tessier, DO Telehealth
Family medicine · 304 West Church Street, Lewisburg
Joyesh Thomas, MD
Family medicine · 122 East Commerce Street, Lewisburg
Joseph Rupard, MD
Family medicine · 529 West Commerce Street, Lewisburg
Nageh Soliman, MD
Internal medicine · 1080 North Ellington Parkway, Lewisburg
John Coursey, MD
Urology · 1080 North Ellington Parkway, Lewisburg
Timothy Nash, MD
Internal medicine · 1090 North Ellington Parkway, Lewisburg
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 Lewisburg, TN 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.
Parsons Pharmacy
0.1 miExpress RX of Lewisburg
0.2 miMedicine Shoppe
0.5 mi
0.9 mi 
1.0 mi Med-Care
1.3 miShowing the 6 closest pharmacies to Lewisburg, TN.
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 Lewisburg, 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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Marshall County, the county that includes Lewisburg, compare with Tennessee 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.
#30 of 95 Tennessee counties for chlamydia, a higher rate than 68% of the state
| Infection | Marshall County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 349 129 cases ▼ 33% | 517.4 | 492.2 |
| Gonorrhea | 78.5 29 cases ▼ 58% | 186.4 | 179.5 |
| Syphilis (P&S) | — no data | 14.8 | 15.8 |
| Syphilis (early) | 2.7 1 cases ▼ 77% | 11.5 | 16 |
| Syphilis (late/unknown) | 8.1 3 cases ▼ 69% | 26.4 | 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 Marshall County, chlamydia has risen from 300.1 to 349 per 100,000 (16%), gonorrhea has fallen from 148.6 to 78.5 per 100,000 (47%), and P&S syphilis has risen from 5.8 to 8.4 per 100,000 (45%).
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 Marshall County.
Local HIV snapshot
Marshall County HIV care continuum (2021)
Marshall County recorded 0 new HIV diagnoses per 100,000 (2021), against 14.8 statewide and 13.7 nationally. Among Marshall County residents living with HIV, 88.4% are in care · 81.4% 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 Marshall County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Davis Knob sits at the quieter edge of town, where the mix of owned homes and rentals, split almost evenly, reflects a Lewisburg that doesn't fit a tidy demographic box. Nearly half of households here rent, and at typical rents well under a thousand dollars a month, that suggests a community managing carefully rather than comfortably. With unemployment running high and fewer than six in ten residents in the workforce at all, a lot of adults are navigating stretched schedules, irregular income, or both. Not exactly conditions that make a clinic visit feel like a simple errand.
Reaching anything along North Ellington Parkway or East Commerce Street means having a car, coordinating a ride, or going without. When transportation itself costs time and money, routine screening can stay off the calendar for months. With average households running larger than three people and nearly half of adults unmarried, Lewisburg has a lot of people whose sexual health decisions affect more than just themselves. Finding an option that requires one trip, not three, is the practical starting point.
Getting there
At 5.74/20 on the EPA walkability index, day-to-day errands in Lewisburg 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 37091 snapshot
ZIP-level Census figures for the wider 37091 area around Lewisburg: a single ZIP can span several communities, so they describe the area, not Lewisburg alone.
Lewisburg sits in Marshall County, ZIP 37091. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Lewisburg? 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 Marshall County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee 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 Lewisburg-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 Lewisburg 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 Tennessee 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 Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Tennessee 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 TennesseeSource: 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 Mercy Marshall County (0.2 mi); 9 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
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 349 cases per 100,000 residents (2023), below the Tennessee average.
Yes, at-home kits ship to 37091; you collect a sample, mail it back, and get results in about 2–5 days.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.