STD Testing in Lexington, AL: Free, Same-Day & Confidential
Lauderdale County has new HIV diagnoses that are 13% below the national average. If you have had a recent risk or test regularly in Lexington, Alabama, consider that community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. The options below can help you decide.
5 testing options are listed for Lexington, AL. The nearest, Family Health Care Clinic, is about 10.9 miles away. Compare 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 10.9 miles
Family Health Care Clinic
No ratings yet
A free or low-cost STD-testing location about 11 miles from Lexington, run as a Federally Qualified Health Center with sliding-scale fees.
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.
The nearest testing center is about 11 miles away, if you'd rather skip the trip, an at-home kit ships to Lexington, 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
$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
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 Lexington, AL
Beyond the public testing sites above, these federally certified (CLIA) labs serve Lauderdale 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lexington. 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 Lexington, AL who may help arrange STD testing
Beyond dedicated clinics, 160 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lexington. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 25 offer telehealth.
MS
Matthew Schantz, MD
Family medicine · 206 South Military Street, Loretto
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 Lexington, AL
Compare the pharmacies closest to Lexington, AL. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Showing the 6 closest pharmacies to Lexington, AL.
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 Lexington, 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.
PrEP & DoxyPEP
Q Care Plus
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
STDs & HIV in Lauderdale County: the local picture
How reported STI rates in Lauderdale County, the county that includes Lexington, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#47
#47 of 67 Alabama counties for chlamydia, a higher rate than 30% of the state
Reported STD rates per 100,000, Lauderdale County vs Alabama vs U.S.
Lauderdale CountyAlabamaU.S.▲▼ = Lauderdale County vs the state average
Infection
Lauderdale County
Alabama
United States
Chlamydia
383.2371 cases▼ 41%
651.1
492.2
Gonorrhea
134.3130 cases▼ 41%
226.9
179.5
Syphilis (P&S)
10.310 cases▼ 64%
28.6
15.8
Syphilis (early)
5.25 cases▼ 75%
20.4
16
Syphilis (late/unknown)
13.413 cases▼ 45%
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.
Reported STD rates in Lauderdale County over time (per 100,000)
Chlamydia ▼ 3% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Lauderdale County, chlamydia has fallen from 486.3 to 383.2 per 100,000 (21%), gonorrhea has fallen from 277.9 to 134.3 per 100,000 (52%), and P&S syphilis has fallen from 19.2 to 10.3 per 100,000 (46%).
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 Lexington, AL
Adults uninsured
9%
No routine checkup
20.6%
No transportation
7.6%
Binge drinking
15.1%
Frequent mental distress
17.4%
Depression
24.8%
Below poverty line
9.3%
Primary-care ratio
1,844 : 1
Lauderdale County
Primary-care shortage score 12 / 26
Medically Underserved Area · IMU 56.9
Social Vulnerability Index · 49th 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 Lauderdale County.
Local HIV snapshot
HIV in Lauderdale County (2023)
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.
People living with HIV
115 / 100k
New diagnoses (2023)
10cases countywide
PrEP users / 100k
68 · PnR 5.7
Lauderdale County HIV care continuum (2023)
Lauderdale County recorded 11.9 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Lauderdale County residents living with HIV, 85.9% are in care · 65.9% 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 Lauderdale County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
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 →
George Wallace Park anchors one end of Lexington's daily geography, and the younger adults who rent here, nearly four in ten households do, are often at the stage of life where relationships are still being sorted out and a routine trip to the doctor isn't yet a habit. At a typical rent well under six hundred dollars, the cost of housing isn't usually what keeps someone from scheduling a screening, but the rhythms of a place where just over half the working-age population is in the labor force mean that free hours don't always line up with clinic hours.
That workforce reality matters because the adults in Lexington most likely to encounter chlamydia or gonorrhea for the first time are also the ones stitching together schedules around jobs, households averaging three people, and lives that don't have a lot of slack in them. With nearly six in ten adults married, a significant share of the community has a long-term partner whose health is directly connected to their own, which makes routine screening less about individual risk and more about ordinary, shared life.
Getting there
How residents reach STD testing in Lexington, AL
Walkability4.22 / 20 · Least walkable
At 4.22/20 on the EPA walkability index, day-to-day errands in Lexington 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 35648 snapshot
Residents
3,622
Median age
37.5
Median income
$71,563
ZIP-level Census figures for the wider 35648 area around Lexington: a single ZIP can span several communities, so they describe the area, not Lexington alone.
Lexington sits in Lauderdale County, ZIP 35648. Local context that shapes where residents test:
Local landmarks
Andrew Lee Phillips
George Wallace Park
Nearby cities & towns
STD testing near Lexington, AL
Just outside Lexington? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Lexington, AL: screening, costs & privacy
Everything to know before you test in Lauderdale 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.
Who should test, and whenCDC 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 Lexington-area provider.
What each STD test costsMedicare 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 Lexington 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 AlabamaMinor consent and partner treatment (EPT) under state law, plus how to test privately
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).
Can a minor consent on their own?
In Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
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.
