Lafayette County's syphilis rate is about 62% lower than the national average. If you're in Lexington, Missouri for a one-time concern or regular check-ups, our list below weighs public clinics, private labs, and at-home kits to meet your needs.
Available testing centers
9 testing options are listed for Lexington, MO. The nearest, Midwest Division - LRHC, is about 0.8 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.
Lafayette County Health Department in Lexington tests for HIV, gonorrhea, chlamydia, syphilis, hepatitis A, B, and C, and TB, treats bacterial STIs at the same visit, and covers everything on a sliding-scale fee. With HIV and hepatitis C testing free. Appointments are required.
Paying cash and without a regular provider, the full cost of STI care (tests, same-visit bacterial treatment, vaccines, HIV/AIDS medical management) lands at zero here. Lafayette County Health Department carries no-fee services as its standing structure, not a periodic waiver or income-based exception.
For someone whose primary language isn't English, navigating a health visit through fragmented communication adds real friction to an already personal appointment. Lafayette County Health Department has interpretation services in place, so every part of the visit (testing, counseling, treatment) moves in a language you actually use.
Anyone without a regular provider who wants a thorough baseline, not just the four standard STIs, benefits from Lafayette County Health Department's panel, which adds hepatitis A, B, and C testing plus TB. Vaccines for hepatitis A and B and HPV are also on-site, so gaps in protection get addressed the same day.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
A community safety-net rural health clinic in Lexington. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Health Care Collaborative Network in Lexington runs by appointment, so scheduling ahead shapes the visit: that structure also means the full gonorrhea, chlamydia, syphilis, and rapid HIV panel, bacterial treatment, and prevention services like PrEP land in one coordinated stop. Sliding-scale fees apply across the board; insurance is accepted.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
A community safety-net federally qualified health center in Lexington. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
HCC Network - Admin I, in Lexington, carries federally qualified health center standing. Meaning its STI screening fees slide with your income, not a fixed price for everyone. Walk-in visits are welcome for syphilis, gonorrhea, and chlamydia testing, making care reachable regardless of what you earn.
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 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 (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 Lafayette 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.
1500 State Street, Lexington, MO 64067
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 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
Beyond dedicated clinics, 154 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 29 offer telehealth.
Gaurav Chaturvedi, MD Telehealth
Family medicine · 1500 State Street, Lexington
Naser Soghrati, DO
Internal medicine · 1026 Main Street, Lexington
Amanda Booth, MD
Family medicine · 1221 South Business Hwy 13, Lexington
Thomas Phillips, MD
Family medicine · 904 Wollard Boulevard, Richmond
C Mark Rose, DO
Family medicine · 902 Wollard Boulevard, Richmond
David Pulliam, DO
Family medicine · 1200 West 22nd Street, Higginsville
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 Lexington, 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.
Minuteman Pharmacy
0.4 mi
0.8 mi 
7.8 mi Medicine Shoppe
8.1 miC&C Discount Pharmacy
8.2 miDiscount Drug
8.2 miShowing the 6 closest pharmacies to Lexington, 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 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.
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
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 Lafayette County, the county that includes Lexington, compare with Missouri 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.
#56 of 115 Missouri counties for chlamydia, a higher rate than 51% of the state
| Infection | Lafayette County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 232 77 cases ▼ 53% | 498.6 | 492.2 |
| Gonorrhea | 45.2 15 cases ▼ 78% | 201.9 | 179.5 |
| Syphilis (P&S) | 6 2 cases ▼ 72% | 21.5 | 15.8 |
| Syphilis (early) | 3 1 cases ▼ 76% | 12.4 | 16 |
| Syphilis (late/unknown) | 15.1 5 cases ▼ 55% | 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 Lafayette County, chlamydia has fallen from 339.6 to 232 per 100,000 (32%), gonorrhea has fallen from 109.1 to 45.2 per 100,000 (59%), and P&S syphilis has fallen from 12.1 to 6 per 100,000 (50%).
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 Lafayette 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.
Lafayette County HIV care continuum (2020)
Lafayette County recorded 0 new HIV diagnoses per 100,000 (2020), against 10.6 statewide and 13.7 nationally. Among Lafayette County residents living with HIV, 82.6% are in care · 78.3% 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 Lafayette County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Lexington draws young adults who come for the lake itself, Crystal Lake Park's draw on weekends, the steadiness of work in a town where people stay put, the kind of place where you build something. That demographic shift has reshaped the town's expectations around health care. STD testing in and around Lexington reflects that reality: clinics and providers listed on this page understand that confidentiality isn't theater here, it's the baseline. A testing visit is straightforward, unhurried, and genuinely private in ways that matter when you live somewhere where faces recur. The community's relative stability means that people often weigh sexual health decisions with an eye toward their own future: not hypothetically, but in terms of the actual relationships and partnerships forming around them.
Testing becomes a practical step, neither dramatized nor delayed. Providers in town have adapted to serving people who value directness and who expect their medical information to stay sealed. Access to testing in and around Lexington works because the town has invested in health infrastructure that doesn't broadcast itself. Whether you're someone who's lived here for years or someone newly arrived for work or school, the clinics and urgent care facilities listed on this page offer the same confidential screening without the sense that you're being watched or judged.
Getting there
At 6.79/20 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 64067 snapshot
ZIP-level Census figures for the wider 64067 area around Lexington: a single ZIP can span several communities, so they describe the area, not Lexington alone.
Lexington sits in Lafayette County, ZIP 64067. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Lexington? 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 Lafayette 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 Lexington-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 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.
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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Lafayette County reported ~232 chlamydia cases per 100,000 in 2023, below the Missouri average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
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.