In Richland County, new HIV diagnoses run about 66% lower than the US average. Whether it's your first STI test or a routine screening in Lexington, Ohio, public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. We list your options below to suit the situation.
Available testing centers
9 testing options are listed for Lexington, OH. The nearest, Quest Diagnostics, 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.
Cornerstone OB/GYN in Mansfield welcomes walk-in patients for STI screening without an appointment. Federal qualification backs its sliding-scale fees, so cost adjusts to income for a single visit covering syphilis, gonorrhea, and chlamydia testing in one stop.
Tests offered
Fees & payment
Third Street Family Health Services in Mansfield tests for gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, and TB on a sliding-scale fee open to all, with same-visit treatment for bacterial infections and appointments required, and both PrEP and PEP prescribed on-site.
Chasing a PrEP prescription across multiple providers means gaps, days without coverage, added copays, appointments that don't materialize. Third Street Family Health Services writes PrEP and PEP prescriptions directly, so prevention starts on the timeline the visit allows, not whenever a referral resolves.
Third Street Family Health Services treats hepatitis C on-site, which means a confirmed diagnosis connects to an active treatment plan within the same practice, cutting out the specialist queue that otherwise separates a positive result from the antivirals that clear the infection.
Third Street's panel covers eight infections: gonorrhea, chlamydia, syphilis, herpes, hepatitis A, hepatitis B, hepatitis C, and TB. That breadth matters because herpes and hepatitis often travel alongside the standard four, catching them here means they're identified and addressed rather than missed by a narrower screen.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Third Street Family Health Services Administration, in Ontario, earned its federal qualification by committing to income-based fees. Meaning cost scales with what you actually earn. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment needed.
Tests offered
Fees & payment
Third Street Community Clinic in Mansfield meets patients where they are (uninsured, paying out of pocket, or caught between providers) through federally qualified sliding-scale fees tied to income. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, with costs scaled to what each person can actually pay.
Tests offered
Fees & payment
Planned Parenthood of Greater Ohio in Mansfield tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee open to everyone, with same-visit treatment for bacterial infections; an appointment is required, and interpretation services extend care to non-English speakers.
Interpretation services are available for non-English languages at this Mansfield location, which means a patient's preferred language travels with them through testing, results, and any treatment conversation. Nothing gets compressed into guesswork or missed context.
As a Title X site, Planned Parenthood of Greater Ohio in Mansfield provides legally confidential family planning services for minors: meaning a young person's care, test results, and treatment exist outside any parental insurance explanation-of-benefits.
Mansfield's Planned Parenthood carries PrEP and PEP prescribing as a standing clinic capability: the right fit for someone paying out of pocket or without a regular provider, since both the prevention medication and the required HIV testing happen in the same place.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
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 Richland 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.
1365 North Lexington-Springmill Road, Ontario, OH 44906
CMS-certified lab Accredited · College of American Pathologists
199 West Main Street, Shelby, OH 44875
CMS-certified lab Accredited · College of American Pathologists
Showing the nearest 2 CLIA-certified labs.
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, 186 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 37 offer telehealth.
Fatima Siddiqui, MD Telehealth
Family medicine · 231 East Main Street, Lexington
Erika Zolman, MD Telehealth
Family medicine · 231 East Main Street, Lexington
Adam Bihl, MD Telehealth
Family medicine · 987 State Route 97, Bellville
Chete Eze Nliam, MD Telehealth
Internal medicine · 1125 Aspira Court, Mansfield
Lucas Beeley, DO Telehealth
Family medicine · 770 Balgreen Drive, Mansfield
Daniella Caudle, MD
Family medicine · 770 Balgreen Drive, Mansfield
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, OH 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.
Lexington Pharmacy
0.4 mi
0.4 mi 
3.1 mi 
3.3 mi Showing the 4 closest pharmacies to Lexington, OH.
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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$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 Richland County, the county that includes Lexington, compare with Ohio and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#16 of 88 Ohio counties for chlamydia, a higher rate than 82% of the state
| Infection | Richland County | Ohio | United States |
|---|---|---|---|
| Chlamydia | 345.4 432 cases ▼ 25% | 461.7 | 492.2 |
| Gonorrhea | 137.5 172 cases ▼ 18% | 168 | 179.5 |
| Syphilis (P&S) | 8.8 11 cases ▼ 46% | 16.3 | 15.8 |
| Syphilis (early) | 8.8 11 cases ▼ 4% | 9.2 | 16 |
| Syphilis (late/unknown) | 7.2 9 cases ▼ 55% | 16 | 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 Richland County, chlamydia has fallen from 447.4 to 345.4 per 100,000 (23%), gonorrhea has fallen from 207.3 to 137.5 per 100,000 (34%), and P&S syphilis has risen from 0.8 to 8.8 per 100,000 (1000%).
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 Richland County.
Local HIV snapshot
Richland County HIV care continuum (2023)
Richland County recorded 4.7 new HIV diagnoses per 100,000 (2023), against 8.8 statewide and 13.7 nationally. Among Richland County residents living with HIV, 66.9% are in care · 55.2% 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 Richland County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 42 heading north out of Lexington puts you on a rural stretch within minutes, and reaching any of the options listed on this page means planning for that drive, not assuming a quick errand. Lexington skews toward stability in ways the raw numbers don't capture: most residents own their homes, households tend to run close to three people, and more than half of adults are married. That kind of settled, family-size household structure shapes how people think about health appointments, because a single visit can feel like a logistical negotiation rather than a solo decision.
Rent here stays relatively modest, which eases one pressure, but labor-force participation trails the national norm, so a significant share of working-age residents aren't drawing a regular paycheck and may be weighing what a clinic visit costs in time and dollars alike. A household near East Main Street or out past Raemelton Farm that runs on one income and one car thinks about appointments differently than a single renter two blocks from a bus line.
Getting there
At 5/20 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 44904 snapshot
ZIP-level Census figures for the wider 44904 area around Lexington: a single ZIP can span several communities, so they describe the area, not Lexington alone.
Lexington sits in Richland County, ZIP 44904. Local context that shapes where residents test:
Local landmarks
Major routes
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 Richland County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Ohio 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 Ohio 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 Ohio, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Ohio 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 OhioSource: 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 Quest Diagnostics (0.2 mi); 9 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, public clinics in the area offer free or low-cost testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 345 cases per 100,000 residents (2023), below the Ohio average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Ohio, people under 18 can consent to confidential STD testing and treatment on their own.
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.
The sore can disappear on its own even though the infection remains; only testing confirms it's gone.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.