Henderson County has new HIV diagnoses that run about 54% higher than the US average. If you live in Lexington, Tennessee and need STI testing for a one-time concern or regular check-ups, some clinics let you walk in for same-day testing, while labs and at-home kits let you plan around your own time. See the list below for your options.
Available testing centers
9 testing options are listed for Lexington, TN. The nearest, Tennessee Department of Health, is about 2.4 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.
Tennessee Department of Health in Lexington tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB on a sliding-scale fee, with same-visit treatment for bacterial infections available by appointment, and hepatitis C care that goes beyond the test.
Direct-acting antiviral therapy for hepatitis C is prescribed and managed at this location, meaning the treatment relationship stays with the same clinical team that ran the test. Patients with a confirmed infection don't need to seek a specialist elsewhere to begin a cure-course.
Beyond the core bacterial and viral STI panel, testing here covers hepatitis C and TB, so a single appointment can surface infections that a narrower screen would miss entirely, affecting how quickly someone learns they need treatment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
A safety-net rural health clinic about 15 miles from Lexington. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Henderson Health Center in Henderson welcomes walk-ins for STI screening without an appointment. Federally qualified status anchors its sliding-scale fee structure, so cost adjusts to income. A single visit can cover syphilis, gonorrhea, and chlamydia testing under one visit without scheduling ahead.
Tests offered
Fees & payment
East Jackson Women's Health Center in Jackson welcomes walk-ins for STI screening without an appointment. Federally qualified status anchors a sliding-scale fee structure tied to income, making a single visit for syphilis, gonorrhea, and chlamydia screening financially within reach across a wide range of budgets.
Tests offered
Fees & payment
East Jackson Health Center, in Jackson, earned its federally qualified designation by tying fees to what patients actually earn. No one turned away for inability to pay. Walk-ins can access sliding-scale STI screening for syphilis, gonorrhea, and chlamydia without an appointment.
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 about 2 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 (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 Henderson 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.
200 West Church Street, Lexington, TN 38351
CMS-certified lab
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, 197 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 19 offer telehealth.
Leah Gilliam, MD
Family medicine · 83 South Main Street, Lexington
Robert Day, MD
Family medicine · 9550 Hwy 412 West, Lexington
Charlene Browne, MD
Family medicine · 5175 Hwy 412 West, Lexington
Nicole Jennings, MD
Internal medicine · 50 Skyline Lane, Parsons
Paul Schwartz, MD
Family medicine · 1306 US Hwy 45 North, Henderson
Carey Frix, MD
Family medicine · 1314 Hwy 45 Bypass, Henderson
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, 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.
Jones Pharmacy
0.5 miFamily Pharmacy
0.6 miLexington Discount Drugs
0.6 miProfessional Arts Pharmacy
0.6 miHenderson County Community Pharmacy
0.6 miShowing the 5 closest pharmacies to Lexington, 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 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 $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
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
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 Henderson County, the county that includes Lexington, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#16 of 95 Tennessee counties for chlamydia, a higher rate than 83% of the state
| Infection | Henderson County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 463.1 130 cases ▼ 10% | 517.4 | 492.2 |
| Gonorrhea | 103.3 29 cases ▼ 45% | 186.4 | 179.5 |
| Syphilis (P&S) | 10.7 3 cases ▼ 28% | 14.8 | 15.8 |
| Syphilis (early) | — no data | 11.5 | 16 |
| Syphilis (late/unknown) | 10.7 3 cases ▼ 59% | 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 Henderson County, chlamydia has fallen from 495.7 to 463.1 per 100,000 (7%), gonorrhea has fallen from 334 to 103.3 per 100,000 (69%), and P&S syphilis has fallen from 28.7 to 10.7 per 100,000 (63%).
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 Henderson County.
Local HIV snapshot
Henderson County HIV care continuum (2023)
Henderson County recorded 21.1 new HIV diagnoses per 100,000 (2023), against 14.8 statewide and 13.7 nationally. Among Henderson County residents living with HIV, 80% are in care · 76.7% 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 Henderson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
TN 22 carries most of Lexington's daily traffic north and south through town, and for anyone who needs to get tested, reaching one of the options listed on this page means committing to a real drive rather than a quick errand. That time cost lands unevenly here. With unemployment running notably high and fewer than three in five residents in the labor force, many households are already stretching a modest income across a household that averages just over three people. Rent at Lexington's typical level keeps monthly budgets tight, and when only around one in seven households clears a six-figure income, an unplanned copay or a half-day away from paid work can be enough reason to put off a routine test.
That calculus matters most for the younger adults moving through Lexington, the late-teens-and-twenties crowd who account for a sizable share of residents and who, nationally, see the steepest STI rates. Lexington is also majority owner-occupied, which means many residents have roots here, neighbors they know from Eastern Shores or Beasley Place, kids in the same schools. Households built around families and longer-term commitments still benefit from regular screening, and for a married adult or a parent, a straightforward visit fits the same practical week as any other health errand.
Getting there
At 4.48/20 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 38351 snapshot
ZIP-level Census figures for the wider 38351 area around Lexington: a single ZIP can span several communities, so they describe the area, not Lexington alone.
Lexington sits in Henderson County, ZIP 38351. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
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 Henderson 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 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 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.
Possibly, Parsons, TN is close; compare it by distance against Tennessee Department of Health.
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 463 cases per 100,000 residents (2023), below the Tennessee average.
Yes, at-home kits ship to 38351; 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.
Resistance is rising, which is why the CDC advises a particular treatment; don't self-treat, get tested and treated correctly.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.