Gonorrhea reports in Marshall County are below the US average by 64%. Whether you are preparing to start a new relationship or as part of your ongoing care in Little New York, Alabama, community and public clinics typically offer lower costs, while private labs may provide faster results and more flexible scheduling.
Available testing centers
7 testing options are listed for Little New York, AL. The nearest, Vivian Nell Hannon, is about 7.1 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.
A safety-net rural health clinic about 7 miles from Little New York. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net rural health clinic about 8 miles from Little New York. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Thrive Alabama in Albertville accepts Medicaid, Medicare, and insurance, runs a sliding scale for everyone else, and offers HIV testing free: covering gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C alongside same-visit bacterial treatment, PrEP, and appointments.
Plenty of clinics wrap care in a sliding scale but still leave a line on the bill. At Thrive the scale bottoms out at nothing: testing, treatment, PrEP counseling, and hepatitis care are all provided at no charge, full stop.
Many STI clinics patch together language access after the fact, leaving Spanish speakers navigating care through gaps. Thrive Alabama delivers services directly in Spanish, so the clinical conversation, from test counseling to medication adherence, happens in the language it needs to.
Thrive Alabama operates under Ryan White funding, which means the program sustains HIV care well beyond a single visit. From rapid and conventional testing through antiretroviral treatment and medication adherence counseling, with the federal program underwriting continuity rather than episodic encounters.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · 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 about 7 miles away; if you'd rather skip the trip, an at-home kit ships to Little New York, 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 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.
8000 Alabama Highway 69, Guntersville, AL 35976
CMS-certified lab Accredited · Joint Commission
38 Rowe Drive, Guntersville, AL 35976
CMS-certified lab
2307 Homer Clayton Drive, Guntersville, AL 35976
CMS-certified lab
101 Judy Smith Drive, Guntersville, AL 35976
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Little New York. 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, 214 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Little New York. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 30 offer telehealth.
Gary Calhoun, MD
Family medicine · 2337 Homer Clayton Drive, Guntersville
Joel Milligan, MD
Family medicine · 2337 Homer Clayton Drive, Guntersville
Jeffrey Saylor, MD
Family medicine · 3120 North Street, Guntersville
Randall Stewart, MD
Internal medicine · 1241 Blount Avenue, Guntersville
Caleb Mason, DO
Family medicine · 1407 Blount Avenue, Guntersville
Benjamin Favis, MD Telehealth
Family medicine · 8914 US Hwy 431, Albertville
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 Little New York, AL 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.
7.3 mi 
7.3 mi Pill Box Pharmacy
7.6 miFood City Pharmacy
7.8 miMarshall Professional Center Pharmacy
8.0 miShowing the 5 closest pharmacies to Little New York, AL.
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 Little New York, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Marshall County, the county that includes Little New York, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#49 of 67 Alabama counties for chlamydia, a higher rate than 27% of the state
| Infection | Marshall County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 379.1 382 cases ▼ 42% | 651.1 | 492.2 |
| Gonorrhea | 64.5 65 cases ▼ 72% | 226.9 | 179.5 |
| Syphilis (P&S) | 15.9 16 cases ▼ 44% | 28.6 | 15.8 |
| Syphilis (early) | 6 6 cases ▼ 71% | 20.4 | 16 |
| Syphilis (late/unknown) | 8.9 9 cases ▼ 64% | 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.
Between 2020 and 2023 in Marshall County, chlamydia has risen from 298.1 to 379.1 per 100,000 (27%), gonorrhea has fallen from 140.4 to 64.5 per 100,000 (54%), and P&S syphilis has risen from 1 to 15.9 per 100,000 (1490%).
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
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.
Marshall County HIV care continuum (2023)
Marshall County recorded 14.6 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Marshall County residents living with HIV, 81.8% are in care · 64.5% 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
Stubblefield Mountain rises just beyond the back fences of Little New York, a landmark so familiar to longtime residents that it anchors not just the landscape but the rhythms of daily life: including, for many households here, the quiet negotiations between partners over who has scheduled which appointment and when. Little New York sits in the shadow of Stubblefield Mountain and John Doss Mountain, a community where the majority of residents own their homes and have put down roots, which shapes how people think about healthcare: deliberately, on a long timeline, often fitting appointments around a partner's schedule or a family's shared calendar. That deliberateness has a tension in it, though. With labor-force participation well below average, many working adults are running compressed schedules.
Fewer earners covering household costs that include mortgages on homes in the mid-$200k range and, for the roughly one-in-four households who rent, monthly payments that leave little slack for anything perceived as optional. For younger adults in their late teens and twenties, the years when STI exposure is genuinely most common, testing can land low on a list that already feels full. The testing options listed on this page spread that geography into something manageable: different distances, different fee structures, different hours, so the logistics can actually fit around Taylor Mountain country and the realities of a Marshall County morning.
Getting there
At 6.51/20 on the EPA walkability index, day-to-day errands in Little New York 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 35976 snapshot
ZIP-level Census figures for the wider 35976 area around Little New York: a single ZIP can span several communities, so they describe the area, not Little New York alone.
Little New York sits in Marshall County, ZIP 35976. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Little New York? 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 Alabama 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 Little New York-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 Little New York 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 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).
In Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
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.
Learn more about confidential STD testing in AlabamaSource: 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.
Closest is Vivian Nell Hannon (7.1 mi), or order an at-home kit to 35976.
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 379 cases per 100,000 residents (2023), below the Alabama average.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Yes, at-home kits ship to 35976; you collect a sample, mail it back, and get results in about 2–5 days.
Medical records are protected under federal HIPAA law, ask the clinic how it handles your information.
It means an infection was found; a provider confirms it and starts treatment, most STIs are curable or manageable.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.