STD Testing in Little River-Academy, TX: Free, Same-Day & Confidential
Gonorrhea in Bell County runs about 32% higher than the US average. Whether it's your first STI test or a routine screening in Little River-Academy, Texas, you can choose between immediate walk-in testing or scheduling around your own time.
7 testing options are listed for Little River-Academy, TX. The nearest, Quest Diagnostics, is about 5.6 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.
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Quest Diagnostics
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EasySTD5
Rated 3.1 out of 5 from 103 reviews
Address
2668 South 31st Street, Temple, TX 76502 5.6 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Best for free testing 6.4 miles
Texas Department of State Health Services
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Texas Department of State Health Services in Temple tests for gonorrhea, syphilis, and HIV, with same-visit treatment for bacterial infections if results warrant it, all at no charge, on a sliding-scale fee structure that covers every patient regardless of income. Appointments are required.
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No Bill Arrives After Any Visit
A co-pay that derails follow-through, a cost that turns a positive result into a postponed treatment. At Texas Department of State Health Services in Temple, neither scenario applies. Testing, treatment, vaccines, and DoxyPEP counseling are all provided without a fee, so the care doesn't stall at the door.
Spanish-Language Care Beyond a Phone Patch
Many clinics route Spanish-speaking patients through remote interpretation that fragments the conversation. At Texas Department of State Health Services in Temple, Spanish is a direct service language: meaning the clinical exchange, counseling, and prevention education happen without a relay in the middle.
DoxyPEP Is on the Formulary Here
Doxycycline post-exposure prophylaxis (the bacterial STI prevention protocol taken after potential exposure to syphilis, gonorrhea, or chlamydia) is a named service at Texas Department of State Health Services in Temple, not something requiring a separate prescription visit elsewhere. That means the prevention conversation and the medication pathway stay in the same clinical encounter.
Waco Family Medicine – Temple Downtown, in Temple, carries federal qualification as a community health center, which means STI screening (syphilis, gonorrhea, and chlamydia) is billed on a sliding scale tied to income, keeping costs proportionate for patients across a wide range of financial situations.
Coryell Health in Temple tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B, and hepatitis C on a sliding scale accepted alongside Medicaid, Medicare, and private insurance. Walk-ins welcome, no appointment required, with same-visit treatment available for bacterial infections.
More ways to get tested in Little River-Academy, TX
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 6 miles away, if you'd rather skip the trip, an at-home kit ships to Little River-Academy, 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 Little River-Academy, TX
Beyond the public testing sites above, these federally certified (CLIA) labs serve Bell 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 Little River-Academy. 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 Little River-Academy, TX who may help arrange STD testing
Beyond dedicated clinics, 530 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Little River-Academy. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 253 offer telehealth.
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 Little River-Academy, TX
Compare the pharmacies closest to Little River-Academy, TX. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Showing the 6 closest pharmacies to Little River-Academy, TX.
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 Little River-Academy, 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 Bell County: the local picture
How reported STI rates in Bell County, the county that includes Little River-Academy, compare with Texas 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.
#8
#8 of 254 Texas counties for chlamydia, a higher rate than 97% of the state
Reported STD rates per 100,000, Bell County vs Texas vs U.S.
Bell CountyTexasU.S.▲▼ = Bell County vs the state average
Infection
Bell County
Texas
United States
Chlamydia
708.62,786 cases▲ 44%
491.9
492.2
Gonorrhea
237.5934 cases▲ 35%
176.4
179.5
Syphilis (P&S)
17.569 cases▲ 17%
15
15.8
Syphilis (early)
15.862 cases▼ 40%
26.4
16
Syphilis (late/unknown)
24.295 cases▼ 45%
44.3
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 Bell County over time (per 100,000)
Chlamydia ▼ 14% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Bell County, chlamydia has fallen from 916.5 to 708.6 per 100,000 (23%), gonorrhea has fallen from 446.2 to 237.5 per 100,000 (47%), and P&S syphilis has risen from 7.8 to 17.5 per 100,000 (124%).
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 Little River-Academy, TX
Adults uninsured
13.8%
No routine checkup
25%
Binge drinking
16.9%
Frequent mental distress
18.3%
Depression
26.8%
Below poverty line
10.1%
Primary-care ratio
1,385 : 1
Bell County
Primary-care shortage score 17 / 26
Social Vulnerability Index · 94th 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 Bell County.
Local HIV snapshot
HIV in Bell County (2023)
People living with HIV
326 / 100k
New diagnoses (2023)
73cases countywide
On PrEP (coverage)
26.6%
Bell County HIV care continuum (2023)
Bell County recorded 23.2 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bell County residents living with HIV, 77.3% are in care · 64% 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 Bell 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 →
TX 95 is the spine of daily life here, and a clinic visit means committing to a real stretch of road. The nearest options listed on this page require leaving Little River-Academy behind entirely. For a community where most households own their homes and roots run deep, that drive is just part of the calculus; but for the roughly three in ten residents who rent, often at monthly costs that leave little budget cushion, adding travel time and fees to a routine screening can genuinely complicate the decision. The household profile here tells its own story: large families, a majority of married adults, and a labor-force participation rate that means most people are working, and some fraction of them aren't, carrying the financial uncertainty that unemployment brings. Young adults in their late teens and twenties make up a meaningful slice of that population, and they're precisely the people for whom a long drive and unpredictable clinic hours are most likely to turn a good intention into a postponed one.
Bell County's STI landscape makes accessible options more than a convenience. Wyndham Hill and the rest of this small community tend toward settled, connected households. The kind of place where people know their neighbors near South Temple Park and plan their weeks around work and family. Screening fits that life best when it's easy to schedule around a full house and a long commute.
Getting there
How residents reach STD testing in Little River-Academy, TX
Walkability4.59 / 20 · Least walkable
At 4.59/20 on the EPA walkability index, day-to-day errands in Little River-Academy 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 76554 snapshot
Residents
2,199
Median age
32.6
Median income
$73,558
ZIP-level Census figures for the wider 76554 area around Little River-Academy: a single ZIP can span several communities, so they describe the area, not Little River-Academy alone.
Little River-Academy sits in Bell County, ZIP 76554. Local context that shapes where residents test:
Local landmarks
Vanessa Guillen Memorial
Wyndham Hill Park
South Temple Park
Silver Stone Park
Waterford Park
Neighborhoods & communities
Wyndham Hill
Major routes
TX 95 (State Highway 95)
Nearby cities & towns
STD testing near Little River-Academy, TX
Just outside Little River-Academy? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Little River-Academy, TX: screening, costs & privacy
Everything to know before you test in Bell County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Texas 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 Little River-Academy-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 Little River-Academy 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 TexasMinor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Texas 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 Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
Texas 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.
