Syphilis in Lamb County runs about 49% higher than the US average. If you're starting a new relationship in Littlefield, Texas or maintaining ongoing care, you can choose from public clinics for lower costs, private labs for faster results, or at-home kits for convenience.
Available testing centers
9 testing options are listed for Littlefield, TX. The nearest, South Plains Rural Health Services, is about 24.1 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.
South Plains Rural Health Services brings rural health clinic infrastructure to STI care in Levelland: appointments required, sliding-scale fees for all, with gonorrhea, chlamydia, syphilis, and HIV on the standard panel, plus same-visit bacterial treatment, and staff fluent in American Sign Language and Spanish.
South Plains Rural Health Services has ASL and Spanish capacity built into the clinical staff itself, not routed through an outside service or scheduled separately. That means a patient's intake, counseling, and treatment discussion all happen in the same language, with the same provider, without breaking the appointment into pieces.
Beyond gonorrhea, chlamydia, syphilis, and HIV, South Plains tests for herpes and all three hepatitis strains (A, B, and C) and carries vaccines for hepatitis A and B. That combination means a single appointment can close out both diagnostic and preventive gaps for infections that a narrower panel would leave unaddressed.
Languages
American Sign Language, English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
CHCL 96 West in Lubbock meets patients who are between providers, paying cash, or working with limited income. Exactly the people federal qualification is designed to reach. Sliding-scale fees make syphilis, gonorrhea, and chlamydia screening affordable on a walk-in basis, no appointment needed.
Tests offered
Fees & payment
A safety-net federally qualified health center about 33 miles from Littlefield. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Community Health Center of Lubbock tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis B and C, and TB on a sliding scale open to all: walk-ins welcome, same-visit treatment for bacterial infections, with PrEP and PEP available for ongoing prevention.
Community Health Center of Lubbock prescribes both PrEP and PEP directly, meaning a prevention plan can be put in place the same day you walk in. That continuity keeps your care with one provider rather than split across multiple offices.
For anyone without a regular primary care provider, or paying out of pocket and consolidating appointments, Community Health Center of Lubbock runs hepatitis B and C testing alongside HIV, syphilis, gonorrhea, and chlamydia, covering the full picture in one visit on a sliding-scale fee.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Texas Department of State Health Services in Lubbock runs its STI panel (chlamydia, gonorrhea, syphilis, and HIV) with same-visit treatment for bacterial infections when needed, all at no charge to anyone who walks through the door. An appointment is required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Apr 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 24 miles away; if you'd rather skip the trip, an at-home kit ships to Littlefield, 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 range: couples & full panels
$79 & 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 Lamb 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 South Sunset, Littlefield, TX 79339
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Littlefield. 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, 11 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Littlefield. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
Siavash Shahbodaghi, MD
Family medicine · 1500 South Sunset Avenue, Littlefield
Rolando Rodriguez, MD
Family medicine · 1500 South Sunset Avenue, Littlefield
Kristy Acosta, MD
Family medicine · 1000 Fm, Levelland
Brian Carreon, MD
Family medicine · 1502 12th Street, Shallowater
Charles Hughes, MD
Family medicine · 201 East Grant Avenue, Morton
Jon Watkins, MD
Family medicine · 315 West Cleveland Street, Hale Center
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 Littlefield, TX 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.
Food King Pharmacy
0.2 miFood King Pharmacy Olton
21 mi
23 mi 
23 mi United Pharmacy
23 miFood King Pharmacy Morton
28 miShowing the 6 closest pharmacies to Littlefield, TX.
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 Littlefield, 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.
$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
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
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 Lamb County, the county that includes Littlefield, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~27% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#90 of 254 Texas counties for chlamydia, a higher rate than 65% of the state
| Infection | Lamb County | Texas | United States |
|---|---|---|---|
| Chlamydia | 369.8 47 cases ▼ 25% | 491.9 | 492.2 |
| Gonorrhea | 141.6 18 cases ▼ 20% | 176.4 | 179.5 |
| Syphilis (P&S) | 23.6 3 cases ▲ 57% | 15 | 15.8 |
| Syphilis (early) | 7.9 1 cases ▼ 70% | 26.4 | 16 |
| Syphilis (late/unknown) | 55.1 7 cases ▲ 24% | 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.
Between 2020 and 2023 in Lamb County, chlamydia has fallen from 467.6 to 369.8 per 100,000 (21%), gonorrhea has fallen from 222.3 to 141.6 per 100,000 (36%), and P&S syphilis has fallen from 38.8 to 23.6 per 100,000 (39%).
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 Lamb County.
Local HIV snapshot
Lamb County HIV care continuum (2021)
Lamb County recorded 0 new HIV diagnoses per 100,000 (2021), against 20.2 statewide and 13.7 nationally. Among Lamb County residents living with HIV, 84.6% are in care · 76.9% 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 Lamb County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
East Delano Avenue runs straight through the heart of Littlefield, and for most residents a clinic visit means a short drive rather than anything elaborate, yet that ease only matters if the appointment actually fits a working week. With nearly two-thirds of households owning their homes here, this is a community with roots, but the typical home value tells a story of modest budgets, and for the one-in-three households that rent, $773 a month leaves little room for healthcare costs that feel discretionary. That financial tightness lands hardest on younger adults: people in their late teens and twenties who are statistically at the center of STI transmission, still building careers and relationships, often without the cushion to absorb an unexpected bill or take a long afternoon away from work.
With average household sizes running larger than the national norm, privacy and scheduling around shared home life adds another layer to what "convenient" really means here. The testing options listed on this page span a range of fees and hours precisely because no single schedule works for everyone pulling a shift or managing a household of three or more. Whether you come in off Hall Avenue or cut across from US 385, one of those options is likely close enough, and affordable enough, that screening doesn't have to wait until things feel urgent.
Getting there
At 6.97/20 on the EPA walkability index, day-to-day errands in Littlefield 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 79339 snapshot
ZIP-level Census figures for the wider 79339 area around Littlefield: a single ZIP can span several communities, so they describe the area, not Littlefield alone.
Littlefield sits in Lamb County, ZIP 79339. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Littlefield? 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 Lamb 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.
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 Littlefield-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 Littlefield 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 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).
In Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
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.
Learn more about confidential STD testing in TexasSource: 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 clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Lamb County reported ~370 chlamydia cases per 100,000 in 2023, below the Texas average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Yes, chlamydia and gonorrhea can infect the throat, often with no symptoms, so ask for a throat swab if you had oral exposure.
Yes, syphilis is cured with antibiotics (usually penicillin), and earlier treatment prevents long-term damage.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.