Overton County reports about 17 syphilis cases per 100,000 residents, near the US average. Whether it's your first STI test or a routine screening in Livingston, Tennessee, consider whether you want same-day walk-in appointments or the flexibility of labs and at-home kits. We list your options below.
Available testing centers
9 testing options are listed for Livingston, TN. The nearest, Tennessee Department of Health, is about 0.8 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 Livingston requires an appointment and covers the full panel (HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, hepatitis C, and TB) with same-visit treatment for bacterial infections, PrEP, DoxyPEP, and HPV, hepatitis A, and hepatitis B vaccines, all at no fee.
When cost stalls care (the test that gets skipped, the treatment deferred, the follow-up that never happens) the gap compounds. At Tennessee Department of Health in Livingston, every service on the board carries no charge: testing, treatment, vaccines, PrEP, DoxyPEP, all of it.
Tennessee Department of Health in Livingston provides care in Spanish through its standing clinical staff, not a workaround bolted on after the exam. Prescriptions get explained, follow-up instructions land clearly, and nothing critical rides on whether a nuance survived translation.
The clinic prescribes and monitors daily oral PrEP for ongoing HIV prevention, PEP for post-exposure use, and DoxyPEP, doxycycline taken after potential bacterial STI exposure, handling the baseline labs, follow-up testing, and prescription continuity that each regimen requires.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Monterey-Putnam County Health Department Community Health Center, in Monterey, carries both federally qualified and rural health clinic designations: meaning sliding-scale fees tied to income apply to STI screening for syphilis, gonorrhea, and chlamydia, no appointment needed to get started.
Tests offered
Fees & payment
Choice Health Network, a Positively Living Company in Cookeville, is a dedicated HIV and sexual health organization: meaning STI testing, treatment, and prevention are its core work, not a side service. The standard panel covers HIV, syphilis, gonorrhea, chlamydia, and hepatitis B and C, with same-visit treatment for bacterial infections, all at no fee. Appointments are required.
Every test, treatment, vaccine, and prevention service at Choice Health Network costs nothing, which means PrEP, PEP, and hepatitis C treatment are as financially reachable as a basic HIV screen.
Leaving a testing appointment without a prevention prescription means an extra provider visit, extra time, and often extra cost before protection begins. Choice Health Network carries both PrEP and PEP on-site, so prevention doesn't stall between diagnosis and pharmacy.
Choice Health Network treats hepatitis C on-site, so a reactive test doesn't hand patients a specialist's name and a waiting period; clearance of the virus begins within the same organization that found it.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Upper Cumberland Regional Health Department in Algood requires an appointment, and that single visit covers rapid and conventional HIV testing, hepatitis A, B, and C, syphilis, gonorrhea, chlamydia, herpes, and TB, with same-visit treatment for bacterial infections, all at no fee.
Upper Cumberland Regional Health Department structures its entire operation around a no-fee model: testing, STI treatment, PrEP prescribing, DoxyPEP, hepatitis C treatment, and HIV/AIDS medical management are all staffed and dispensed on-site without any charge attached to any service line.
Staff at Upper Cumberland Regional Health Department communicate directly in American Sign Language, Chinese, French, and Haitian Creole, along with Spanish, Portuguese, Tagalog, and Vietnamese: meaning clinical conversations about medication adherence, PrEP regimens, or hepatitis treatment happen in the patient's own language without a relay.
Leaving Algood with only an HIV-negative result but no prescription pathway means prevention stalls before it starts. Upper Cumberland Regional Health Department closes that gap by prescribing and managing PrEP, PEP, and DoxyPEP directly. All three regimens dispensed and monitored within the same clinic, at no fee.
Languages
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Lake Cumberland District Health Department in Albany tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding-scale fee accepted by Medicaid, Medicare, and most insurance. Walk-ins welcome. STI treatment and hepatitis A, hepatitis B, and HPV vaccines are available on-site, with care delivered in Spanish.
Many public health clinics note Spanish on a checklist but funnel speakers through workarounds that slow care down. Lake Cumberland District Health Department in Albany delivers STI services directly in Spanish: counseling, testing, and treatment in the same visit, without an intermediary step.
Lake Cumberland District Health Department in Albany includes herpes testing alongside gonorrhea, chlamydia, syphilis, and HIV. A wider scope than clinics that stop at the bacterial four. For anyone without a regular provider who needs a complete picture, that breadth is available here on a sliding-scale fee.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 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 Livingston, 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 for simplicity & support
$89 & 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 Overton 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.
315 Oak Street, Livingston, TN 38570
CMS-certified lab Accredited · Joint Commission
5751 Bradford Hicks Drive, Livingston, TN 38570
CMS-certified lab
500 West Main Street, Livingston, TN 38570
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Livingston. 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, 133 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Livingston. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 34 offer telehealth.
Dawn Barlow, MD
Internal medicine · 315 Oak Street, Livingston
Akinbola Ajayi-Obe, MD
Internal medicine · 315 Oak Street, Livingston
Andrea Humphrey, MD
Family medicine · 529 Medical Drive, Livingston
Kenneth Beaty, MD
Family medicine · 403 East University Street, Livingston
Michael Cox, MD
Internal medicine · 500 West Main Street, Livingston
Courtney Cummings, MD Telehealth
Internal medicine · 506 West Main Street, Livingston
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 Livingston, 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.
0.7 mi Donaldson Pharmacy
15 miDale Hollow Pharmacy
15 miAnderson Hometown Pharmacy
15 miShowing the 4 closest pharmacies to Livingston, 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 Livingston, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
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 Overton County, the county that includes Livingston, compare with Tennessee 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.
#91 of 95 Tennessee counties for chlamydia, a higher rate than 4% of the state
| Infection | Overton County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 145.8 34 cases ▼ 72% | 517.4 | 492.2 |
| Gonorrhea | 25.7 6 cases ▼ 86% | 186.4 | 179.5 |
| Syphilis (P&S) | 17.1 4 cases ▲ 16% | 14.8 | 15.8 |
| Syphilis (early) | 4.3 1 cases ▼ 63% | 11.5 | 16 |
| Syphilis (late/unknown) | 12.9 3 cases ▼ 51% | 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 Overton County, chlamydia has fallen from 262.1 to 145.8 per 100,000 (44%), gonorrhea has fallen from 128.8 to 25.7 per 100,000 (80%), and P&S syphilis has risen from 8.9 to 17.1 per 100,000 (92%).
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 Overton County.
Local HIV snapshot
Overton County HIV care continuum (2023)
Overton County recorded 0 new HIV diagnoses per 100,000 (2023), against 14.8 statewide and 13.7 nationally. Among Overton County residents living with HIV, 83.3% are in care · 83.3% 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 Overton County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The renters clustered near North Court Square tend to stretch modest budgets across households that often include more than two people, a reality that shapes how Livingston's adults think about healthcare spending. With labor-force participation well below the national norm and unemployment running noticeably higher, a substantial share of working-age residents either hold irregular hours or cycle between jobs, leaving little predictable time for appointments that feel optional until they suddenly aren't. That schedule pressure falls hardest on young adults, people in their late teens and twenties who are both statistically the most likely to encounter an STI and the least likely to have a dedicated primary-care relationship. Overton County's STI figures reflect exactly the pattern seen everywhere: the under-35 years carry a disproportionate share of new diagnoses.
In a county where most residents drive SR 52 or West Broad Street to reach nearly any service, a clinic that involves a longer trip becomes one that keeps getting deferred, especially when rent is tight and free hours are scarce. The range of options listed here (spanning different fee structures, hours, and distances) means someone working a split shift off East Broad Street has genuinely different choices than a homeowner with a flexible schedule near Reynolds Mountain. That breadth is what makes routine screening a realistic errand rather than a planned expedition.
Getting there
At 6.21/20 on the EPA walkability index, day-to-day errands in Livingston 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 38570 snapshot
ZIP-level Census figures for the wider 38570 area around Livingston: a single ZIP can span several communities, so they describe the area, not Livingston alone.
Livingston sits in Overton County, ZIP 38570. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Livingston? 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 Overton 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 Livingston-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 Livingston 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.
The closest is Tennessee Department of Health (0.8 mi); 6 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, Tennessee Department of Health (0.8 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 146 cases per 100,000 residents (2023), below the Tennessee average.
Lab results typically come back in 1–2 days.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.