In Polk County Texas, reported chlamydia runs about 59% lower than the US average. Whether you have symptoms or just want peace of mind, you have several options for STI testing in Livingston, Texas. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. We list options below.
Available testing centers
7 testing options are listed for Livingston, TX. The nearest, Clinical Pathology Labs, is about 1.4 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.
Health Center of Southeast Texas - Livingston, serving Livingston, anchors its STI services in a federally qualified model where fees adjust to what patients actually earn. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening.
Tests offered
Fees & payment
Health Center of Southeast Texas in Shepherd is a community health center where STI care (gonorrhea, chlamydia, syphilis, HIV, and hepatitis C) runs alongside family planning on a sliding-scale fee, with appointments required and same-visit treatment available for bacterial infections. Spanish is spoken on staff.
Spanish-language care at Health Center of Southeast Texas is staffed capacity, not a workaround: clinicians conduct intake, counseling, and treatment conversations directly in Spanish. That means dosing instructions, follow-up schedules, and prevention education are delivered and confirmed in the same language, with no relay between patient and provider.
Health Center of Southeast Texas prescribes and manages direct-acting antiviral therapy for hepatitis C in-house, the same clinic that runs the antibody and confirmatory tests carries the treatment through sustained virologic response. Patients aren't handed off after diagnosis; monitoring and medication management stay in one place.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Health Center of Southeast Texas tests for hepatitis C, which means a single visit can surface an infection that often goes undetected until liver damage is already underway.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
HealthPoint - Trinity welcomes patients in Trinity regardless of insurance status or ability to pay, making it a practical answer for anyone navigating care without coverage or paying out of pocket. As a federally qualified health center, it offers sliding-scale STI screening for syphilis, gonorrhea, and chlamydia.
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 1 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 for simplicity & support
$89 & 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 Polk 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.
1717 Highway 59 Bypass, Livingston, TX 77351
CMS-certified lab Accredited · College of American Pathologists
111 Emergency Drive, Livingston, TX 77351
CMS-certified lab Accredited · COLA
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, 23 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 12 offer telehealth.
Anita Kuruvilla, MD
Internal medicine · 400 West Church Street, Livingston
Jeffrey Luna, MD Telehealth
Family medicine · 219 Eastwood Avenue, Livingston
David Buescher Telehealth
Family medicine · 219 Eastwood Avenue, Livingston
Jerry Wood, MD Telehealth
Family medicine · 219 Eastwood Avenue, Livingston
Tamanna Ferdous, MD Telehealth
Family medicine · 204 West Park, Livingston
Hunganh Bui, MD Telehealth
Family medicine · 210 West Park, 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, 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.
Brookshire Brothers Pharmacy
0.6 miShepherd Pharmacy
15 miPrime RX Pharmacy
27 miShowing the 3 closest pharmacies to Livingston, 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 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.
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
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
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 Polk County, the county that includes Livingston, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#194 of 254 Texas counties for chlamydia, a higher rate than 24% of the state
| Infection | Polk County | Texas | United States |
|---|---|---|---|
| Chlamydia | 201.2 109 cases ▼ 59% | 491.9 | 492.2 |
| Gonorrhea | 49.8 27 cases ▼ 72% | 176.4 | 179.5 |
| Syphilis (P&S) | 3.7 2 cases ▼ 75% | 15 | 15.8 |
| Syphilis (early) | 5.5 3 cases ▼ 79% | 26.4 | 16 |
| Syphilis (late/unknown) | 53.5 29 cases ▲ 21% | 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 Polk County, chlamydia has fallen from 215.5 to 201.2 per 100,000 (7%), gonorrhea has fallen from 73.8 to 49.8 per 100,000 (33%), and P&S syphilis has risen from 2 to 3.7 per 100,000 (85%).
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 Polk County.
Local HIV snapshot
Polk County HIV care continuum (2023)
Polk County recorded 10.8 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Polk County residents living with HIV, 73.5% are in care · 56.3% 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 Polk County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Livingston tilts just barely toward owners over renters, but nearly half the households here are renting, most at monthly rates well below what you'd find in larger Texas metros. That rental-heavy half tends to skew younger and more mobile, exactly the people in their late teens and twenties for whom regular STI screening is most consequential, and for whom a $709 rent leaves little room to treat an out-of-pocket clinic visit as routine. " Getting around Livingston compounds that. Without sidewalks connecting neighborhoods to US 190 or North Washington Avenue, almost every appointment requires a car and a deliberate trip.
Polk County's STI picture makes that deliberateness worth building in: the county's reported rates signal that transmission is active here, not a distant concern. The good news is that the options listed on this page include low-cost and sliding-scale choices that exist precisely for a community where high-earner households are the clear minority. Knowing those options are on US 59 Business or a short drive off US 190 is the first step toward making one of them yours.
Getting there
At 6.06/20 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 77351 snapshot
ZIP-level Census figures for the wider 77351 area around Livingston: a single ZIP can span several communities, so they describe the area, not Livingston alone.
Livingston sits in Polk County, ZIP 77351. 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 Polk 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 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 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.
The closest is Clinical Pathology Labs (1.4 mi); 4 options are within 30 miles.
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 201 cases per 100,000 residents (2023), below the Texas average.
In Texas, 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.
Yes, from a reputable lab, confirm any positive with a clinician for treatment.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.