Syphilis rates in Falls County run about 63% lower than the US average. Whether it's your first STI test or a routine screening in Lott, Texas, you can choose between community and public clinics, which are often low-cost or free, or private labs, which tend to offer faster results and more flexible scheduling. Find options below.
Available testing centers
6 testing options are listed for Lott, TX. The nearest, Falls Community Hospital and Clinic, is about 9.8 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.
A safety-net rural health clinic about 10 miles from Lott. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Texas Department of State Health Services in Marlin requires an appointment, and that single scheduled visit covers HIV, syphilis, gonorrhea, chlamydia, hepatitis B, hepatitis C, and TB testing alongside STI treatment, DoxyPEP, and family planning. All at no charge regardless of ability to pay.
A cost barrier at any point in care (the test, the follow-up, the treatment) can leave an infection unaddressed and progressing. At Texas Department of State Health Services in Marlin, every service on the menu, from the initial panel through STI treatment, carries no fee, closing that gap before it opens.
Many clinics handle Spanish-speaking patients through improvised arrangements that slow down and flatten a conversation. Texas Department of State Health Services in Marlin delivers care directly in Spanish, keeping clinical detail, nuance, and patient questions intact through the full visit.
DoxyPEP (doxycycline taken after a potential bacterial STI exposure to reduce the risk of syphilis, gonorrhea, and chlamydia) is a prescribable service at Texas Department of State Health Services in Marlin, meaning eligible patients leave with an active prevention tool, not a suggestion to seek one elsewhere.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Lott, 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 Falls 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.
322 Coleman Street, Marlin, TX 76661
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lott. 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, 676 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lott. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 282 offer telehealth.
Clorinda Zawacki, MD
Internal medicine · 322 Coleman Street, Marlin
Liza Banaag, MD Telehealth
Family medicine · 318 Chambers Street, Marlin
Bright Izekor, DO
Internal medicine · 808 North 5th Street, Temple
John Betik, DO Telehealth
Family medicine · 409 West Adams Avenue, Temple
Christopher Vera, DO
Family medicine · 409 West Adams Avenue, Temple
Jason Ramm, MD Telehealth
Family medicine · 1402 West Ave H, Temple
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 Lott, 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.
Rosebud Pharmacy
9.7 miGibson Pharmacy
11 miSanitarium Drug Store
11 mi
12 mi 
20 mi Showing the 5 closest pharmacies to Lott, 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 Lott, 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 $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
$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 Falls County, the county that includes Lott, 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.
#42 of 254 Texas counties for chlamydia, a higher rate than 83% of the state
| Infection | Falls County | Texas | United States |
|---|---|---|---|
| Chlamydia | 503.3 87 cases ▲ 2% | 491.9 | 492.2 |
| Gonorrhea | 138.8 24 cases ▼ 21% | 176.4 | 179.5 |
| Syphilis (P&S) | 5.8 1 cases ▼ 61% | 15 | 15.8 |
| Syphilis (early) | 34.7 6 cases ▲ 31% | 26.4 | 16 |
| Syphilis (late/unknown) | 40.5 7 cases ▼ 9% | 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 Falls County, chlamydia has risen from 418.4 to 503.3 per 100,000 (20%), gonorrhea has fallen from 212.2 to 138.8 per 100,000 (35%), and P&S syphilis has fallen from 29.5 to 5.8 per 100,000 (80%).
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 Falls County.
Local HIV snapshot
Falls County HIV care continuum (2023)
Among Falls County residents living with HIV, 77.1% are in care · 64.6% 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 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 Falls County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Gassaway Avenue cuts through a Lott where home values sit well below most Texas benchmarks and typical rents stay genuinely affordable, yet an unemployment rate that leaves a meaningful share of residents without steady income means even modest out-of-pocket costs can make a health appointment feel optional rather than essential. With most households owning their homes and average household sizes running notably large, this is a community built around extended family units, which tends to mean people are embedded locally and not casually mobile. That rootedness matters when the nearest testing options listed on this page require a real drive out of Falls County.
For younger adults, people in their late teens and twenties who are in the years when STIs circulate most actively and often without symptoms, that distance isn't just an inconvenience; it's the reason a test that should happen in January gets reconsidered in March. The clinics listed here include options with sliding-scale fees and extended hours, details worth checking before assuming cost or timing rules out a visit. Falls County's STI landscape makes routine screening a practical matter, not a precautionary one, and US 77 runs both directions.
Getting there
At 5.45/20 on the EPA walkability index, day-to-day errands in Lott 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 76656 snapshot
ZIP-level Census figures for the wider 76656 area around Lott: a single ZIP can span several communities, so they describe the area, not Lott alone.
Lott sits in Falls County, ZIP 76656. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Lott? 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 Falls 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 Lott-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 Lott 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.
Nearest is Falls Community Hospital and Clinic, about 9.8 mi away; 6 are within 30 miles. An at-home kit shipped to 76656 also works.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Texas Department of State Health Services, about 10.4 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Falls County reported ~503 chlamydia cases per 100,000 in 2023, above the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.