In Morton County, North Dakota, there are about 162 gonorrhea cases per 100,000 residents, near the US average. Whether it's your first STI test or a routine screening in Lyons, North Dakota, you can choose between clinics that might offer same-day testing and labs or at-home kits that fit your schedule.
Available testing centers
7 testing options are listed for Lyons, ND. The nearest, Sanford Health Laboratories, is about 7.2 miles away. Compare community and public clinics, private labs, and at-home kits below.
Western Plains Public Health in Mandan requires an appointment and covers gonorrhea, chlamydia, syphilis, rapid and conventional HIV, hepatitis B, hepatitis C, and TB in a single visit. With same-visit bacterial treatment available and every service provided at no fee.
Western Plains Public Health carries no fee for any service on its menu: testing, treatment, vaccines, counseling, needle exchange, and TB care are all included at zero cost. That applies across the board, not selectively, so nothing on the visit generates a bill.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Western Plains tests for both hepatitis B and hepatitis C. Meaning a single appointment can surface infections that share transmission routes but often go undetected on a narrower panel. TB testing rounds out that broader scope further still.
Languages
English
Tests offered
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Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Essentia Health in Lincoln tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis A, B, and C, and TB on a sliding-scale fee schedule, with Medicare, Medicaid, and private insurance also accepted. No appointment needed to be seen.
Languages
English
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Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Sanford Health in Bismarck tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee that applies to everyone; bacterial infections are treated the same visit. Appointments are required, and Medicaid and Medicare are both accepted.
Sanford Health carries PrEP, including the daily oral regimens built around tenofovir and emtricitabine, along with PEP for post-exposure prevention. Both require the ongoing lab monitoring and prescription continuity that only a clinic with HIV medical treatment capacity can reliably sustain.
Without on-site hepatitis C treatment, a positive antibody result means a separate specialist referral, a new intake process, and weeks of delay before antiviral therapy starts. During which the virus continues damaging liver tissue. At Sanford Health in Bismarck, treatment follows diagnosis in the same system, closing that gap entirely.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 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 7 miles away; if you'd rather skip the trip, an at-home kit ships to Lyons, 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 Morton 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.
2500 Sunset Drive Northwest, Mandan, ND 58554
CMS-certified lab Accredited · Joint Commission
910 Northwest 18th Street, Mandan, ND 58554
CMS-certified lab Accredited · Joint Commission
1000 18th Street Northwest, Mandan, ND 58554
CMS-certified lab Accredited · Joint Commission
Showing the nearest 3 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Lyons. 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, 126 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Lyons. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 19 offer telehealth.
Candice Crichlow, MD
Internal medicine · 1000 18th Street Northwest, Mandan
Jordan Barth, MD
Family medicine · 910 18th Street Northwest, Mandan
Laura Archuleta, MD
Family medicine · 2500 Sunset Drive, Mandan
Meghan Hendrickson, MD
Family medicine · 102 Mandan Avenue, Mandan
Richard Cash, MD
Family medicine · 921 West Interstate Avenue, Bismarck
Brittany Snustad, MD Telehealth
Family medicine · 500 East Front Avenue, Bismarck
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 Lyons, ND 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.
Thrifty White Pharmacy
7.2 miSt. Alexius Mandan Pharmacy
7.3 mi
7.5 mi Mandan Drug
7.6 miThe Medicine Shoppe 0977
7.7 miMedicine Shoppe
7.7 miShowing the 6 closest pharmacies to Lyons, ND.
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 Lyons, 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 Morton County, the county that includes Lyons, compare with North Dakota 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.
#11 of 53 North Dakota counties for chlamydia, a higher rate than 79% of the state
| Infection | Morton County | North Dakota | United States |
|---|---|---|---|
| Chlamydia | 410.1 139 cases ▼ 6% | 436.4 | 492.2 |
| Gonorrhea | 162.3 55 cases ▲ 10% | 147.2 | 179.5 |
| Syphilis (P&S) | 26.6 9 cases ▲ 115% | 12.4 | 15.8 |
| Syphilis (early) | 5.9 2 cases ▲ 111% | 2.8 | 16 |
| Syphilis (late/unknown) | 3 1 cases ▼ 75% | 12 | 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 Morton County, chlamydia has fallen from 438.6 to 410.1 per 100,000 (6%), gonorrhea has fallen from 246.3 to 162.3 per 100,000 (34%), and P&S syphilis has risen from 6 to 26.6 per 100,000 (343%).
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 Morton County.
Local HIV snapshot
Morton County HIV care continuum (2023)
Morton County recorded 0 new HIV diagnoses per 100,000 (2023), against 3.2 statewide and 13.7 nationally. Among Morton County residents living with HIV, 66.7% are in care · 33.3% 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 Morton County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Lyons sits in Morton County with the kind of working rhythm that leaves little room for midweek detours. Most households here are owner-occupied, which means residents are rooted, employed, and juggling the full weight of property upkeep alongside jobs, because with nearly three in four adults in the labor force and unemployment barely registering, spare afternoons are genuinely scarce. Rent, where it applies, lands around a thousand dollars a month, a real line item that keeps cost-conscious residents attentive to fees when they do seek care. That stable, settled profile can quietly shape health habits in both directions.
Married households account for a solid majority of adults here, and household sizes run close to two and a half people, meaning testing decisions often touch more than one person. Young adults in their late teens and twenties make up a meaningful share of the population, and for that group, STIs tend to spread fastest and show the fewest symptoms, so low-cost, low-hassle access to screening matters more than a pamphlet ever will. The rural spread of Morton County is the honest variable here. Getting to the nearest option listed on this page means time on the highway, not a short errand, and that distance is worth factoring when you're booking.
Getting there
At 7.86/20 on the EPA walkability index, day-to-day errands in Lyons 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 58554 snapshot
ZIP-level Census figures for the wider 58554 area around Lyons: a single ZIP can span several communities, so they describe the area, not Lyons alone.
Nearby cities & towns
Just outside Lyons? 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 Morton County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Dakota 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 Lyons-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 Lyons 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 North Dakota 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 North Dakota, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Dakota 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 North DakotaSource: 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 Sanford Health Laboratories (7.2 mi); 7 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
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 410 cases per 100,000 residents (2023), below the North Dakota average.
In North Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.