Reported gonorrhea in Pickens County runs about 37% higher than the US average. For a one-time concern or regular check-ups, you'll find local clinics and at-home kits for STI testing in Macedonia, Alabama. Visiting a clinic lets a provider answer questions and start treatment, while an at-home kit lets you collect a sample on your own schedule and mail it in. See your options below.
Available testing centers
7 testing options are listed for Macedonia, AL. The nearest, Mississippi State Department of Health, is about 10.2 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.
Mississippi State Department of Health in Columbus charges nothing for STI and HIV testing: free visits regardless of insurance status, with Medicaid and private insurance also accepted on a sliding scale. Appointments are required for gonorrhea, chlamydia, syphilis, and conventional HIV testing, and bacterial STIs are treated same visit.
Cash-pay visits, testing and treatment alike, run at no cost here, which matters for anyone without a regular provider or prescription coverage. Bacterial STI treatment is handled the same day, so the care loop closes without a separate pharmacy bill.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Whatley Health Services in Carrollton runs on scheduled appointments, so calling ahead locks in a visit that covers gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis C: plus TB testing, STI treatment, and HPV and hepatitis A and B vaccines, all on a sliding-scale fee accepted alongside Medicaid and private insurance.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
A public safety-net rural health clinic about 14 miles from Macedonia. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Macedonia, 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 value: single tests
$49 & 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.
Local clinicians
Beyond dedicated clinics, 56 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Macedonia. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.
Catherine Lavender, MD
Family medicine · 289 Robert K Wilson Drive, Carrollton
Angela Riley, MD
Internal medicine · 129 North Brookmoore Drive, Columbus
Anne Sullivan, MD
Family medicine · 255 Baptist Boulevard, Columbus
Robert Harris, MD Telehealth
OB-GYN · 255 Baptist Boulevard, Columbus
Pamela Lacy, MD
OB-GYN · 2429 5th Street North, Columbus
William Gillespie, MD
Internal medicine · 600 Leigh Drive, Columbus
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 Macedonia, AL 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.
Dutch Pharmacies
5.9 miSouthern Family Market
9.6 mi
11 mi S&B Discount Drugs of Columbus
11 miShowing the 4 closest pharmacies to Macedonia, AL.
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 Macedonia, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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 Pickens County, the county that includes Macedonia, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~43% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#24 of 67 Alabama counties for chlamydia, a higher rate than 64% of the state
| Infection | Pickens County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 690.3 129 cases ▲ 6% | 651.1 | 492.2 |
| Gonorrhea | 246.1 46 cases ▲ 8% | 226.9 | 179.5 |
| Syphilis (P&S) | 32.1 6 cases ▲ 12% | 28.6 | 15.8 |
| Syphilis (early) | 21.4 4 cases ▲ 5% | 20.4 | 16 |
| Syphilis (late/unknown) | 37.5 7 cases ▲ 53% | 24.5 | 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 Pickens County, chlamydia has risen from 381.7 to 690.3 per 100,000 (81%), gonorrhea has risen from 224.9 to 246.1 per 100,000 (9%), and P&S syphilis has fallen from 36.6 to 32.1 per 100,000 (12%).
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 Pickens County.
Local HIV snapshot
Federal priority area: Alabama is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Pickens County HIV care continuum (2023)
Among Pickens County residents living with HIV, 82.8% are in care · 69% 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 Pickens County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Lake Lowndes State Park sits at the quiet edge of Macedonia's daily life, and that quiet extends to how residents here think about healthcare access. With nearly everyone owning their home and roots running deep, this is a community where people know their neighbors and their routines. But STI screening rarely fits neatly into either. The household picture here tells its own story: smaller households, a low share of married adults, and a workforce participation rate that reflects a community where many people aren't in conventional nine-to-five employment.
That last point cuts both ways: schedules may have more flexibility than a shift worker's, but without employer-sponsored coverage or steady income (no household in Macedonia clears six figures), cost becomes the friction point that determines whether a test gets made. For younger adults, people in their late teens and twenties, who make up a strikingly large share of this population and face the highest rates of chlamydia, gonorrhea, and syphilis nationally, that drive and that cost are real calculations. Checking the listed clinic's hours before heading out matters: many offer sliding-scale fees, and some schedule early or weekend appointments that work around a day built around home, land, and community rather than a downtown office.
Getting there
At 2.37/20 on the EPA walkability index, day-to-day errands in Macedonia 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 35461 snapshot
ZIP-level Census figures for the wider 35461 area around Macedonia: a single ZIP can span several communities, so they describe the area, not Macedonia alone.
Macedonia sits in Pickens County, ZIP 35461. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Macedonia? 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 Pickens County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alabama 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 Macedonia-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 Macedonia 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 Alabama 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 Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Alabama 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 AlabamaSource: 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.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Pickens County reported ~690 chlamydia cases per 100,000 in 2023, above the Alabama average.
At-home kits mail to 35461: self-collect, send to the lab, results in ~2–5 days.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.