Madison County reports about 362 gonorrhea cases per 100,000 residents, well above the US average. Whether it's your first STI test or a routine screening in Madison County, Florida, consider your budget and lab preferences. Clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Here's your list of options for testing.
Available testing centers
9 testing options are listed for Madison, FL. The nearest, Little Pine Pediatrics, is about 0.1 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 in Madison. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
North Florida Medical - Madison holds federally qualified health center status, meaning its sliding-scale fees are calibrated to income: making syphilis, gonorrhea, and chlamydia screening genuinely reachable whether someone is uninsured, paying cash, or caught between coverage gaps in Madison.
Tests offered
Fees & payment
North Florida Medical Centers in Madison runs STI care on a sliding scale, with Medicaid, Medicare, and private insurance all accepted: covering gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis A, B, and C, and TB, by appointment, with same-visit treatment for bacterial infections. Spanish is spoken.
Beyond the standard bacterial and HIV workup, North Florida Medical Centers tests for herpes simplex and hepatitis A, B, and C, each run through the clinic's own lab rather than outsourced, and carries hepatitis A and B vaccines on-site to close any immunity gaps the bloodwork identifies. TB testing and treatment sit in the same appointment.
Spanish functions as a full clinical language at North Florida Medical Centers in Madison: not a supplemental accommodation but the language in which counseling, medication adherence education, and STI prevention discussions are conducted. That operational capacity means medication instructions and follow-up protocols are delivered directly, without an intermediary layer.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Florida Department of Health in Madison County covers chlamydia, gonorrhea, syphilis, HIV, herpes, and hepatitis testing, with same-visit treatment for bacterial infections when results call for it: all on a sliding scale, by appointment, with free HIV and STI testing available.
Plenty of public clinics carry a sliding scale that still bottoms out at something. Florida Department of Health in Madison County absorbs the cost entirely: HIV testing, STI testing, and the services around them carry no charge, regardless of what you're there for.
Many clinics serving Spanish-speaking patients route communication through an ad hoc fix that adds friction at exactly the wrong moment. Florida Department of Health in Madison County delivers care directly in Spanish, keeping the conversation between patient and provider without an intermediary layer.
For someone without a regular provider who needs a complete picture (herpes, hepatitis A, B, and C included) Florida Department of Health in Madison County runs a broader panel than the four-infection standard, covering infections that often get deferred to a specialist referral elsewhere.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Georgia Department of Public Health in Lake Park runs STI testing and treatment through a public health infrastructure built to absorb demand: same-visit bacterial treatment, sliding-scale fees for all, appointments required, with HIV, syphilis, gonorrhea, chlamydia, and herpes all on the panel, at no fee.
The department's public-health funding model means the billing window doesn't determine what care is delivered: Medicaid, Medicare, and insurance are all accepted, and for those without coverage, every service is provided at no fee. No service is withheld pending payment.
Spanish is supported as a direct service language at Georgia Department of Public Health in Lake Park: not a supplemental accommodation but a staffed clinical capacity, which means counseling, partner notification, and prevention education all run in Spanish without a separate process.
Beyond HIV, syphilis, gonorrhea, and chlamydia, Georgia Department of Public Health in Lake Park runs herpes testing as part of its panel: meaning a single appointment can surface an infection that a narrower screen would miss entirely, and treatment follows on-site.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Madison, 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 Madison 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.
224 Northwest Crane Avenue, Madison, FL 32340
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Madison. 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, 83 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Madison. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 18 offer telehealth.
Theresa Payne, DO
Family medicine · 180 Northwest Haynes Street, Madison
Daniel Perkins, MD Telehealth
Family medicine · 486 Southwest Rutledge Street, Madison
George Rust, MD
Family medicine · 218 Southwest 3rd Avenue, Madison
Jarod Bailey, DO Telehealth
Internal medicine · 3749 Kinderlou Frst, Valdosta
Jason Burnette
Urology · 1309 West Screven Street, Quitman
Summer Alvarez, DO
Family medicine · 903 North Court Street, Quitman
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 Madison, FL 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.
0.2 mi Norris Medical Compounding Lab
0.3 miNorth Florida Pharmacy of Madison
0.4 miJay's Pharmacy of Madison
0.5 miJacksons Drugs of Monticello
13 miThe Village Pharmacy at Dowling Park
18 miShowing the 6 closest pharmacies to Madison, FL.
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 Madison, 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 Madison County, the county that includes Madison, compare with Florida and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~32% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#14 of 67 Florida counties for chlamydia, a higher rate than 79% of the state
| Infection | Madison County | Florida | United States |
|---|---|---|---|
| Chlamydia | 550.8 102 cases ▲ 10% | 498.9 | 492.2 |
| Gonorrhea | 361.8 67 cases ▲ 75% | 206.7 | 179.5 |
| Syphilis (P&S) | 16.2 3 cases ▼ 16% | 19.3 | 15.8 |
| Syphilis (early) | — no data | 25.1 | 16 |
| Syphilis (late/unknown) | 5.4 1 cases ▼ 86% | 37.7 | 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 Madison County, chlamydia has fallen from 673.4 to 550.8 per 100,000 (18%), gonorrhea has risen from 333.9 to 361.8 per 100,000 (8%), and P&S syphilis has risen from 5.6 to 16.2 per 100,000 (189%).
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 Madison County.
Local HIV snapshot
Madison County HIV care continuum (2022)
Madison County recorded 0 new HIV diagnoses per 100,000 (2022), against 22.7 statewide and 13.7 nationally. Among Madison County residents living with HIV, 81.8% are in care · 76.4% 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 Madison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Evad Park sits calm on any given afternoon, but getting from there to a testing appointment is a different kind of errand in Madison. That labor-force participation figure tells a quiet story: a substantial share of adults here aren't in conventional nine-to-five schedules, whether through caregiving, part-time work, or joblessness. Larger household sizes mean those caregiving pressures are real. Young adults in their late teens and twenties, the years when STI transmission runs highest, are navigating those same logistical constraints at exactly the moment routine screening matters most.
The options listed on this page span a range of hours and formats, which gives residents some flexibility when their week doesn't cooperate. Cost matters here in a specific way. With typical rents at the lower end and fewer than one in twenty households clearing six figures, a visit with an out-of-pocket fee, even a modest one, is a real calculation. The clinic cards listed here note fees directly, so a resident without coverage can compare costs before making the drive down West Base Street.
Getting there
At 6.28/20 on the EPA walkability index, day-to-day errands in Madison 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 32340 snapshot
ZIP-level Census figures for the wider 32340 area around Madison: a single ZIP can span several communities, so they describe the area, not Madison alone.
Madison sits in Madison County, ZIP 32340. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Madison? 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 Madison County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Florida 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 Madison-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 Madison 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 Florida 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 Florida, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Florida 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 FloridaSource: 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.
Yes, Medicaid typically covers it, and public clinics are free either way.
Florida Department of Health in Madison County, about 0.7 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Madison County reported ~551 chlamydia cases per 100,000 in 2023, above the Florida average.
In Florida, 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.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.