Lowndes County reports 443 gonorrhea cases per 100,000 residents, well above the U.S. average. Whether testing before starting a new relationship or as part of ongoing care in Manack, Alabama, consider whether you prefer a clinic visit with a provider or an at-home kit for convenience. See the testing options below.
Available testing centers
7 testing options are listed for Manack, AL. The nearest, Health Services, 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.
Health Services in Montgomery accepts Medicaid, Medicare, and private insurance, with sliding-scale fees covering the gaps for everyone else. Testing covers HIV, syphilis, gonorrhea, chlamydia, and TB, with STI and TB treatment on-site. Appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Empower Health in Montgomery pairs STI testing with full prevention care, including PrEP and PEP, on a sliding-scale fee open to everyone, with same-visit treatment for bacterial infections like gonorrhea and chlamydia; appointments are required.
Without a provider who prescribes both, prevention can stall into a second appointment, a second bill, a gap where nothing is happening. At Empower Health, PrEP and PEP are managed in the same clinical relationship as your testing and treatment. No handoff required.
Empower Health tests for eight infections (HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, hepatitis B, and hepatitis C) meaning conditions that cause long-term complications but often share no urgent symptoms still get caught within a single appointment rather than surfacing only when a separate screen is eventually ordered.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
MainStreet Family Care in Millbrook pairs same-visit treatment for bacterial infections like gonorrhea and chlamydia with testing for HIV, syphilis, herpes, hepatitis B and C, and TB: all on a sliding-scale fee that adjusts to income, with walk-in availability and insurance including Medicaid and Medicare accepted.
MainStreet Family Care prescribes both PrEP and PEP on-site, a meaningful capability for anyone managing HIV prevention without an established infectious disease provider or paying out of pocket for standalone specialty care. The prescription, the counseling, and the follow-up testing all run through one practice.
MainStreet's panel extends to herpes and both hepatitis B and C, which means a single visit can resolve questions that a more limited screen would leave open. No separate appointment at a different facility to fill the gap.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · 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 Manack, 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.
Local clinicians
Beyond dedicated clinics, 220 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Manack. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 32 offer telehealth.
Robert Nichols, MD Telehealth
Internal medicine · 120 East Main Street, Prattville
Marilyn Hepperle, MD Telehealth
Internal medicine · 744 East Main Street, Prattville
Gloria Mcwhorter
Internal medicine · 124 South Memorial Drive, Prattville
Kai Jacobson, MD
Internal medicine · 124 South Memorial Drive, Prattville
Surachit Kumar, MD Telehealth
Internal medicine · 124 South Memorial Drive, Prattville
Victor Theriault, MD
Family medicine · 3058 Mobile Highway, Montgomery
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 Manack, 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.
9.5 mi 
9.7 mi 
9.8 mi Jones Drugs
9.8 miShowing the 4 closest pharmacies to Manack, 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 Manack, 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 Lowndes County, the county that includes Manack, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~17% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#5 of 67 Alabama counties for chlamydia, a higher rate than 93% of the state
| Infection | Lowndes County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 1111.5 108 cases ▲ 71% | 651.1 | 492.2 |
| Gonorrhea | 442.5 43 cases ▲ 95% | 226.9 | 179.5 |
| Syphilis (P&S) | 61.7 6 cases ▲ 116% | 28.6 | 15.8 |
| Syphilis (early) | 61.7 6 cases ▲ 202% | 20.4 | 16 |
| Syphilis (late/unknown) | 20.6 2 cases ▼ 16% | 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 Lowndes County, chlamydia has risen from 882.6 to 1111.5 per 100,000 (26%), gonorrhea has fallen from 504.3 to 442.5 per 100,000 (12%), and P&S syphilis has risen from 9.7 to 61.7 per 100,000 (536%).
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 Lowndes 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.
Lowndes County HIV care continuum (2023)
Lowndes County recorded 0 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Lowndes County residents living with HIV, 84.9% are in care · 66% 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 Lowndes County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Gunter Hill anchors the south end of Manack the way a good marriage anchors a household, steadily and without much fuss. That steadiness shows up in the numbers too: nearly half of adults here are married, households tend toward pairs rather than large extended units, and an overwhelming majority own the homes they live in. Health decisions in that kind of community often get made as a couple or quietly on someone's own schedule, without much institutional nudge, which is exactly why the logistics of getting tested matter as much as the intention. With more than half of households earning well above the area median, cost isn't usually the barrier for Manack residents navigating sexual health care.
What is a barrier is distance. A labor force that's nearly two-thirds of working-age adults, most of them employed, means midweek morning appointments can be genuinely hard to protect. Young adults in their late teens and twenties make up a smaller share of Manack's population than in most Alabama cities, but Lowndes County's STI figures are a consistent reminder that low density doesn't mean low exposure. Staying current on screening is how someone living here keeps that county-level picture from becoming a personal one.
Getting there
At 3.71/20 on the EPA walkability index, day-to-day errands in Manack 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 36752 snapshot
ZIP-level Census figures for the wider 36752 area around Manack: a single ZIP can span several communities, so they describe the area, not Manack alone.
Manack sits in Lowndes County, ZIP 36752. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Manack? 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 Lowndes 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 Manack-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 Manack 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.
Health Services, about 10.2 mi away, with 6 options within 30 miles.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Lowndes County reported ~1,112 chlamydia cases per 100,000 in 2023, above the Alabama average.
Most results are ready in about 1–2 days.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, a body or genital rash can be a sign of syphilis or HIV, so get tested and evaluated.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.