Delaware County had 59% fewer gonorrhea cases than the US average. For people in Manchester, Iowa deciding whether to get tested after a possible exposure or for routine care, community and public clinics are usually low-cost or free, whereas private labs often provide faster results and more flexible scheduling. Below are local options for STI testing.
Available testing centers
6 testing options are listed for Manchester, IA. The nearest, Delaware County Memorial Hospital, is about 0.5 miles away. Compare 5 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 Manchester. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A public safety-net rural health clinic about 11 miles from Manchester. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A public safety-net rural health clinic about 22 miles from Manchester. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A public safety-net rural health clinic about 23 miles from Manchester. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
MercyCare in Monticello tests for gonorrhea, chlamydia, syphilis, rapid HIV, herpes, hepatitis C, and TB, and treats bacterial STIs the same visit. Fees are charged on a sliding scale, with Medicaid, Medicare, and most insurance accepted. An appointment is required.
Languages
English
Tests offered
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Manchester, 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, 43 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Manchester. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.
Ghaith Aboud, MD
Internal medicine · 709 West Main Street, Manchester
Sherif Latif, MD Telehealth
Internal medicine · 709 West Main Street, Manchester
Latonia Moncur, MD
Internal medicine · 709 West Main Street, Manchester
Molly Olson, DO
Family medicine · 345 1st Street South, Winthrop
Clinton Cummings, DO
Family medicine · 980 Field Of Dreams Way, Dyersville
William Schmitt, DO
Family medicine · 1600 1st Street East, Independence
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 Manchester, IA 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.
Blakesly Drug
0.1 miWidner Drug
0.2 mi
1.1 mi Courtnage Drug
14 miMCLD
14 miClayton Pharmacy Services
14 miShowing the 6 closest pharmacies to Manchester, IA.
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 Manchester, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Delaware County, the county that includes Manchester, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~20% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#38 of 99 Iowa counties for chlamydia, a higher rate than 62% of the state
| Infection | Delaware County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 267 47 cases ▼ 37% | 426.8 | 492.2 |
| Gonorrhea | 73.9 13 cases ▼ 37% | 116.8 | 179.5 |
| Syphilis (P&S) | 11.4 2 cases ▲ 11% | 10.3 | 15.8 |
| Syphilis (early) | — no data | 9.2 | 16 |
| Syphilis (late/unknown) | 11.4 2 cases ▲ 15% | 9.9 | 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 Delaware County, chlamydia has risen from 211.6 to 267 per 100,000 (26%), gonorrhea has fallen from 108.6 to 73.9 per 100,000 (32%), and P&S syphilis has risen from 5.7 to 11.4 per 100,000 (100%).
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 Delaware County.
Local HIV snapshot
Delaware County HIV care continuum (2022)
Delaware County recorded 0 new HIV diagnoses per 100,000 (2022), against 5.1 statewide and 13.7 nationally. Among Delaware County residents living with HIV, 88.9% are in care · 88.9% 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 Delaware County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Winter mornings in Manchester arrive with the kind of quiet that makes you notice what matters, and what you've been putting off. The town's steady rhythm, anchored by long-term homeowners and working families who value both affordability and privacy, creates an atmosphere where routine health care fits naturally into life. Young adults here, from late teens through their thirties, have particular reason to build STI screening into their regular checkups; it's the kind of preventive step that doesn't announce itself but quietly protects what you've built. Testing clinics and health providers in and around Manchester listed on this page understand that confidentiality isn't theater in a place where people know each other.
Results remain yours alone. The process itself is straightforward (no elaborate waiting rooms, no unnecessary explanation required) and the cost stays modest, matching what residents expect from local health care. Whether you're settling into Manchester or passing through, screening is available without delay or judgment. The providers here have handled these conversations hundreds of times; your visit is routine for them, and your privacy is simply how they work.
Getting there
At 6.85/20 on the EPA walkability index, day-to-day errands in Manchester 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 52057 snapshot
ZIP-level Census figures for the wider 52057 area around Manchester: a single ZIP can span several communities, so they describe the area, not Manchester alone.
Manchester sits in Delaware County, ZIP 52057. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Manchester? 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 Delaware County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa 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 Manchester-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 Manchester 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 Iowa 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 Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.
Iowa 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 IowaSource: 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.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Delaware County reported ~267 chlamydia cases per 100,000 in 2023, below the Iowa average.
At-home kits mail to 52057: self-collect, send to the lab, results in ~2–5 days.
In Iowa, 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.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.