Gonorrhea in Coffee County runs about 35% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Manchester, Tennessee, consider your priorities: clinic visits offer immediate care from a provider, while at-home kits provide scheduling flexibility. See the options below.
Available testing centers
9 testing options are listed for Manchester, TN. The nearest, American Esoteric Laboratories, 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.
Tennessee Department of Health's Tullahoma clinic roots STI care inside a public health infrastructure built for population-level disease control, which means gonorrhea, chlamydia, syphilis, and herpes testing sits alongside TB work, family planning, and vaccination on a sliding-scale fee with appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Primary Care & Hope Clinic of Shelbyville charges on a sliding scale tied to income, so cost is rarely a barrier to STI screening. Federally qualified funding backs that commitment, covering syphilis, gonorrhea, and chlamydia testing. No appointment needed to get started.
Tests offered
Fees & payment
Grundy County Primary Care Center in Coalmont was built around patients who are uninsured, paying out of pocket, or caught between providers, and its federally qualified standing means STI screening for syphilis, gonorrhea, and chlamydia runs on a sliding-scale fee tied directly to income.
Tests offered
Fees & payment
Rutherford County Health Department in Murfreesboro runs its full STI program at no charge to patients, covering gonorrhea, chlamydia, syphilis, HIV, and hepatitis C alongside TB testing: appointments required, with same-visit treatment for bacterial infections and sliding-scale fees where applicable.
The department is staffed and funded to absorb the full cost of every service it provides: testing, treatment, vaccines, counseling, and partner notification all bill at zero dollars. No fee schedule kicks in at any income level; the operational model simply does not generate a patient balance.
Spanish-language care at Rutherford County Health Department is handled by staff working directly in clinic, not routed through an external service. Counseling, STI prevention education, and test results are communicated in Spanish by the people conducting the appointment.
Beyond gonorrhea, chlamydia, syphilis, and HIV, the clinic draws hepatitis C into its routine testing panel. That single addition means a patient leaves with a clearer picture of bloodborne exposure without scheduling a separate appointment elsewhere.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
Hope II in Murfreesboro earns its federal health center designation partly through a sliding-scale fee structure tied to income. Walk-ins are welcome, no appointment needed, and a single visit can cover syphilis, gonorrhea, and chlamydia screening, with costs adjusted to what patients actually earn.
Tests offered
Fees & payment
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 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 range: couples & full panels
$79 & 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 Coffee 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.
1020 Mcarthur Street, Manchester, TN 37355
CMS-certified lab
481 Interstate Drive, Manchester, TN 37355
CMS-certified lab Accredited · COLA
2345 Murfreesboro Highway, Manchester, TN 37355
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Manchester. 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, 97 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 14 offer telehealth.
David Florence, DO
Family medicine · 1239 Mcarthur Street, Manchester
Vanessa Green, DO
Family medicine · 1402 Willow Drive, Manchester
Howard Bennett, MD
OB-GYN · 1400 Willow Drive, Manchester
Malinda Linn, DO Telehealth
Family medicine · 1204 Hillsboro Boulevard, Manchester
Mark Schmitz, DO
Family medicine · 905 Mcarthur Street, Manchester
Shon Nolin, DO
Family medicine · 1606 Mcarthur Street, Manchester
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, TN 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.
Baker Brothers Drug Company
1.5 mi
10 mi 
10 mi 
10 mi Southern Family Market
10 miShowing the 5 closest pharmacies to Manchester, TN.
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
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
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 Coffee County, the county that includes Manchester, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#31 of 95 Tennessee counties for chlamydia, a higher rate than 67% of the state
| Infection | Coffee County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 346.3 210 cases ▼ 33% | 517.4 | 492.2 |
| Gonorrhea | 117.1 71 cases ▼ 37% | 186.4 | 179.5 |
| Syphilis (P&S) | 3.3 2 cases ▼ 78% | 14.8 | 15.8 |
| Syphilis (early) | 4.9 3 cases ▼ 57% | 11.5 | 16 |
| Syphilis (late/unknown) | 11.5 7 cases ▼ 56% | 26.4 | 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 Coffee County, chlamydia has fallen from 352.4 to 346.3 per 100,000 (2%), gonorrhea has fallen from 257.4 to 117.1 per 100,000 (55%), and P&S syphilis has fallen from 10.4 to 3.3 per 100,000 (68%).
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 Coffee County.
Local HIV snapshot
Coffee County HIV care continuum (2023)
Among Coffee County residents living with HIV, 75.7% are in care · 67.1% 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 Coffee County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Hillsboro Boulevard cuts through the center of Manchester in a way that tells you a lot about how people here actually live: close-knit households averaging more than three people, with nearly half of adults married and health decisions rarely made in isolation. When one person in a household puts off a screening appointment, the calculus often involves coordinating schedules, sharing a single car, or stretching a monthly rent that leaves little cushion for anything that feels optional. That housing cost reality shapes how younger Manchester adults, people in their late teens and twenties moving through their most sexually active years, experience the gap between knowing they should get tested and actually doing it.
With just over half of residents owning their homes and the rest renting at rates that absorb a real portion of take-home pay, an out-of-pocket clinic visit can feel like a deliberate choice rather than a routine errand. Add in a labor-force participation rate that means a significant share of working-age adults are outside traditional employment patterns, and the window for a weekday appointment can close fast. Knowing which clinic is closest to Dave King Park or open on a Saturday morning is the kind of detail that moves a plan off the kitchen table and into the calendar.
Getting there
At 4.83/20 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 37355 snapshot
ZIP-level Census figures for the wider 37355 area around Manchester: a single ZIP can span several communities, so they describe the area, not Manchester alone.
Manchester sits in Coffee County, ZIP 37355. 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 Coffee County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee 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 Tennessee 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 Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Tennessee 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 TennesseeSource: 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.
Nearest is American Esoteric Laboratories, about 10.2 mi away; 7 are within 30 miles. An at-home kit shipped to 37355 also works.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Rutherford County Health Department, about 32 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Coffee County reported ~346 chlamydia cases per 100,000 in 2023, below the Tennessee average.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Chlamydia and gonorrhea show up about 1–2 weeks after exposure, syphilis 3–6 weeks, and HIV 2–6 weeks depending on the test.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.