Gonorrhea cases in Crawford County are roughly 62% below the US average. If you're in Manilla, Iowa for a one-time concern or regular check-ups, both clinics and at-home kits are options. Clinics let you ask questions and start treatment, while at-home kits let you test on your own schedule.
Available testing centers
5 testing options are listed for Manilla, IA. The nearest, St Anthony Regional Hospital and Nursing Home, is about 10.1 miles away. Compare 2 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 community safety-net rural health clinic about 10 miles from Manilla. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Crawford County Community Health in Denison covers gonorrhea, chlamydia, syphilis, and rapid HIV testing at no charge, with a sliding-scale fee structure and Medicaid and private insurance accepted. Appointments are required, and same-visit treatment is available for bacterial infections.
The no-fee guarantee at Crawford County Community Health extends past the HIV test to every service on the menu: gonorrhea, chlamydia, syphilis, HPV vaccination, hepatitis A and B vaccination, and STI treatment. That single fee structure means sliding-scale calculations never apply here, because the floor is already zero.
Spanish is one of the two languages Crawford County Community Health operates in directly, which means clinical conversations about testing, results, and treatment happen in Spanish without routing through a secondary service. For a community where Spanish is the first language of daily life, that capacity shapes what a visit can actually accomplish.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 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 about 10 miles away; if you'd rather skip the trip, an at-home kit ships to Manilla, 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 Crawford 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.
100 Medical Parkway, Denison, IA 51442
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Manilla. 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, 51 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Manilla. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Thang Luong, DO
Family medicine · 1550 6th Street, Manning
Laxmi Kumari, MD
Family medicine · 100 Medical Parkway, Denison
Michael Luft, DO
Family medicine · 100 Medical Parkway, Denison
Jorge Sotolongo, MD
OB-GYN · 1324 1st Avenue North, Denison
Sarah Devine, MD
Internal medicine · 1213 Garfield Avenue, Harlan
David Erlbacher, MD
Family medicine · 1213 Garfield Avenue, Harlan
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 Manilla, 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.
Rex Pharmacy
8.8 miHy-Vee Pharmacy (1124)
11 miHy-Vee Pharmacy
11 miThrifty White Drug
11 mi
12 mi St Anthony Westside Pharmacy
14 miShowing the 6 closest pharmacies to Manilla, 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 Manilla, 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 $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
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 Crawford County, the county that includes Manilla, compare with Iowa 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.
#19 of 99 Iowa counties for chlamydia, a higher rate than 81% of the state
| Infection | Crawford County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 399.7 64 cases ▼ 6% | 426.8 | 492.2 |
| Gonorrhea | 68.7 11 cases ▼ 41% | 116.8 | 179.5 |
| Syphilis (P&S) | 6.2 1 cases ▼ 40% | 10.3 | 15.8 |
| Syphilis (early) | 6.2 1 cases ▼ 33% | 9.2 | 16 |
| Syphilis (late/unknown) | 18.7 3 cases ▲ 89% | 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 Crawford County, chlamydia has risen from 254.2 to 399.7 per 100,000 (57%), gonorrhea has fallen from 78.7 to 68.7 per 100,000 (13%), and P&S syphilis has fallen from 12.4 to 6.2 per 100,000 (50%).
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 Crawford County.
Local HIV snapshot
Crawford County HIV care continuum (2022)
Crawford County recorded 0 new HIV diagnoses per 100,000 (2022), against 5.1 statewide and 13.7 nationally. Among Crawford County residents living with HIV, 91.7% are in care · 91.7% 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 Crawford County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Stopping by the feed store or heading out on IA 141, Manilla residents often have a clear sense of who they'll see and where. That familiarity shapes how people think about health care, including STI testing. A routine screening that matters especially for younger adults in town, yet one that can feel complicated when privacy concerns weigh heavily. Testing in and around Manilla is listed on this page, and the clinics and providers available understand that confidentiality isn't negotiable; what you learn about your status stays confidential, separate from any other part of your life or employment. The reality in a tight-knit community is that seeking testing sometimes requires intentionality.
Knowing where to go, what to expect, and that your visit will be handled with genuine discretion can make the difference between putting it off and getting it done. Clinic staff in the area are accustomed to serving people who value their privacy and who may travel a short distance to access care. Young adults especially benefit from treating STI screening as part of regular health maintenance: something to do on a schedule, not only when symptoms appear or a situation prompts worry. Resources and testing sites in and around Manilla are ready to help, with no judgment and no surprises.
Getting there
At 4.62/20 on the EPA walkability index, day-to-day errands in Manilla 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 51454 snapshot
ZIP-level Census figures for the wider 51454 area around Manilla: a single ZIP can span several communities, so they describe the area, not Manilla alone.
Manilla sits in Crawford County, ZIP 51454. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Manilla? 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 Crawford 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 Manilla-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 Manilla 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.
Denison, IA is a nearby town with options, the listing shows each one's distance so you can pick the closest.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
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.
Crawford County reported ~400 chlamydia cases per 100,000 in 2023, below the Iowa average.
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.
Certain high-risk HPV types raise cancer risk; vaccination and routine screening are the defenses.
Lab-based 4th-generation and NAT tests are most sensitive early on; rapid tests are also very reliable after the window.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.