In Grand Forks County, the rate of reported syphilis is 82% lower than the US average. If you're in Manvel, North Dakota considering your first STI test or a routine screening, understand that clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Below, we list options in the area.
Available testing centers
7 testing options are listed for Manvel, ND. The nearest, Sanford Health Laboratories, is about 12.0 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.
Grand Forks Public Health Department provides HIV testing, TB testing, and STI and hepatitis prevention education at no charge to anyone, with MPox and HPV vaccines included: appointments are required, and every service carries the same zero-cost structure.
When cost becomes the reason care gets postponed, an untreated TB exposure or a deferred HIV test compounds into something harder to manage. At Grand Forks Public Health Department, no service carries a fee: testing, vaccines, counseling, and prevention education all run under the same no-cost structure, with no exceptions buried in the fine print.
Grand Forks Public Health Department operates under Ryan White Program funding, which means HIV care doesn't stop at a positive result. The program underwrites ongoing treatment and case management for people living with HIV, connecting the initial test to sustained clinical care within the same funding structure.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Spectra Health in Grand Forks covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, herpes, HIV, hepatitis B and C, and TB) with same-visit treatment for bacterial infections, on a sliding-scale fee that extends to every service at no charge.
Sliding-scale clinics often carry a floor, a minimum charge that survives every discount. At Spectra Health, the scale goes to zero across the board: testing, treatment, vaccines, counseling, PrEP. None of it carries a residual charge for anyone who qualifies.
Spanish-speaking patients at many clinics end up navigating their care through patchwork solutions that sit outside the exam room. Spectra Health delivers services in Spanish directly, keeping the clinical conversation (history, results, treatment options) in the same language throughout.
Spectra Health maintains PrEP and PEP as standing clinical services: providers prescribe Truvada or equivalent regimens, oversee the required HIV and kidney-function labs at each follow-up, and manage adherence counseling in-house so the prescription and the monitoring stay connected.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Relate Care Clinic in Grand Forks covers gonorrhea, chlamydia, rapid HIV, and hepatitis C testing alongside STI treatment and family planning. All at no fee. Same-visit treatment is available for bacterial STIs, and an appointment is required.
Fee structures at many clinics leave gaps: a free test, a charged follow-up, or treatment billed separately. At Relate Care Clinic, every service carries no charge: testing, counseling, and STI treatment are all covered, full stop.
Plenty of STI clinics run gonorrhea, chlamydia, and HIV and leave hepatitis C to a separate appointment elsewhere. Relate Care Clinic adds hepatitis C testing to that same visit, so a fuller picture of your status doesn't require a second stop.
Languages
English
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 about 12 miles away; if you'd rather skip the trip, an at-home kit ships to Manvel, 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 Grand Forks 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.
5750 South Washington Street, Grand Forks, ND 58201
CMS-certified lab
4 North Park Street, Northwood, ND 58267
CMS-certified lab
611 Towner Avenue, Larimore, ND 58251
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Manvel. 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, 91 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Manvel. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 7 offer telehealth.
Tyson Holm, MD
Internal medicine · 725 Hamline Street, Grand Forks
Kari Wessman, MD
OB-GYN · 1428 Central Neave, East Grand Forks
Steven Johnson, MD
Family medicine · 3035 Demers Avenue, Grand Forks
Eric Pearson, MD
Family medicine · 929 Central Avenue Northwest, East Grand Forks
Adam Nicholson, MD Telehealth
Urology · 607 Demers Avenue, East Grand Forks
Christopher Henderson, MD
Family medicine · 960 South Columbia Road, Grand Forks
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 Manvel, ND 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.
12 mi Hugos Family Pharmacy
12 miShopko Pharmacy 742
12 miGrand Forks Clinic Pharmacy
12 miAltru Retail Pharmacy
12 miWalls Medicine Center
12 miShowing the 6 closest pharmacies to Manvel, ND.
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 Manvel, 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.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$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
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 Grand Forks County, the county that includes Manvel, compare with North Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 53 North Dakota counties for chlamydia, a higher rate than 81% of the state
| Infection | Grand Forks County | North Dakota | United States |
|---|---|---|---|
| Chlamydia | 444.2 323 cases ▲ 2% | 436.4 | 492.2 |
| Gonorrhea | 89.4 65 cases ▼ 39% | 147.2 | 179.5 |
| Syphilis (P&S) | 2.8 2 cases ▼ 77% | 12.4 | 15.8 |
| Syphilis (early) | 1.4 1 cases ▼ 50% | 2.8 | 16 |
| Syphilis (late/unknown) | 4.1 3 cases ▼ 66% | 12 | 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 Grand Forks County, chlamydia has fallen from 546.7 to 444.2 per 100,000 (19%), gonorrhea has fallen from 236.4 to 89.4 per 100,000 (62%), and P&S syphilis has risen from 1.4 to 2.8 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 Grand Forks County.
Local HIV snapshot
Grand Forks County HIV care continuum (2023)
Among Grand Forks County residents living with HIV, 76.2% are in care · 71.4% 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 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 Grand Forks County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Manvel's rhythm follows the land and the seasons, grain harvest, equipment maintenance, the steady work of keeping small-town machinery running. That kind of life leaves little room for medical appointments that feel complicated or risky. Young adults here, whether they're working the fields, staying close to family, or building something new, often face a choice between health and privacy that shouldn't have to exist. STI testing in and around Manvel cuts through that bind: clinics listed on this page offer confidential screening without the weight of visibility that can make a visit feel impossible in a place where faces repeat. Testing itself is straightforward and quick, the kind of thing that fits into a workday or a quiet afternoon.
What matters more is the assurance that what happens stays between you and the clinic, with no automatic reporting to employers, neighbors, or family members. That separation is real here, built into how these services operate. Manvel residents can reach testing facilities without the drive that used to mean choosing between health and the risk of running into someone they know. Whether you're establishing baseline health before a relationship shifts, checking in after exposure, or simply staying current, the clinics and providers near Ray Ronan Park and beyond County Road 33 recognize that routine screening is ordinary care, not confession.
Getting there
At 4.78/20 on the EPA walkability index, day-to-day errands in Manvel 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 58256 snapshot
ZIP-level Census figures for the wider 58256 area around Manvel: a single ZIP can span several communities, so they describe the area, not Manvel alone.
Manvel sits in Grand Forks County, ZIP 58256. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Manvel? 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 Grand Forks County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under North Dakota 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 Manvel-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 Manvel 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 North Dakota 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 North Dakota, a minor aged 14 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
North Dakota 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 North DakotaSource: 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.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Grand Forks County reported ~444 chlamydia cases per 100,000 in 2023, above the North Dakota average.
At-home kits mail to 58256: self-collect, send to the lab, results in ~2–5 days.
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 North Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.