Perry County reports about 1099 chlamydia cases per 100,000 residents, well above the US average. Marion, Alabama, has options for you whether it's your first STI test or a routine screening. Community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. See the listings below.
Available testing centers
9 testing options are listed for Marion, AL. The nearest, Cahaba Medical Care, is about 0.9 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.
Cahaba Medical Care in Marion runs on a sliding scale and accepts Medicaid, Medicare, and private insurance, covering gonorrhea, chlamydia, syphilis, conventional HIV, hepatitis C, and TB. With same-visit treatment for bacterial infections and appointments required to be seen.
Cahaba Medical Care has interpretation services available for non-English languages, which means the conversation around test results, PrEP counseling, and treatment decisions happens in the language a person actually uses. Not condensed into a secondary step after care is already delivered.
Many STI clinics test and treat but stop short of writing prevention prescriptions, leaving patients to find a separate provider for PrEP. Cahaba Medical Care prescribes PrEP directly, keeping daily HIV prevention medication within reach of the same appointment where testing happens.
Cahaba Medical Care tests for hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV, and hepatitis A and B vaccines are available on-site to round out the hepatitis coverage. That breadth is built into a single scheduled visit rather than distributed across separate specialty referrals.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Rural Health Medical Program is a rural health clinic in Marion serving gonorrhea, chlamydia, syphilis, and HIV testing alongside STI treatment and HPV and hepatitis A and B vaccination, all on a sliding-scale fee with appointments required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN + HRSA
Whatley Health Services in Greensboro runs on a sliding-scale fee open to everyone, with Medicaid and private insurance also accepted, and tests for gonorrhea, chlamydia, syphilis, HIV, herpes, hepatitis C, and TB, with an appointment required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Five Horizons Health Services in Selma covers gonorrhea, chlamydia, syphilis, herpes, and rapid HIV testing on a sliding-scale fee, with Medicaid and insurance accepted, and every service carries no charge out of pocket. Appointments are required; bacterial STIs are treated same visit.
Fee schedules, copays, and out-of-pocket balances are the norm across most sexual health clinics. Even those with sliding-scale options. Five Horizons flips that entirely: every service, from rapid HIV testing to STI treatment, is provided at no fee to the patient.
Ryan White Program funding at Five Horizons sustains a full clinical arc: from initial HIV testing through antiretroviral prescribing, viral load monitoring, and ongoing medication adherence counseling. That infrastructure means HIV-positive patients aren't handed off; their care is coordinated and managed within the same practice.
Five Horizons prescribes both PrEP and PEP as standing clinical services: meaning ongoing PrEP regimens, including follow-up labs and prescription renewals, are managed here, and PEP is dispensed for post-exposure situations. For uninsured patients, PrEP is available at no cost.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Selma AIR in Selma welcomes walk-ins for STI screening, so no appointment stands between anyone and same-day care. Federally qualified status ties fees to a sliding income scale, and a single visit can cover syphilis, gonorrhea, chlamydia, and HIV testing.
Languages
English
Tests offered
Serves
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN + HRSA
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 Marion, 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 value: single tests
$49 & 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 Perry 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.
1768 South Washington Street, Marion, AL 36756
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Marion. 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 Marion. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.
Hannah Zahedi, MD
Family medicine · 1768 South Washington Street, Marion
Edgar Brown, MD
Family medicine · 330 Old Hamburg Road, Uniontown
Rachel Rackard, MD
Family medicine · 508 Greene Street, Greensboro
Priyanka Vyas, MD
Internal medicine · 1015 Medical Ctr Parkway, Selma
Nathaniel Wise, MD
Internal medicine · 1015 Medical Ctr Parkway, Selma
Nishant Khatri, MD
Family medicine · 1015 Medical Ctr Parkway, Selma
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 Marion, 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.
College City Drugs
0.2 miCaremor Pharmacy
17 miFrank's Care Pharmacy
17 miBoone's Pharmacy
17 mi
18 mi Med Center Pharmacy
21 miShowing the 6 closest pharmacies to Marion, 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 Marion, 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
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
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 Perry County, the county that includes Marion, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~44% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#6 of 67 Alabama counties for chlamydia, a higher rate than 91% of the state
| Infection | Perry County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 1098.5 85 cases ▲ 69% | 651.1 | 492.2 |
| Gonorrhea | 310.2 24 cases ▲ 37% | 226.9 | 179.5 |
| Syphilis (P&S) | — no data | 28.6 | 15.8 |
| Syphilis (early) | 51.7 4 cases ▲ 153% | 20.4 | 16 |
| Syphilis (late/unknown) | 38.8 3 cases ▲ 58% | 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 Perry County, chlamydia has risen from 528.7 to 1098.5 per 100,000 (108%), gonorrhea has risen from 199.7 to 310.2 per 100,000 (55%), and P&S syphilis has risen from 23.5 to 37.3 per 100,000 (59%).
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 Perry 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.
Perry County HIV care continuum (2023)
Among Perry County residents living with HIV, 87.5% are in care · 71.9% 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 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 Perry County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Jefferson Street cuts through the heart of Marion, and the households lining it tend to be large, multigenerational ones. The average here runs well above four people under one roof, with most residents owning rather than renting. Health decisions in that kind of household often move slowly, filtered through competing schedules and competing needs, and when fewer than a third of working-age adults are formally in the labor force, the question of *when* to get tested can be genuinely complicated rather than a matter of simple will. That household scale matters for younger adults, people in their late teens and twenties who are statistically at the center of STI transmission nationally.
In a community where nearly three in ten households rent and typical monthly rent sits far below state averages, cost pressure is real even at modest levels, which is why the range of fee structures among the options listed on this page is worth knowing before anyone makes the drive. Perry County's STI figures carry weight here. For someone living in Marion, in a large household where a single untreated infection can move quietly through shared space, staying current with screening is less an abstract precaution than a practical fact of how life here is actually arranged.
Getting there
At 3.09/20 on the EPA walkability index, day-to-day errands in Marion 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 36756 snapshot
ZIP-level Census figures for the wider 36756 area around Marion: a single ZIP can span several communities, so they describe the area, not Marion alone.
Marion sits in Perry County, ZIP 36756. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Marion? 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 Perry 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 Marion-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 Marion 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.
The closest is Cahaba Medical Care (0.9 mi); 6 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 1,099 cases per 100,000 residents (2023), above the Alabama average.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.