Sanford Health Laboratories
- Address
- 2615 Fairway Street, Dickinson, ND 66.6 miles away
- Phone
- 701‑456‑6000
- Chlamydia
- Gonorrhea
- Syphilis
- Herpes
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Rapid HIV
- Conventional HIV
Gonorrhea infections in Slope County are about 17% below the US average. If you’re looking to test before starting a new relationship or as part of ongoing care in Marmarth, North Dakota, you can choose between local clinics, which may bill insurance or sliding-scale fees, and private labs, which often let you pay a flat fee. Review the options below.
Available testing centers
No STD testing centers are located in Marmarth, ND. The nearest, Sanford Health Laboratories, is about 66.6 miles away. At-home STD kits and online lab tests ship to your ZIP; compare private labs and at-home kits below.
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 67 miles away; if you'd rather skip the trip, an at-home kit ships to Marmarth, 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.
Local clinicians
Beyond dedicated clinics, 10 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Marmarth. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
Troy Baker, MD
Family medicine · 202 South 4th Street West, Baker
Erica Hofland, MD
OB-GYN · 802 2nd Street Northwest, Bowman
Stacie Wellman, MD
Family medicine · 802 2nd Street Northwest, Bowman
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 Marmarth, 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.
Baker Drug
17 miRexall
17 miGerald Gamrath
17 miBaker Drug Company
17 miShowing the 5 closest pharmacies to Marmarth, 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 Marmarth, 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 Slope County, the county that includes Marmarth, compare with North Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~5% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#53 of 53 North Dakota counties for chlamydia, among the lowest in the state
| Infection | Slope County | North Dakota | United States |
|---|---|---|---|
| Chlamydia | — no data | 436.4 | 492.2 |
| Gonorrhea | 148.4 1 cases ▲ 1% | 147.2 | 179.5 |
| Syphilis (P&S) | — no data | 12.4 | 15.8 |
| Syphilis (early) | — no data | 2.8 | 16 |
| Syphilis (late/unknown) | — no data | 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.
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 Slope County.
Local HIV snapshot
Slope County HIV care continuum (2023)
Slope County recorded 0 new HIV diagnoses per 100,000 (2023), against 3.2 statewide and 13.7 nationally. 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 Slope County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Getting tested for STIs in Marmarth means reckoning with distance. The nearest clinic offering full screening sits well outside town, which shapes both timing and privacy. You're not running into someone from the grocery store in a waiting room. That trade-off is real, and it's worth planning ahead for.
Testing in and around Marmarth listed on this page reflects what's genuinely reachable, whether that's a drive to a neighboring county clinic or a conversation with your own provider about what they can arrange. Young adults in Marmarth, people in their late teens through their thirties, often have the most straightforward reasons to get screened: a new partner, a routine check before settling into a relationship, or simply staying on top of sexual health without fanfare. Confidentiality isn't harder to find here because the stakes are lower; it's actually easier to be discreet when you're not bumping into half the town. A clinic an hour away means your test results stay your business.
The practical reality is that gaps between testing sites can mean you'll schedule around availability, not impulse. That deliberateness (picking a time, making the drive) often works in your favor. You get the screening done rather than postponing it indefinitely, and you get it done on your terms.
Getting there
At 3.97/20 on the EPA walkability index, day-to-day errands in Marmarth 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 58643 snapshot
ZIP-level Census figures for the wider 58643 area around Marmarth: a single ZIP can span several communities, so they describe the area, not Marmarth alone.
Marmarth sits in Slope County, ZIP 58643. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Marmarth? 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 Slope 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 Marmarth-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 Marmarth 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.
Possibly, Baker, MT is close; compare it by distance against Sanford Health Laboratories.
Medicaid generally covers STD testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
Yes, at-home kits ship to 58643; you collect a sample, mail it back, and get results in about 2–5 days.
In North Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, partners should test and be treated together to avoid passing it back and forth.
Yes, HSV-1 from the mouth can spread to the genital area through oral sex.
It's cured with antibiotics; treating partners together prevents reinfection.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.