Marshall, Texas, reported gonorrhea cases run about 33% lower than the US average. Whether you need testing after a possible exposure or as part of routine care in Marshall, Texas, testing options vary: some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time.
Available testing centers
9 testing options are listed for Marshall, TX. The nearest, Genesis PrimeCare-Marshall, is about 0.7 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.
Genesis PrimeCare-Marshall, in Marshall, meets patients where insurance gaps and rural distances leave people without a regular provider. Federally qualified and sliding-scale, it screens for syphilis, gonorrhea, and chlamydia. No appointment needed, fees adjusted to income.
Tests offered
Fees & payment
Genesis Prime Care in Marshall covers gonorrhea, chlamydia, syphilis, and HIV testing, with same-visit treatment when a bacterial STI is confirmed. No separate appointment to close the loop. Fees run on a sliding scale and Medicare, Medicaid, and private insurance are all accepted.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Marshall-Harrison County Health District brings gonorrhea, chlamydia, syphilis, and HIV testing to Marshall through a county health infrastructure: same-visit bacterial treatment, HPV and hepatitis A and B vaccines, walk-ins welcome, and every service provided at no fee.
For anyone without a regular provider, paying cash, or stretching a tight budget, the District's no-fee structure covers the entire visit (testing, treatment, and vaccines) without a bill at the end. There is no tier of services that triggers a charge.
Without Spanish-language care on-site, a missed detail during counseling can mean a prescription misunderstood or a follow-up skipped, and an untreated bacterial STI compounds quickly. Marshall-Harrison County Health District delivers testing, treatment, and prevention education directly in Spanish, closing that gap before it opens.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
A public safety-net federally qualified health center about 2 miles from Marshall. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Total Point Urgent Care in Hallsville runs its STI panel (HIV, syphilis, gonorrhea, chlamydia, and hepatitis) with same-visit treatment for bacterial infections and sliding-scale fees accepted alongside Medicaid, Medicare, and insurance, with no appointment required, all delivered in Spanish.
Spanish is a working clinical language at Total Point Urgent Care, not a courtesy add-on: providers conduct the full intake, counseling, and treatment conversation in Spanish without a relay step. That means test results, treatment instructions, and hepatitis prevention education all move through the same fluent exchange from the first question to discharge.
The clinic's testing protocol includes hepatitis B and hepatitis C alongside HIV, syphilis, gonorrhea, and chlamydia. All drawn and processed in a single visit. Providers are also staffed to deliver hepatitis A and B vaccines on-site, so exposure risk and immunity gaps can be addressed in the same appointment without scheduling a separate visit.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Marshall, 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 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 Harrison 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.
811 South Washington, Marshall, TX 75670
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Marshall. 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, 160 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Marshall. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 52 offer telehealth.
James Logan, MD Telehealth
Family medicine · 402 South Bolivar, Marshall
Odette Mohamed-Santa, MD Telehealth
Family medicine · 402 South Bolivar Street, Marshall
Oscar Gonzalez, MD
Family medicine · 815 South Washington Avenue, Marshall
Charity Eko, MD Telehealth
Family medicine · 815 South Washington Avenue, Marshall
Lijo John, MD Telehealth
Internal medicine · 815 South Washington Avenue, Marshall
Susan Huynh, DO Telehealth
Internal medicine · 811 South Washington Avenue, Marshall
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 Marshall, TX 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.
0.4 mi Super 1 Pharmacy
0.6 mi
0.6 mi 
0.7 mi Matthewson Drug
1.0 miShowing the 5 closest pharmacies to Marshall, TX.
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 Marshall, 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 $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
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
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 Harrison County, the county that includes Marshall, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~33% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#47 of 254 Texas counties for chlamydia, a higher rate than 81% of the state
| Infection | Harrison County | Texas | United States |
|---|---|---|---|
| Chlamydia | 481 341 cases ▼ 2% | 491.9 | 492.2 |
| Gonorrhea | 119.9 85 cases ▼ 32% | 176.4 | 179.5 |
| Syphilis (P&S) | 4.2 3 cases ▼ 72% | 15 | 15.8 |
| Syphilis (early) | 16.9 12 cases ▼ 36% | 26.4 | 16 |
| Syphilis (late/unknown) | 21.2 15 cases ▼ 52% | 44.3 | 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 Harrison County, chlamydia has risen from 344.3 to 481 per 100,000 (40%), gonorrhea has fallen from 145.3 to 119.9 per 100,000 (17%), and P&S syphilis has fallen from 7.3 to 4.2 per 100,000 (42%).
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 Harrison County.
Local HIV snapshot
Harrison County HIV care continuum (2023)
Harrison County recorded 18.6 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Harrison County residents living with HIV, 73.6% are in care · 63.6% 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 Harrison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Wyatt Park sits quiet on a weekday morning, the kind of place that makes Marshall feel settled and unhurried. Getting to an STI screening clinic, though, takes more planning than a stroll through the park: the options listed on this page serve the area in and around Marshall, and most require a drive along US 59 or TX 43 to reach them. For the roughly one in three residents who are young adults still forming relationships and navigating new partnerships, those extra miles and scheduling realities can delay care that works better caught early.
The ownership picture here is split, with a meaningful share of households renting at rates that sound modest by national standards but land differently when labor-force participation is below average and unemployment is real. Larger household sizes mean that one person's health decision can ripple through a home quickly, and nearly three in five residents do own, which tends to reflect longer residential ties and more stable schedules. Still, both groups face the same logistics along East End Boulevard South: a drive out, time carved from a working day, and a fee that depends entirely on what coverage, if any, a person carries.
That last point matters most for the roughly one in eight households earning over six figures. Everyone else is working with considerably less, and among renters at Marshall's typical rent, even a modest clinic fee can be the deciding factor in whether a test gets scheduled at all.
Getting there
At 5.78/20 on the EPA walkability index, day-to-day errands in Marshall 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 75670 snapshot
ZIP-level Census figures for the wider 75670 area around Marshall: a single ZIP can span several communities, so they describe the area, not Marshall alone.
Marshall sits in Harrison County, ZIP 75670. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Marshall? 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 Harrison County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Texas 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 Marshall-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 Marshall 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 Texas 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 Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Texas 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 TexasSource: 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.
There are 9 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Harrison County reported ~481 chlamydia cases per 100,000 in 2023, below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
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.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.