Chlamydia cases in Bell County are reported about 41% lower than the US average. If you're seeking STI testing in Middlesborough, Kentucky for a one-time concern or regular check-ups, some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. Look below to compare your options.
Available testing centers
9 testing options are listed for Middlesborough, KY. The nearest, Bell County Health Department, is about 0.5 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.
Bell County Health Department, Middlesboro's public health department, delivers STI care (HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis C testing plus same-visit bacterial treatment) on a sliding scale, with appointments required, and every test provided at no charge.
Paying cash, carrying no insurance, or seeing a provider only for urgent care. Bell County Health Department charges nothing for any of its STI or hepatitis C tests. That standing policy covers the full panel, every visit, regardless of circumstance.
Leaving herpes or hepatitis C undetected means a second appointment somewhere else, another copay, and a gap in care that can stretch into months. Bell County Health Department folds herpes and hepatitis C testing directly into its panel, so one visit closes what a narrower test would leave open.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
A community safety-net rural health clinic in Middlesborough. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic in Middlesborough. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A safety-net rural health clinic in Middlesborough. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic in Middlesborough. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 Middlesborough, 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 Bell 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.
3600 West Cumberland Avenue, Middlesboro, KY 40965
CMS-certified lab
1530 US Highway 25 East, Middlesboro, KY 40965
CMS-certified lab
850 Riverview Avenue, Pineville, KY 40977
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Middlesborough. 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, 86 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Middlesborough. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 16 offer telehealth.
Thomas Epperson, MD
Internal medicine · 3504 West Cumberland Avenue, Middlesboro
Charles Moore, MD Telehealth
Internal medicine · 3600 Cumberland Avenue, Middlesboro
Stephanie Hutchison, MD
OB-GYN · 3600 Cumberland Avenue, Middlesboro
Mackenzie Carroll, DO
Family medicine · 1530 US Hwy 25 East, Middlesboro
Maria Hortillosa, MD
Family medicine · 2032 Cumberland Avenue, Middlesboro
David Bailey, DO
OB-GYN · 2004 Cumberland Avenue, Middlesboro
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 Middlesborough, KY 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.
Jeffs Pharmacy
0.5 miPeoples Choice Pharmacy
0.6 miFountain Square Pharmacy
0.6 miArh Cumberland Valley Pharmacy
0.9 miMiddlesboro Arh Pharmacy - Outpatient
1.0 mi
1.1 mi Showing the 6 closest pharmacies to Middlesborough, KY.
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 Middlesborough, 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 Bell County, the county that includes Middlesborough, compare with Kentucky and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~25% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#32 of 120 Kentucky counties for chlamydia, a higher rate than 73% of the state
| Infection | Bell County | Kentucky | United States |
|---|---|---|---|
| Chlamydia | 291.6 68 cases ▼ 24% | 381.9 | 492.2 |
| Gonorrhea | 68.6 16 cases ▼ 49% | 134.4 | 179.5 |
| Syphilis (P&S) | 34.3 8 cases ▲ 143% | 14.1 | 15.8 |
| Syphilis (early) | 25.7 6 cases ▲ 77% | 14.5 | 16 |
| Syphilis (late/unknown) | 81.5 19 cases ▲ 331% | 18.9 | 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 Bell County, chlamydia has fallen from 307.1 to 291.6 per 100,000 (5%), gonorrhea has fallen from 190.9 to 68.6 per 100,000 (64%), and P&S syphilis has risen from 8.3 to 34.3 per 100,000 (313%).
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 Bell County.
Local HIV snapshot
Federal priority area: Kentucky 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.
Bell County HIV care continuum (2022)
Bell County recorded 0 new HIV diagnoses per 100,000 (2022), against 10.4 statewide and 13.7 nationally. Among Bell County residents living with HIV, 80% are in care · 70% 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 Bell County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Fords Woods Park sits at the quieter end of Middlesborough, the kind of place that makes the town feel more settled than its economic pressures suggest. Those pressures are real: with well under half of residents in the labor force and unemployment running notably higher than state and national norms, scheduling around work is less the obstacle here than cost and coverage. Only a sliver of households clear six figures, and with typical rents around five hundred dollars a month against home values that reflect a genuinely modest local economy, disposable income for out-of-pocket healthcare is thin.
That context matters for younger adults, particularly people in their late teens and twenties, who make up a meaningful share of the population and who tend to cycle through new relationships, shared housing, and irregular income during exactly the years when routine STI screening matters most. With larger average household sizes and nearly half of residents renting rather than owning, living arrangements here shift more often than in higher-stability markets, which raises the practical value of options listed on this page that offer sliding-scale or low-cost visits.
Getting to those options requires driving out along US 25E, whether the Cumberland Gap Parkway stretch or Pineville Road, since the nearest clinics serve a regional area rather than sitting inside Middlesborough itself. For the roughly four in ten households without a six-figure income buffer, the fee structure at each listing is worth reading closely before making the trip.
Getting there
At 6.74/20 on the EPA walkability index, day-to-day errands in Middlesborough 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 40965 snapshot
ZIP-level Census figures for the wider 40965 area around Middlesborough: a single ZIP can span several communities, so they describe the area, not Middlesborough alone.
Middlesborough sits in Bell County, ZIP 40965. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Middlesborough? 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 Bell County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Kentucky 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 Middlesborough-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 Middlesborough 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 Kentucky 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 Kentucky, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Kentucky 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 KentuckySource: 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, Harrogate, TN is close; compare it by distance against Bell County Health Department.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
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 292 cases per 100,000 residents (2023), below the Kentucky average.
In Kentucky, 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.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.