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STD Testing in Middletown, IA: Free, Same-Day & Confidential

About 23% more cases of chlamydia are reported in Des Moines County than the national average. If you're looking for STI testing options in Middletown, Iowa whether it's your first test or a routine screening, note that community and public clinics often have low or no cost, but private labs may offer faster results and more convenient scheduling. See your options below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
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STD testing near Middletown, IA

4 testing options are listed for Middletown, IA. The nearest, Community Health Centers of Southeastern Iowa, is about 4.6 miles away. Compare community and public clinics, private labs, and at-home kits below.

How to read these listings

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.

Community health center 4.6 miles

Community Health Centers of Southeastern Iowa

Where these reviews come from

Review sources

  • Google112
  • EasySTD5
Rated 3.7 out of 5 from 117 reviews

Community Health Centers of Southeastern Iowa in West Burlington pairs gonorrhea, chlamydia, syphilis, HIV, and hepatitis C testing with same-visit treatment for bacterial infections, all on a sliding-scale fee open to any income level. An appointment is required.

Read full overview Show less

Hepatitis C Diagnosed and Treated in One Place

Direct-acting antivirals for hepatitis C are prescribed and managed on-site at Community Health Centers of Southeastern meaning a confirmed diagnosis moves into an active treatment plan without transferring care to a specialist elsewhere. Viral-load monitoring stays within the same chart.

The Panel Extends Past the Standard Four

Beyond gonorrhea, chlamydia, syphilis, and HIV, Community Health Centers of Southeastern Iowa in West Burlington also tests for hepatitis A, B-related risk, and hepatitis C, which means a single visit can surface a bloodborne infection that a narrower panel would leave undetected.

Tests & treats Sliding-scale
Address
1706 West Agency Road, West Burlington, IA 52655
Booking
Appointment required
Opening hours
  • Monday 7:00 AM – 7:00 PM
  • Tuesday 7:00 AM – 6:00 PM
  • Wednesday 7:00 AM – 7:00 PM
  • Thursday 7:00 AM – 6:00 PM
  • Friday 7:00 AM – 6:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 5.7 miles

CHC/Seia

Where these reviews come from

Review sources

  • Google112
  • EasySTD5
Rated 3.7 out of 5 from 117 reviews

CHC/Seia in Burlington carries federal qualification that ties its STI screening fees directly to each patient's income: meaning syphilis, gonorrhea, and chlamydia testing costs shift on a sliding scale rather than sitting at a fixed price, and no appointment is needed to get started.

Sliding-scale
Address
400 South Broadway Street, Burlington, IA 52601
Website
Highest rated 6.5 miles

Family Planning of Southeast Iowa

Where these reviews come from

Review sources

  • Google12
  • EasySTD2
Rated 5 out of 5 from 14 reviews

Family Planning of Southeast Iowa in Burlington runs on a sliding scale accepted by Medicaid, Medicare, and most insurance, with donations welcome for those without coverage, and tests for gonorrhea, syphilis, herpes, chlamydia, and HIV, treating bacterial infections the same visit by appointment.

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Interpretation Services Built Into Every Appointment

For anyone whose primary language isn't English (navigating test results, treatment instructions, or prevention options) Family Planning of Southeast Iowa has interpretation services woven into care, not arranged as an afterthought. That standing capacity makes it a reliable first call rather than a complicated one.

Confidential Minor Care Under Federal Title X

Title X status gives Family Planning of Southeast Iowa the legal framework to provide confidential services to minors: meaning a young person managing their sexual health privately, without a parent's insurance or involvement, can access the full panel and treatment here on a sliding-scale fee.

PrEP, PEP, and DoxyPEP Prescribed and Monitored On-Site

The clinic prescribes daily oral PrEP for ongoing HIV prevention and manages PEP for post-exposure situations, alongside DoxyPEP. The doxycycline regimen taken after condomless sex to reduce bacterial STI risk. Each requires lab monitoring and follow-up, all handled within the clinic's own care cycle.

Tests & treats Title X Sliding-scale PrEP DoxyPEP
Address
801 South Roosevelt Avenue, Suite C Burlington, IA 52601
Booking
Appointment required
Opening hours
  • Monday 9:00 AM – 5:00 PM
  • Tuesday 9:00 AM – 5:00 PM
  • Wednesday 9:00 AM – 5:00 PM
  • Thursday 1:00 PM – 5:00 PM
  • Friday 8:00 AM – 1:00 PM
  • Saturday Closed
  • Sunday Closed
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Rate what mattered to you, no account needed. Reviews are moderated before publishing.

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Every other option

More ways to get tested in Middletown, IA

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.

At-home STD testing in Middletown, IA

The nearest testing center is about 5 miles away; if you'd rather skip the trip, an at-home kit ships to Middletown, 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.

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.

Other CLIA-certified labs near Middletown, IA

Beyond the public testing sites above, these federally certified (CLIA) labs serve Des Moines 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.

  • Southeast Iowa Regional Medical Center - WB

    1221 South Gear Avenue, West Burlington, IA 52655

    CMS-certified lab Accredited · College of American Pathologists

    • Full STD panel
  • Forefront Dermatology

    1225 South Gear Ave Suite 252, West Burlington, IA 52655

    CMS-certified lab

    • STD testing

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Middletown. 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.

Clinicians near Middletown, IA who may help arrange STD testing

Beyond dedicated clinics, 66 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Middletown. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 2 offer telehealth.

  • Malhar Gore, MD

    Family medicine · 1706 West Agency Road, West Burlington

  • Mark Woodard, DO

    Internal medicine · 1221 South Gear Avenue, West Burlington

  • Stephen Holley, MD

    Internal medicine · 1221 South Gear Avenue, West Burlington

  • Louis Kantzavelos, MD

    Urology · 1223 South Gear Avenue, West Burlington

  • Erin Haeger, MD

    OB-GYN · 1223 South Gear Avenue, West Burlington

  • Michael Abouassaly, MD

    Family medicine · 1225 South Gear Avenue, West Burlington

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.

Pharmacies near Middletown, IA

No pharmacy near Middletown, IA 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.

  • Community Health Centers of Southeastern Iowa

    4.7 mi
    Rx pickupCondoms / EC
  • Heritage Park Pharmacy

    4.8 mi
    Rx pickupCondoms / EC
  • Heritage Partner Pharmacy

    4.9 mi
    Rx pickupCondoms / EC
  • Heritage Family Pharmacy

    4.9 mi
    Rx pickupCondoms / EC

Showing the 4 closest pharmacies to Middletown, IA.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Middletown, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Des Moines County: the local picture

How reported STI rates in Des Moines County, the county that includes Middletown, compare with Iowa and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~15% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#5 of 99 Iowa counties for chlamydia, a higher rate than 95% of the state

Reported STD rates per 100,000, Des Moines County vs Iowa vs U.S.

Des Moines County Iowa U.S. ▲▼ = Des Moines County vs the state average
Infection Des Moines County Iowa United States
Chlamydia
603.9 231 cases ▲ 41%
426.8 492.2
Gonorrhea
219.6 84 cases ▲ 88%
116.8 179.5
Syphilis (P&S) — no data 10.3 15.8
Syphilis (early)
2.6 1 cases ▼ 72%
9.2 16
Syphilis (late/unknown)
5.2 2 cases ▼ 47%
9.9 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.

Reported STD rates in Des Moines County over time (per 100,000)

Chlamydia ▼ 17% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 375 750 2020202120222023

Between 2020 and 2023 in Des Moines County, chlamydia has fallen from 693.9 to 603.9 per 100,000 (13%), gonorrhea has fallen from 408.6 to 219.6 per 100,000 (46%), and P&S syphilis has fallen from 5.1 to 2.6 per 100,000 (49%).

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

What shapes testing access in and around Middletown, IA

Adults uninsured
6.3%
No routine checkup
20.3%
No transportation
6%
Binge drinking
20.2%
Frequent mental distress
16.3%
Depression
21.6%
Below poverty line
11.3%
Primary-care ratio
1,327 : 1
Des Moines County
  • Primary-care shortage score 21 / 26
  • Social Vulnerability Index · 42nd percentile nationally

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 Des Moines County.

Local HIV snapshot

HIV in Des Moines County (2023)

People living with HIV
123 / 100k
New diagnoses (2023)
0cases countywide
PrEP users / 100k
68

Des Moines County HIV care continuum (2023)

Des Moines County recorded 0 new HIV diagnoses per 100,000 (2023), against 5.1 statewide and 13.7 nationally. Among Des Moines County residents living with HIV, 87.5% are in care · 85% 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.

Pregnant or planning to be?

Congenital syphilis is the fastest-rising STI: what to test, and when

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 Des Moines County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

17 Sources

Local resources & officials

Data & references

About Middletown, IA

Water's Roadside Park sits at the quieter edge of Middletown, but plenty of the younger adults who call this town home are navigating something noisier: new partnerships, first leases, and the kind of life-stage transitions where routine health decisions are easiest to postpone. With three in four households owning their homes and a majority of adults married, Middletown has the feel of a settled community, yet a meaningful share of residents are renters, and at roughly $771 a month, that rent leaves little cushion for unexpected medical costs. For younger adults still forming relationships, that cost reality can quietly shape which health appointments actually get scheduled.

The town's workforce participation is strong, which means a lot of residents are working full schedules and guarding their free time carefully. 2% unemployment rate also means some households are managing tighter budgets month to month, and STI screening can feel like a line item to defer. The options listed on this page, eighteen in and around Middletown, exist precisely to reduce those practical barriers, whether that's sliding-scale fees or appointment windows that don't require taking a half-day off.

Getting there

How residents reach STD testing in Middletown, IA

Walkability 5.34 / 20 · Least walkable

At 5.34/20 on the EPA walkability index, day-to-day errands in Middletown 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.

Map of 4 STD & STI testing locations in Middletown, Iowa, EasySTD

ZIP 52638 snapshot

Residents
427
Median age
39.4
Median income
$63,125

ZIP-level Census figures for the wider 52638 area around Middletown: a single ZIP can span several communities, so they describe the area, not Middletown alone.

Middletown sits in Des Moines County, ZIP 52638. Local context that shapes where residents test:

Local landmarks

  • Water's Roadside Park
  • Des Moines County Fair

STD testing in Middletown, IA: screening, costs & privacy

Everything to know before you test in Des Moines County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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

When to test: STD detection windows

Testing too early can return a false negative, confirm timing with a Middletown-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare reference prices per lab test, a benchmark before you pay out of pocket

These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Middletown 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.

TestReference priceCPT / 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.

Confidentiality & consent in Iowa

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on Iowa 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).

Can a minor consent on their own?

In Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.

Can my partner be treated too? (EPT)

Iowa 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 Iowa

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Middletown, IA

Answers to the questions people ask most before getting tested.

How many places can I test near Middletown, IA?

There are 3 options within a 30-mile drive.

Does insurance cover STD testing near Middletown, IA?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Is there free HIV testing near Middletown, IA?

Yes, free HIV testing is available at public clinics in the area.

What's included in a full panel near Middletown, IA?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Des Moines County?

Des Moines County reported ~604 chlamydia cases per 100,000 in 2023, above the Iowa average.

How long do results take near Middletown, IA?

Most results are ready in about 1–2 days.

Can I get PrEP near Middletown, IA?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

Can someone under 18 get tested in Iowa without a parent?

In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.

Can a sore throat after oral sex be an STD?

Yes, chlamydia and gonorrhea can infect the throat, often with no symptoms, so ask for a throat swab if you had oral exposure.

How do I prevent STDs?

Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.