Jefferson County, Alabama reported gonorrhea at a rate about 98% higher than the national average. If you’re in Midfield, Alabama, and considering an STI test whether it's your first or a routine screening, you have options. Some clinics take walk-ins for same-day testing, while labs and at-home kits let you plan around your own time. See the list below to choose what fits you best.
Available testing centers
9 testing options are listed for Midfield, AL. The nearest, Jefferson County Department of Health, is about 0.2 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.
Jefferson County Department of Health in Midfield runs on appointments and delivers gonorrhea, syphilis, herpes, chlamydia, and HIV testing alongside same-visit treatment for bacterial STIs: all on a sliding-scale fee structure, with HIV testing free, and every service ultimately available at no cost.
Where the standard four-infection workup ends, Jefferson County's panel keeps going. Herpes testing is ordered and processed through the same appointment, not scheduled separately. The result is a single clinical encounter that captures infections other departmental panels leave for follow-up.
Without access to DoxyPEP at the point of care, the gap between exposure and prevention can stretch across multiple appointments and providers. Leaving someone unprotected during that window. Jefferson County Department of Health prescribes and manages DoxyPEP directly, closing that gap within the clinic's own care structure.
The no-cost outcome is produced by a layered billing structure: Medicaid and Medicare are billed for covered patients, sliding-scale fees apply to others, and the clinic absorbs remaining costs so that the patient's out-of-pocket exposure reaches zero. No service is withheld while payment is sorted.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Cahaba Medical Care in Fairfield tests for HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB on a sliding-scale fee schedule, with insurance and Medicaid accepted. Appointments are required, and bacterial STIs are treated the same visit.
For anyone without a regular prescribing provider, or paying cash and needing to consolidate care, Cahaba Medical Care holds both PrEP and PEP in-house, no separate specialist required. That standing capability means prevention medication and testing happen at the same address, billed through the same sliding-scale structure.
Cahaba's panel runs to six pathogens (HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB) a count that puts hepatitis C testing alongside the core four rather than as an afterthought. Hepatitis A and B vaccination rounds out what's available, addressing both active screening and forward protection at a single clinic.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Cahaba Medical Care - Ability Clinic, Birmingham, built its federal qualification around reaching patients who are uninsured, paying cash, or caught between providers. Sliding-scale fees adjust to income, making syphilis, gonorrhea, and chlamydia screening available without the barrier of fixed pricing.
Tests offered
Fees & payment
Aletheia House in Bessemer covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, herpes, rapid and conventional HIV, and hepatitis A, B, and C) with same-visit treatment for bacterial infections, on a sliding scale that reaches zero cost for every patient.
Unpaid balances and mid-care cost calculations push people out before treatment is complete. Aletheia House charges nothing (no fee for the test, no fee for the follow-up, no fee for STI treatment) so care doesn't stall between diagnosis and resolution.
Aletheia House carries both PrEP and PEP, and covers PrEP at no cost for uninsured patients. That combination means daily HIV prevention medication (including initiation, monitoring, and continuation) stays within one practice rather than splitting across separate providers.
For someone without a regular provider or specialist access, Aletheia House's standing capacity to treat hepatitis C on-site is the practical difference between a diagnosis that clears and one that lingers. Antiviral treatment happens here, not at a facility to be identified later.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Cahaba Medical Care - Ensley Office, in Birmingham, earned federal health center designation by meeting strict standards for income-based fee reductions. Walk-ins are welcome for STI screening (syphilis, gonorrhea, and chlamydia) with costs scaled to what patients actually earn.
Tests offered
Fees & payment
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 Midfield, 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 for simplicity & support
$89 & 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 Jefferson 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.
4730 Bell Hill Road, Bessemer, AL 35022
CMS-certified lab Accredited · COLA
3800 Ridgeway Drive, Birmingham, AL 35209
CMS-certified lab Accredited · Joint Commission
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Midfield. 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, 865 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Midfield. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 185 offer telehealth.
Charles Dean, MD
Family medicine · 165 Bessemer Super Highway, Midfield
Joneice Toney Morgan, MD
Internal medicine · 6554 Aaron Aronov Drive, Fairfield
Bobby Malik, MD Telehealth
Internal medicine · 1028 Bessemer Road, Birmingham
Abid Ali, MD
Family medicine · 2800 Allison Bonnett Memorial Drive, Hueytown
Christopher Thomas Telehealth
Family medicine · 2874 Lakeshore Parkway, Birmingham
Cedric Harris, MD
Internal medicine · 3004 Allison Bonnett Memorial Drive, Hueytown
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 Midfield, 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.
Freds Pharmacy 2351
0.8 mi
0.9 mi 
0.9 mi Mills Pharmacy at Midfield
0.9 miJ&J Discount Pharmacy
1.7 miPayless Drugs
2.4 miShowing the 6 closest pharmacies to Midfield, 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 Midfield, 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.
$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
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 Jefferson County, the county that includes Midfield, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#14 of 67 Alabama counties for chlamydia, a higher rate than 79% of the state
| Infection | Jefferson County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 852.9 5,654 cases ▲ 31% | 651.1 | 492.2 |
| Gonorrhea | 355.9 2,359 cases ▲ 57% | 226.9 | 179.5 |
| Syphilis (P&S) | 44.2 293 cases ▲ 55% | 28.6 | 15.8 |
| Syphilis (early) | 36.2 240 cases ▲ 77% | 20.4 | 16 |
| Syphilis (late/unknown) | 29.6 196 cases ▲ 21% | 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 Jefferson County, chlamydia has risen from 759 to 852.9 per 100,000 (12%), gonorrhea has fallen from 463.5 to 355.9 per 100,000 (23%), and P&S syphilis has risen from 14.4 to 44.2 per 100,000 (207%).
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 Jefferson 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.
Jefferson County HIV care continuum (2023)
Jefferson County recorded 26.4 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Jefferson County residents living with HIV, 68.6% are in care · 45.2% 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 Jefferson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along Bessemer Super Highway, where new renters are signing their first leases and early relationships are taking shape around Midfield Park, the life-stage moments when STI screening matters most are often the same ones when it happens least. Jefferson County's STI numbers reflect what's true in communities across the region: younger adults moving through early relationships often aren't connecting with routine care. Midfield's household profile adds useful texture here. Homes average more than three people, and a meaningful share of residents are renters keeping monthly costs under a thousand dollars, which means discretionary health spending competes with rent, utilities, and everything else a shared household absorbs.
With unemployment running higher than the national norm and only a fraction of workers in high-earning brackets, out-of-pocket testing costs are a real consideration, not a minor one. The clinics listed on this page include options that work across income levels, which matters when a co-pay can genuinely affect whether someone books an appointment. The good news is that the clinic cards above show distance and hours clearly, making it easier to match a visit to a realistic window: a lunch break on 9th Avenue North, or a morning before a shift, rather than a trip that keeps getting postponed.
Getting there
Midfield scores 12.44/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 35228 snapshot
ZIP-level Census figures for the wider 35228 area around Midfield: a single ZIP can span several communities, so they describe the area, not Midfield alone.
Midfield sits in Jefferson County, ZIP 35228. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Midfield? 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 Jefferson 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 Midfield-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 Midfield 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.
There are 9 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Jefferson County reported ~853 chlamydia cases per 100,000 in 2023, above the Alabama average.
In Alabama, 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.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.