STD Testing in Midland, TX: Free, Same-Day & Confidential
Midland sees syphilis cases that run 15% higher than the national average. If you're getting tested in Midland County, Texas whether for the first time or routinely, consider your scheduling needs: some clinics accept walk-ins for same-day testing, while labs and at-home kits offer more flexibility.
12 testing options are listed for Midland, TX. The nearest, Clinical Pathology Labs, is about 1.9 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.
Premium Partner
Clinical Pathology Labs
Most popular Results in 1–2 days
3.9(99)?
Review sources
Google94
EasySTD5
Rated 3.9 out of 5 from 99 reviews
Address
2407 W. Louisiana, Midland, TX 79701 1.9 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Community health center 1.9 miles
MCHS Pediatric Clinic
4.2(11)?
Review sources
Google10
EasySTD1
Rated 4.2 out of 5 from 11 reviews
A public safety-net federally qualified health center about 2 miles from Midland. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Midland Community Healthcare Services, Women's Services Clinic
3.2(20)?
Review sources
Google17
EasySTD3
Rated 3.2 out of 5 from 20 reviews
Midland Community Healthcare Services, Women's Services Clinic in Midland earns its federal qualification partly by tying fees to income. No one is turned away for inability to pay. Walk-ins are welcome for STI screening covering syphilis, gonorrhea, and chlamydia.
Midland Health Department brings county-level infrastructure to STI care in Midland, where gonorrhea, chlamydia, and syphilis testing runs alongside HIV testing, TB screening, and same-visit bacterial treatment on a sliding-scale fee. Appointments required.
Texas Department of State Health Services in Midland tests for gonorrhea, chlamydia, syphilis, herpes, HIV, and TB, treating bacterial infections the same visit when results warrant: appointments are required, and every service is provided at no fee.
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Every Service Runs on Zero-Fee Billing
The no-fee structure at Texas DSHS Midland isn't a discount tier or an income-gated waiver: the clinic is staffed and funded to deliver testing, treatment, vaccines, and DoxyPEP counseling without billing anyone at any step. No sliding calculation, no point at which a charge appears.
Spanish Is a Full Clinical Language Here
Spanish-language care at this clinic runs through staff who conduct the clinical encounter directly: intake, counseling, and treatment discussion happen in Spanish without a relay layer. That means DoxyPEP prescribing, STI prevention education, and HIV test counseling are all delivered in Spanish by the people providing the care.
DoxyPEP Is Prescribed and Counseled On-Site
For anyone without a regular prescriber or seeking DoxyPEP as a standalone prevention tool, Texas DSHS Midland holds the standing clinical capacity to prescribe and counsel on doxycycline post-exposure prophylaxis directly. No separate appointment with a primary care provider required before the prescription is written.
MCHS Administration Office in Midland earned its federally qualified standing by tying fees to income, so patients paying cash, between providers, or working without coverage face the same sliding-scale STI screening as anyone else. Testing covers syphilis, gonorrhea, and chlamydia, no appointment needed.
Midland Community Healthcare Services, PBCC Sattelite Clinic
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Midland Community Healthcare Services, PBCC Satellite Clinic in Midland meets patients where insurance gaps, cash-pay realities, or coverage lapses make care feel out of reach. Federal qualification anchors its sliding-scale fee structure, letting income determine cost for syphilis, gonorrhea, and chlamydia screening. No appointment needed.
Midland Community Healthcare Services is a community health center in Midland where fees follow a sliding scale open to everyone, with Medicaid, Medicare, and private insurance all accepted, and the panel extends beyond the bacterial basics to include hepatitis B and hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV.
Ector County Hospital District/MCH Healthy Kids Clinic
3.2(34)?
Review sources
Google30
EasySTD4
Rated 3.2 out of 5 from 34 reviews
Ector County Hospital District/MCH Healthy Kids Clinic in Odessa welcomes walk-ins for STI screening, no appointment needed. Federal qualification under the FQHC program ties fees to a sliding income scale, making syphilis, gonorrhea, and chlamydia testing a realistic single-visit option for anyone.
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.
The nearest testing center is about 2 miles away, if you'd rather skip the trip, an at-home kit ships to Midland, 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 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
Quest Diagnostics
$79 & up
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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
Other CLIA-certified labs near Midland, TX
Beyond the public testing sites above, these federally certified (CLIA) labs serve Midland 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.
Showing 6 of the CLIA-certified labs in Midland County.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Midland. 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
Clinicians near Midland, TX who may help arrange STD testing
Beyond dedicated clinics, 165 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Midland. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 37 offer telehealth.
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
Pharmacies near Midland, TX
Compare the pharmacies closest to Midland, TX. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
0.6 mi
Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Midland, 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.
Online treatment
Wisp
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
STDs & HIV in Midland County: the local picture
How reported STI rates in Midland County, the county that includes Midland, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#17
#17 of 254 Texas counties for chlamydia, a higher rate than 93% of the state
Reported STD rates per 100,000, Midland County vs Texas vs U.S.
Midland CountyTexasU.S.▲▼ = Midland County vs the state average
Infection
Midland County
Texas
United States
Chlamydia
612.61,085 cases▲ 25%
491.9
492.2
Gonorrhea
142.9253 cases▼ 19%
176.4
179.5
Syphilis (P&S)
18.132 cases▲ 21%
15
15.8
Syphilis (early)
27.148 cases▲ 3%
26.4
16
Syphilis (late/unknown)
30.554 cases▼ 31%
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.
Reported STD rates in Midland County over time (per 100,000)
Chlamydia ▲ 16% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Midland County, chlamydia has risen from 464.8 to 612.6 per 100,000 (32%), gonorrhea has fallen from 178.3 to 142.9 per 100,000 (20%), and P&S syphilis has risen from 5.9 to 18.1 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
What shapes testing access in and around Midland, TX
Adults uninsured
29.4%
No routine checkup
28.4%
Binge drinking
16.8%
Frequent mental distress
19.1%
Depression
21.6%
Below poverty line
24.3%
Primary-care ratio
2,625 : 1
Midland County
Primary-care shortage score 21 / 26
Medically Underserved Area · IMU 57
Social Vulnerability Index · 74th 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 Midland County.
Local HIV snapshot
HIV in Midland County (2023)
People living with HIV
196 / 100k
New diagnoses (2023)
18cases countywide
On PrEP (coverage)
60.8%
Midland County HIV care continuum (2023)
Midland County recorded 13 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Midland County residents living with HIV, 74.6% are in care · 65.6% 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.
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 Midland County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
Fair Oaks Estates sits far enough from Midland's commercial corridors that a routine errand means a car trip, and STI screening is no different. That's the practical rhythm here: TX 158 Bus and North Midland Drive carry most of daily life, and anything health-related gets folded into a longer drive rather than a quick detour. With the testing options spread across the county, the infrastructure exists; getting to it just requires intention and a set of keys. Midland's household profile shapes that calculation in specific ways. Most adults here are in committed partnerships, households run large, and about two-thirds of residents own their homes, which tends to mean settled lives with packed schedules rather than flexible ones.
At the same time, roughly a third of the city rents, with typical monthly costs that leave limited room in a budget for anything that feels optional. For younger adults (college-age through late twenties, the years when STIs circulate most actively) that combination of financial pressure and full calendars can quietly turn a simple blood draw into something that keeps getting deferred. The high labor-force participation across Midland means most people are working full schedules, which puts a premium on clinics with weekend or evening hours. The options listed here vary on exactly those details (hours, fees, distance from Quail Point or Wadley Heights) so comparing them before making the drive is worth the few minutes it takes.
Getting there
How residents reach STD testing in Midland, TX
Walkability10.24 / 20 · Below average
At 10.24/20 on the EPA walkability index, day-to-day errands in Midland 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 79705 snapshot
Residents
44,516
Median age
31.4
Median income
$105,106
ZIP-level Census figures for the wider 79705 area around Midland: a single ZIP can span several communities, so they describe the area, not Midland alone.
Midland sits in Midland County, ZIP 79705. Local context that shapes where residents test:
Local landmarks
George W. Bush Childhood Home
Midland College Southwest Lawn
Goddard Rocket
Midland College Central Lawn
Fannin Park
Beal Plaza
Neighborhoods & communities
Fair Oaks Estates
Quail Point
Wadley Heights
Goddard Heights
West Haven
Fannin Terrace
North Town
Tarrytown
Major routes
TX 158 Bus (Andrews Highway)
FM 868 (North Midland Drive)
TX 349 Bus (North Big Spring Street)
Nearby cities & towns
STD testing near Midland, TX
Just outside Midland? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Midland, TX: screening, costs & privacy
Everything to know before you test in Midland 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.
Who should test, and whenCDC screening schedule + each infection's detection window
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Midland-area provider.
What each STD test costsMedicare 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 Midland 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.
Confidentiality & consent in TexasMinor consent and partner treatment (EPT) under state law, plus how to test privately
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).
Can a minor consent on their own?
In Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
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.
