The rate of reported gonorrhea in Franklin County runs about 77% lower than the national average. Whether it's your first STI test or a routine screening in Miramiguoa Park, Missouri, consider that public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. Use the options listed below to find a good fit for you.
Available testing centers
7 testing options are listed for Miramiguoa Park, MO. The nearest, Mercy Clinic East Communities, is about 4.1 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.
A community safety-net rural health clinic about 4 miles from Miramiguoa Park. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Compass Health Network in Sullivan runs on a sliding scale, accepting Medicaid, Medicare, and private insurance, with donations welcomed: testing covers rapid and conventional HIV, syphilis, gonorrhea, chlamydia, hepatitis C, and TB, with bacterial infections treated the same visit. Appointments are required.
Compass Health Network pairs its standard bacterial STI panel with hepatitis A, B, and C screening plus a TB test. Meaning a single appointment generates results across infection categories. That breadth changes the scope of what one visit can actually rule out.
Substance-use treatment is a standing clinical service at Compass Health Network in Sullivan, not a separate referral track but a program that operates alongside STI testing and treatment within the same organization. Someone managing a substance-use disorder can address both needs without splitting care across unrelated providers.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
A community safety-net rural health clinic about 6 miles from Miramiguoa Park. 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 about 4 miles away; if you'd rather skip the trip, an at-home kit ships to Miramiguoa Park, 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 range: couples & full panels
$79 & 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 Franklin 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.
751 Sappington Bridge Road, 1st Floor, Sullivan, MO 63080
CMS-certified lab Accredited · College of American Pathologists
1627 A Roy Drive, Washington, MO 63090
CMS-certified lab
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Miramiguoa Park. 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, 114 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Miramiguoa Park. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 25 offer telehealth.
Jose Remo, MD
Internal medicine · 1326 South Service West Road, Sullivan
Bryan Acree, DO
Internal medicine · 721 Sappington Bridge Road, Sullivan
Erin Dumontier, MD
OB-GYN · 751 Sappington Bridge Road, Sullivan
Naureen Ali, MD
Internal medicine · 965 Mattox Drive, Sullivan
Cheng Xin Jiang, MD Telehealth
Internal medicine · 1001 Cardwell Street, Saint Clair
Felipe Eljaiek, MD
Internal medicine · 125 North Old Hwy 66, Bourbon
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 Miramiguoa Park, MO 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.
4.4 mi 
5.0 mi Clark's Pharmacy
5.1 mi
5.3 mi Medicine Cabinet Pharmacy
6.1 miSt Clair Rexall Drug Store
9.3 miShowing the 6 closest pharmacies to Miramiguoa Park, MO.
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 Miramiguoa Park, 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
$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
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 Franklin County, the county that includes Miramiguoa Park, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~18% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#61 of 115 Missouri counties for chlamydia, a higher rate than 47% of the state
| Infection | Franklin County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 219.9 234 cases ▼ 56% | 498.6 | 492.2 |
| Gonorrhea | 41.4 44 cases ▼ 79% | 201.9 | 179.5 |
| Syphilis (P&S) | 20.7 22 cases ▼ 4% | 21.5 | 15.8 |
| Syphilis (early) | 10.3 11 cases ▼ 17% | 12.4 | 16 |
| Syphilis (late/unknown) | 19.7 21 cases ▼ 42% | 33.8 | 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 Franklin County, chlamydia has risen from 215.9 to 219.9 per 100,000 (2%), gonorrhea has fallen from 86.9 to 41.4 per 100,000 (52%), and P&S syphilis has risen from 2.9 to 20.7 per 100,000 (614%).
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 Franklin County.
Local HIV snapshot
Federal priority area: Missouri 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.
Franklin County HIV care continuum (2023)
Among Franklin County residents living with HIV, 81% are in care · 74.6% 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 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 Franklin County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Lone Hill anchors daily life in Miramiguoa Park with a steadiness that matches the town itself: most households here are owned, not rented, and nearly two-thirds of adults are married, which shapes a community where routines run deep and schedules are genuinely full. Average households of three mean health decisions rarely feel purely personal; they ripple outward. That density of obligation, combined with a labor-force participation rate that leaves a meaningful share of adults outside conventional work schedules, means clinic hours that don't flex can quietly disappear from the week before anyone consciously decides against going. Getting to any of the options listed on this page means a deliberate trip, not a detour.
For the younger adults in Miramiguoa Park, people in their late teens and twenties who are still building partnerships and navigating new relationships, that kind of distance can turn a private intention into a logistical project. Low-cost testing and extended hours reduce the number of steps between deciding and doing, which matters when a round trip already requires planning around a car, a schedule, and often someone else's needs. International Friendship Park sits close enough to US Historic 66 to orient a route, if a visit there is already on the calendar, mapping a nearby clinic stop on the same drive is the most concrete next move.
Getting there
At 7.11/20 on the EPA walkability index, day-to-day errands in Miramiguoa Park 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 63080 snapshot
ZIP-level Census figures for the wider 63080 area around Miramiguoa Park: a single ZIP can span several communities, so they describe the area, not Miramiguoa Park alone.
Miramiguoa Park sits in Franklin County, ZIP 63080. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Miramiguoa Park? 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 Franklin County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri 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 Miramiguoa Park-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 Miramiguoa Park 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 Missouri 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 Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: 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.
The closest is Mercy Clinic East Communities (4.1 mi); 6 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 220 cases per 100,000 residents (2023), below the Missouri average.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
HPV is checked through cervical screening (often with a Pap test); there's no routine HPV test for men.
No HIV found; just confirm with a retest if you tested soon after a possible exposure.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
That's a myth; STIs need sexual contact to spread, not surfaces.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.