The rate of reported syphilis in Nacogdoches County runs about 91% lower than the US average. If you're in Nacogdoches County, Texas with an urgent one-time need for STI testing or prefer recurring check-ups, you have options: clinics they may bill insurance or offer sliding-scale fees, while labs usually charge a flat self-pay price. See the options below.
Available testing centers
12 testing options are listed for Nacogdoches, TX. The nearest, Westside Community Clinic, is about 1.0 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.
Westside Community Clinic in Nacogdoches was built for patients navigating gaps in coverage: uninsured, underinsured, or paying out of pocket. Federal qualification anchors its sliding-scale fees, making syphilis, gonorrhea, and chlamydia screening genuinely affordable regardless of income or insurance status.
Tests offered
Fees & payment
Brown Family Health Center in Nacogdoches runs rapid tests for HIV, hepatitis C, syphilis, gonorrhea, and chlamydia on a sliding-scale fee, with HIV and hepatitis C tests free, and delivers same-visit treatment for bacterial infections by appointment, with all services provided at no fee.
Brown Family Health Center's standing policy is that no service carries a fee, not the rapid test, not the STI treatment, not PrEP counseling. For someone paying cash without a regular provider, that means walking out with medication and a follow-up plan rather than a bill.
When language support depends on a scheduled interpreter, gaps open between visits. Follow-up instructions blur, medication schedules slip. Brown Family Health Center provides Spanish and interpretation services directly, so nothing critical about a diagnosis or treatment plan has to wait for a third-party arrangement.
Ryan White Program funding at Brown Family Health Center means HIV care doesn't stop at a positive test: it extends through ongoing medical treatment and medication adherence education and counseling, keeping antiretroviral management and support in the same building where testing began.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
East Texas Community Health Services in Nacogdoches pairs gonorrhea, chlamydia, syphilis, and HIV testing with same-visit treatment for bacterial infections, all on a sliding-scale fee accepted alongside Medicaid, Medicare, and private insurance, and full care is available in Spanish.
Gonorrhea, chlamydia, syphilis, and HIV are the floor at most testing sites. Hepatitis C and TB rarely make the list. East Texas Community Health Services adds both, meaning a single appointment in Nacogdoches can surface infections that would otherwise go undetected until symptoms force the issue.
For a Spanish-speaking patient managing their own care without a regular provider, the ability to understand dosing instructions, discuss symptoms, and ask follow-up questions in Spanish isn't a courtesy. It's what makes treatment actually work. East Texas Community Health Services in Nacogdoches delivers the complete visit, from testing through STI treatment, in Spanish.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
A public safety-net federally qualified health center about 3 miles from Nacogdoches. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Hope Community Medicine - Lufkin earns its federally qualified designation by tying STI screening fees directly to each patient's income. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia testing, and no one is turned away because the sliding scale adjusts costs across all income levels.
Tests offered
Fees & payment
Angelina County and Cities Health District in Lufkin tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding scale, with HIV testing available at no charge. Appointments required, bacterial STIs treated same visit.
The Health District operates under a funding structure that eliminates the charge at the point of care: not reduced, not deferred, but zeroed out across the full service menu: testing, treatment, vaccines, and family planning alike. That mechanism means the sliding scale bottoms out at nothing for qualifying visits.
Spanish functions as a full clinical language at the Health District: counseling, STI prevention education, and HIV test counseling are conducted directly in Spanish by staff, not routed through supplemental services. The consequence is that nuance in risk conversations and follow-up instructions survives intact.
Title X federal designation mandates that family planning services, including STI testing and contraceptive care, be provided to minors with legally confidential status. At the Health District, that protection is built into the program structure itself, not a case-by-case administrative decision.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
St. Lukes Health in Lufkin is a hospital-affiliated clinic where appointments are required and STI testing runs on insurance, Medicaid, or Medicare: covering gonorrhea, chlamydia, syphilis, HIV, and hepatitis C, with same-visit treatment for bacterial infections and HPV, hepatitis A, and hepatitis B vaccines available.
Many clinics can check a box for language access without ever offering a real clinical conversation. St. Lukes Health in Lufkin delivers care directly in Spanish: meaning questions about symptoms, prevention, and treatment happen in the language the visit actually requires, not through a workaround.
St. Lukes Health in Lufkin tests for hepatitis C alongside gonorrhea, chlamydia, syphilis, and HIV. A meaningful range for anyone without a regular provider who needs comprehensive bloodwork in a single appointment rather than piecemeal across multiple visits.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Crossroads Family Care in Mount Enterprise pairs gonorrhea, chlamydia, syphilis, and herpes testing with same-visit treatment for bacterial infections. All on a sliding-scale fee that adjusts to income. Appointments are required; Medicaid, Medicare, and insurance are accepted, and services include HPV and hepatitis vaccines.
Crossroads Family Care delivers STI testing, counseling, and treatment directly in Spanish. Not routed through a separate service or scheduled separately. For someone navigating a diagnosis, discussing family planning, or managing ongoing treatment, that capacity sits inside the clinic itself, on the same appointment.
Many clinics test for gonorrhea, chlamydia, syphilis, and HIV, and stop there. Crossroads Family Care extends its panel to herpes, hepatitis A, B, and C, and TB, giving a more complete picture in a single appointment rather than requiring separate referrals for those additional tests.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to Nacogdoches, 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 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 Nacogdoches 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.
4920 Northeast Stallings Drive, Nacogdoches, TX 75965
CMS-certified lab Accredited · College of American Pathologists
1204 North Mound Street, Nacogdoches, TX 75961
CMS-certified lab Accredited · Joint Commission
4730 Northeast Stallings Drive, Nacogdoches, TX 75965
CMS-certified lab
1400 Raguet Street, Nacogdoches, TX 75961
CMS-certified lab Accredited · COLA
1420 North Street, Nacogdoches, TX 75961
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Nacogdoches. 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, 123 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nacogdoches. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 32 offer telehealth.
Carol Twyman, MD
Internal medicine · 1204 North Mound Street, Nacogdoches
Robert Busuego, MD
Internal medicine · 1204 North Mound Street, Nacogdoches
James Otto, MD
Internal medicine · 1018 North Mound Street, Nacogdoches
David Duke, MD
Internal medicine · 1216 Raguet Street, Nacogdoches
Richard Baker, MD
Internal medicine · 1301 Raguet Street, Nacogdoches
Jehangir Gowani, MD Telehealth
Internal medicine · 932 North University Drive, Nacogdoches
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 Nacogdoches, TX 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.
0.0 mi 
0.1 mi Stripling's Pharmacy
0.2 miThe Medicine Shoppe
0.6 mi
0.8 mi Showing the 5 closest pharmacies to Nacogdoches, TX.
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 Nacogdoches, 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.
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Nacogdoches County, the county that includes Nacogdoches, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~46% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#19 of 254 Texas counties for chlamydia, a higher rate than 93% of the state
| Infection | Nacogdoches County | Texas | United States |
|---|---|---|---|
| Chlamydia | 607.3 397 cases ▲ 23% | 491.9 | 492.2 |
| Gonorrhea | 136.1 89 cases ▼ 23% | 176.4 | 179.5 |
| Syphilis (P&S) | 1.5 1 cases ▼ 90% | 15 | 15.8 |
| Syphilis (early) | 6.1 4 cases ▼ 77% | 26.4 | 16 |
| Syphilis (late/unknown) | 67.3 44 cases ▲ 52% | 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.
Between 2020 and 2023 in Nacogdoches County, chlamydia has fallen from 674.4 to 607.3 per 100,000 (10%), gonorrhea has fallen from 314 to 136.1 per 100,000 (57%), and P&S syphilis has fallen from 13.9 to 1.5 per 100,000 (89%).
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 Nacogdoches County.
Local HIV snapshot
Nacogdoches County HIV care continuum (2023)
Nacogdoches County recorded 12.8 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Nacogdoches County residents living with HIV, 81.3% are in care · 69.9% 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 Nacogdoches County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Anyone stopping by The Stone Fort Museum on a Saturday or catching a weekday lunch near Kiwanis Park knows Nacogdoches draws people in, some staying years, others just passing through. That mix of renter households and single adults means testing clinics here serve folks at different life stages, many of them young and managing health on modest budgets. STD testing in and around Nacogdoches reflects that reality: straightforward care without the price tag that makes screening feel out of reach elsewhere. Confidentiality works differently in a town where you're likely to see people you know. Testing providers listed on this page understand that concern and build their practice around it: intake forms stay sealed, results don't appear on shared family accounts, and staff treat each visit as private business.
That boundary matters when you're renting month-to-month, dating casually, or simply prefer to keep health decisions to yourself. Access to testing here means you can get screened without planning a trip to a larger city. Walk-in appointments and same-week results are common, so a lunch break or afternoon off work can cover the whole thing. For young adults navigating jobs, relationships, or just life in a place where affordability counts, that convenience removes one more barrier to knowing your status.
Getting there
At 8.73/20 on the EPA walkability index, day-to-day errands in Nacogdoches 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 75964 snapshot
ZIP-level Census figures for the wider 75964 area around Nacogdoches: a single ZIP can span several communities, so they describe the area, not Nacogdoches alone.
Nacogdoches sits in Nacogdoches County, ZIP 75964. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Nacogdoches? 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 Nacogdoches 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.
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 Nacogdoches-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 Nacogdoches 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 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).
In Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
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.
Learn more about confidential STD testing in TexasSource: 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 12 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Nacogdoches County reported ~607 chlamydia cases per 100,000 in 2023, above the Texas average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
No, most STIs have no visible signs, so the only way to know is to test.
Public and community clinics test everyone; several provide LGBTQ-affirming services.
Teen and campus health clinics and public health departments offer youth-friendly, low-cost testing.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.