Harrison County reports about 481 chlamydia cases per 100,000 residents, near the US average. Whether it's your first STI test or a routine test in Nesbitt, Texas, you have a few options. Low-cost or free community and public clinics offer trade-offs with private labs' faster results and scheduling flexibility. Below are listings to consider.
Available testing centers
7 testing options are listed for Nesbitt, TX. The nearest, Genesis Prime Care, is about 5.5 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.
Genesis Prime Care in Marshall tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee structure accepted by Medicaid, Medicare, and most insurers, with walk-ins welcome. Same-visit treatment available for bacterial infections.
Genesis Prime Care prescribes and monitors PrEP, including tenofovir-based regimens, directly through its clinical staff. Continuous management at the same site means lab monitoring, prescription renewals, and dosing guidance stay coordinated without transferring care elsewhere.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Marshall-Harrison County Health District brings gonorrhea, chlamydia, syphilis, and HIV testing to Marshall through a county health infrastructure: same-visit bacterial treatment, HPV and hepatitis A and B vaccines, walk-ins welcome, and every service provided at no fee.
For anyone without a regular provider, paying cash, or stretching a tight budget, the District's no-fee structure covers the entire visit (testing, treatment, and vaccines) without a bill at the end. There is no tier of services that triggers a charge.
Without Spanish-language care on-site, a missed detail during counseling can mean a prescription misunderstood or a follow-up skipped, and an untreated bacterial STI compounds quickly. Marshall-Harrison County Health District delivers testing, treatment, and prevention education directly in Spanish, closing that gap before it opens.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Genesis PrimeCare-Marshall, in Marshall, meets patients where insurance gaps and rural distances leave people without a regular provider. Federally qualified and sliding-scale, it screens for syphilis, gonorrhea, and chlamydia. No appointment needed, fees adjusted to income.
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 about 6 miles away; if you'd rather skip the trip, an at-home kit ships to Nesbitt, 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 value: single tests
$49 & 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 Harrison 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.
811 South Washington, Marshall, TX 75670
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Nesbitt. 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, 167 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Nesbitt. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 53 offer telehealth.
James Logan, MD Telehealth
Family medicine · 402 South Bolivar, Marshall
Odette Mohamed-Santa, MD Telehealth
Family medicine · 402 South Bolivar Street, Marshall
Mary Anderson, MD
Family medicine · 805 Lindsey Drive, Marshall
Steven Crayton, MD
Internal medicine · 304 University, Marshall
Susan Huynh, DO Telehealth
Internal medicine · 811 South Washington Avenue, Marshall
Oscar Gonzalez, MD
Family medicine · 815 South Washington Avenue, Marshall
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 Nesbitt, 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.
Matthewson Drug
5.8 miGenesis Primecare Pharmacy Marshall
6.0 mi
6.0 mi 
6.3 mi 
6.3 mi Super 1 Pharmacy
6.4 miShowing the 6 closest pharmacies to Nesbitt, 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 Nesbitt, 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
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
$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 Harrison County, the county that includes Nesbitt, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~16% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#47 of 254 Texas counties for chlamydia, a higher rate than 81% of the state
| Infection | Harrison County | Texas | United States |
|---|---|---|---|
| Chlamydia | 481 341 cases ▼ 2% | 491.9 | 492.2 |
| Gonorrhea | 119.9 85 cases ▼ 32% | 176.4 | 179.5 |
| Syphilis (P&S) | 4.2 3 cases ▼ 72% | 15 | 15.8 |
| Syphilis (early) | 16.9 12 cases ▼ 36% | 26.4 | 16 |
| Syphilis (late/unknown) | 21.2 15 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 Harrison County, chlamydia has risen from 344.3 to 481 per 100,000 (40%), gonorrhea has fallen from 145.3 to 119.9 per 100,000 (17%), and P&S syphilis has fallen from 7.3 to 4.2 per 100,000 (42%).
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 Harrison County.
Local HIV snapshot
Harrison County HIV care continuum (2023)
Harrison County recorded 18.6 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Harrison County residents living with HIV, 73.6% are in care · 63.6% 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.
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 Harrison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Work in Nesbitt centers on small-scale manufacturing and trades: machine shops, welding operations, local production that keeps hands and schedules full. That steady rhythm of work means regular checkups matter, and STI screening fits into the same practical mindset: something you handle routinely, without fuss, to stay clear and move forward. Testing clinics and health centers in and around Nesbitt listed on this page offer confidential screening that respects the pace of working life. The area draws many young adults in their late teens through thirties: people building careers, establishing independence, or starting families. For them, knowing their status is straightforward self-care, not crisis management.
A test result stays confidential; no employer, family member, or neighbor learns anything unless you choose to tell them. Nesbitt's character is one of direct dealing and privacy respected. Screening doesn't require elaborate explanations or long waits to feel distant from home. Clinics serving the town understand that people here value efficiency and discretion equally, and testing can happen quickly and without judgment.
Getting there
At 7.52/20 on the EPA walkability index, day-to-day errands in Nesbitt 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 75670 snapshot
ZIP-level Census figures for the wider 75670 area around Nesbitt: a single ZIP can span several communities, so they describe the area, not Nesbitt alone.
Nesbitt sits in Harrison County, ZIP 75670. Local context that shapes where residents test:
Local landmarks
Nearby cities & towns
Just outside Nesbitt? 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 Harrison 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 Nesbitt-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 Nesbitt 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.
The closest is Genesis Prime Care (5.5 mi); 7 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, Marshall-Harrison County Health District (5.7 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 481 cases per 100,000 residents (2023), below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
Yes, at-home kits ship to 75670; you collect a sample, mail it back, and get results in about 2–5 days.
Expedited partner therapy lets a provider treat a partner without an exam, where state law allows.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.