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STD Testing in North Spearfish, SD: Free, Same-Day & Confidential

Lawrence County reported chlamydia runs about 38% lower than the US average. Whether it's your first STI test or a routine screening in North Spearfish, South Dakota, you have options ranging from cost-effective community and public clinics to private labs that may offer faster results and more flexible scheduling. See what works for you below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near North Spearfish, SD

3 testing options are listed for North Spearfish, SD. The nearest, Monument Health, is about 2.4 miles away. Compare community and public clinics, private labs, and at-home kits below.

Most reviewed 2.4 miles

Monument Health

Where these reviews come from

Review sources

  • Google965
  • EasySTD5
Rated 4.7 out of 5 from 970 reviews

Monument Health in Spearfish runs STI care by appointment, with testing for gonorrhea, chlamydia, syphilis, and HIV, rapid and conventional, plus same-visit treatment for bacterial infections, partner notification support, and a sliding-scale fee that applies to everyone.

Tests & treats Sliding-scale
Address
930 North 10 Street, Spearfish, SD 57783
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday Closed
  • Saturday Closed
  • Sunday Closed
Website
Premium Partner

Labcorp

Results in 1–2 days
Where these reviews come from

Review sources

  • Google82
  • EasySTD5
Rated 2.3 out of 5 from 87 reviews
Address
713 Omaha Street, Rapid City, SD 57701 44.3 miles away
Opening hours
  • Monday 7:00 AM – 5:00 PM
  • Tuesday 7:00 AM – 5:00 PM
  • Wednesday 7:00 AM – 5:00 PM
  • Thursday 7:00 AM – 5:00 PM
  • Friday 7:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Premium Partner

Sanford Health Laboratories

Results in 1–2 days
Where these reviews come from

Review sources

  • Google21
  • EasySTD2
Rated 3.1 out of 5 from 23 reviews
Address
36 East Stumer Road, Rapid City, SD 57701 47.2 miles away
Opening hours
  • Monday 7:00 AM – 6:00 PM
  • Tuesday 7:00 AM – 6:00 PM
  • Wednesday 7:00 AM – 6:00 PM
  • Thursday 7:00 AM – 6:00 PM
  • Friday 7:00 AM – 6:00 PM
  • Saturday 8:00 AM – 12:00 PM
  • Sunday Closed
  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Herpes
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Rapid HIV
  • Conventional HIV
See tests & prices

Today's offer: $10 off any test panel, applied automatically at checkout.

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
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Every other option

More ways to get tested in North Spearfish, SD

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

At-home STD testing in North Spearfish, SD

The nearest testing center is about 2 miles away; if you'd rather skip the trip, an at-home kit ships to North Spearfish, 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.

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 North Spearfish, SD

Beyond the public testing sites above, these federally certified (CLIA) labs serve Lawrence 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.

  • Monument Health Dermatology

    550 East Colorado Boulevard, Spearfish, SD 57783

    CMS-certified lab

    • STD testing
    Call Directions

  • Black Hills Dermatology

    132 East Grant, Spearfish, SD 57783

    CMS-certified lab

    • STD testing
    Call Directions

  • Monument Health Spearfish Hospital

    1440 North Main, Spearfish, SD 57783

    CMS-certified lab

    • STD testing
    Call Directions

  • Monument Health Spearfish Clinic

    1420 North 10th Street, Spearfish, SD 57783

    CMS-certified lab Accredited · COLA

    • STD testing
    Call Directions

Showing the nearest 4 CLIA-certified labs.

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near North Spearfish. 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 North Spearfish, SD who may help arrange STD testing

Beyond dedicated clinics, 34 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of North Spearfish. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.

  • Josephine Davis, MD

    Family medicine · 1440 North Main Street, Spearfish

    Call Directions

  • Margaret Becker, MD

    Family medicine · 1420 North 10th Street, Spearfish

    Call Directions

  • Travis Ptacek, MD Telehealth

    Family medicine · 1020 North 10th Street, Spearfish

    Call Directions

  • Heather Brewer, MD

    OB-GYN · 1445 North Avenue, Spearfish

    Call Directions

  • Deborah Kullerd, MD Telehealth

    Family medicine · 540 Falcon Crest Drive, Spearfish

    Call Directions

  • Bobbi Thuen, MD

    Family medicine · 2200 13th Avenue, Belle Fourche

    Call Directions

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 North Spearfish, SD

No pharmacy near North Spearfish, SD 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.

  • Albertsons/Safeway 2.0 mi
    Rx pickupHPV & Hep B vaccinesCondoms / EC
    Directions
  • Walgreens 2.0 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
    Directions

  • Medicap Pharmacy

    2.0 mi
    Rx pickupCondoms / EC
    Directions

  • Monument Health Home Plus Pharmacy

    2.2 mi
    Rx pickupCondoms / EC
    Directions

Showing the 4 closest pharmacies to North Spearfish, SD.

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 North Spearfish, 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.

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 Lawrence County: the local picture

How reported STI rates in Lawrence County, the county that includes North Spearfish, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#29 of 66 South Dakota counties for chlamydia, a higher rate than 56% of the state

Reported STD rates per 100,000, Lawrence County vs South Dakota vs U.S.

Lawrence County South Dakota U.S. ▲▼ = Lawrence County vs the state average
Infection Lawrence County South Dakota United States
Chlamydia
306.6 86 cases ▼ 42%
531.6 492.2
Gonorrhea
42.8 12 cases ▼ 83%
253.3 179.5
Syphilis (P&S)
17.8 5 cases ▼ 76%
73.4 15.8
Syphilis (early)
7.1 2 cases ▼ 91%
76.8 16
Syphilis (late/unknown)
3.6 1 cases ▼ 95%
72.9 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 Lawrence County over time (per 100,000)

Chlamydia ▲ 18% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 200 400 2020202120222023

Between 2020 and 2023 in Lawrence County, chlamydia has fallen from 333.7 to 306.6 per 100,000 (8%), gonorrhea has fallen from 58.2 to 42.8 per 100,000 (26%), and P&S syphilis has risen from 15.3 to 17.8 per 100,000 (16%).

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 North Spearfish, SD

Adults uninsured
8%
No routine checkup
24.8%
Binge drinking
18.9%
Frequent mental distress
14.2%
Depression
20.9%
Below poverty line
13.8%
Primary-care ratio
1,047 : 1
Lawrence County
  • Medically Underserved Area · IMU 57
  • Social Vulnerability Index · 34th 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 Lawrence County.

Local HIV snapshot

HIV in Lawrence County (2023)

People living with HIV
64 / 100k
PrEP users / 100k
56

Lawrence County HIV care continuum (2020)

Lawrence County recorded 0 new HIV diagnoses per 100,000 (2020), against 6.8 statewide and 13.7 nationally. Among Lawrence County residents living with HIV, 100% are in care · 86.7% 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 Lawrence County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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 → (opens in a new tab)

17 Sources

Local resources & officials

Data & references

Local context

About North Spearfish, SD

Mining and outdoor recreation anchor North Spearfish's working life: people here tend to stay put, build homes, and raise families in the same place for years. That stability carries its own rhythm: marriages, children, job changes, and the kinds of health decisions that come with settling in. Routine STI screening fits quietly into that rhythm, especially for the young adults moving through their twenties and thirties who make up a real presence in the community. Testing in and around North Spearfish is straightforward and private; clinics listed on this page understand that confidentiality matters when you live where neighbors recognize your truck. The landscape around Spearfish Creek and the quieter neighborhoods of Spearfish itself don't announce health services the way a larger city might.

That's partly why knowing where to go, and that you can go without fanfare, changes the conversation. North Spearfish residents who want a baseline screening or follow-up testing have access to providers who handle it as routine medical care, not as something that requires explanation or distance. Sexual health touches everyone eventually: new partners, regular checkups between relationships, or simply taking responsibility before moving forward with someone. Testing available in and around North Spearfish treats it as exactly what it is, preventive care that protects you and the people you're close to.

Getting there

How residents reach STD testing in North Spearfish, SD

Walkability 7.99 / 20 · Below average

At 7.99/20 on the EPA walkability index, day-to-day errands in North Spearfish 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.

Map of 3 STD & STI testing locations in North Spearfish, South Dakota, EasySTD

ZIP 57783 snapshot

Residents
16,929
Median age
40
Median income
$64,970

ZIP-level Census figures for the wider 57783 area around North Spearfish: a single ZIP can span several communities, so they describe the area, not North Spearfish alone.

North Spearfish sits in Lawrence County, ZIP 57783. Local context that shapes where residents test:

Local landmarks

  • Spearfish Creek
  • Von Bayer Museum of Fish Culture
  • The Booth House
  • Lookout Mountain
  • Crow Peak

Neighborhoods & communities

  • Spearfish

Major routes

  • US 85 (US Highway 85)
  • I 90 Business (North Avenue)

Reference

STD testing in North Spearfish, SD: screening, costs & privacy

Everything to know before you test in Lawrence County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under South Dakota law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 North Spearfish-area provider.

InfectionEarliest reliable testSample
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
Browse all STD & STI guides

What each STD test costs

Medicare 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 North Spearfish 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.

TestReference priceCPT / 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 South Dakota

Minor consent and partner treatment (EPT) under state law, plus how to test privately

Two things that actually depend on South Dakota 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 South Dakota, 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)

Expedited Partner Therapy (EPT) is potentially allowable in South Dakota: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.

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 South Dakota

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for North Spearfish, SD

Answers to the questions people ask most before getting tested.

How many places can I test near North Spearfish, SD?

There is 1 option within a 30-mile drive.

Does insurance cover STD testing near North Spearfish, SD?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Where can I get tested for free near North Spearfish, SD?

Public health clinics nearby provide free testing.

What's included in a full panel near North Spearfish, SD?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Lawrence County?

Lawrence County reported ~307 chlamydia cases per 100,000 in 2023, below the South Dakota average.

Is there an at-home STD test for North Spearfish, SD?

At-home kits mail to 57783: self-collect, send to the lab, results in ~2–5 days.

Can someone under 18 get tested in South Dakota without a parent?

In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.

Does the test site matter for gonorrhea?

Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.

Does a negative test mean I'm safe?

Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.

What happens after a positive result?

Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.