Reported syphilis in Polk County runs about 77% lower than the US average. If you need testing in Onalaska, Texas, for a one-time concern or regular check-ups, weigh the trade-offs of public clinics offering lower costs, private labs focusing on speed, and at-home kits giving you convenience. Options are listed below.
Available testing centers
8 testing options are listed for Onalaska, TX. The nearest, Health Center of Southeast Texas - Livingston, is about 5.4 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.
Health Center of Southeast Texas - Livingston, serving Livingston, anchors its STI services in a federally qualified model where fees adjust to what patients actually earn. No one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening.
Tests offered
Fees & payment
HealthPoint - Trinity welcomes patients in Trinity regardless of insurance status or ability to pay, making it a practical answer for anyone navigating care without coverage or paying out of pocket. As a federally qualified health center, it offers sliding-scale STI screening for syphilis, gonorrhea, and chlamydia.
Tests offered
Fees & payment
Health Center of Southeast Texas in Shepherd is a community health center where STI care (gonorrhea, chlamydia, syphilis, HIV, and hepatitis C) runs alongside family planning on a sliding-scale fee, with appointments required and same-visit treatment available for bacterial infections. Spanish is spoken on staff.
Spanish-language care at Health Center of Southeast Texas is staffed capacity, not a workaround: clinicians conduct intake, counseling, and treatment conversations directly in Spanish. That means dosing instructions, follow-up schedules, and prevention education are delivered and confirmed in the same language, with no relay between patient and provider.
Health Center of Southeast Texas prescribes and manages direct-acting antiviral therapy for hepatitis C in-house, the same clinic that runs the antibody and confirmatory tests carries the treatment through sustained virologic response. Patients aren't handed off after diagnosis; monitoring and medication management stay in one place.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Health Center of Southeast Texas tests for hepatitis C, which means a single visit can surface an infection that often goes undetected until liver damage is already underway.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
Lone Star Family Health Center brings family-practice depth to STI care in Huntsville, covering the full standard panel with same-visit treatment for bacterial infections, walk-ins welcome, and fees scaled to income. All with Spanish-language care on-site.
When a language gap cuts across a diagnosis conversation, the result is incomplete understanding, and incomplete follow-through on treatment. At Lone Star Family Health Center, STI counseling, treatment, and prevention education are carried through in Spanish by the clinic itself, so nothing critical gets condensed or left out.
Lone Star Family Health Center's panel extends to herpes, hepatitis B, and hepatitis C. Practical for anyone without a regular primary-care provider who needs a single appointment to cover real exposure concerns, not just the four infections most walk-in sites address. Hepatitis C and HIV are managed on-site as well.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Onalaska, 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 Polk 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.
1717 Highway 59 Bypass, Livingston, TX 77351
CMS-certified lab Accredited · College of American Pathologists
111 Emergency Drive, Livingston, TX 77351
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Onalaska. 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, 64 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Onalaska. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 24 offer telehealth.
Robert Woodrome, MD
Family medicine · 14181 US Hwy 190 West, Onalaska
Raoul Perez, MD
Family medicine · 309S Loop Hwy 59, Livingston
James Brown, MD
Family medicine · 129 Daycare Road, Livingston
Hunganh Bui, MD Telehealth
Family medicine · 210 West Park, Livingston
Tamanna Ferdous, MD Telehealth
Family medicine · 204 West Park, Livingston
Kenneth Laurora, MD Telehealth
Internal medicine · 300 Bypass Lane, Livingston
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 Onalaska, 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.
Brookshire Brothers Pharmacy
12 miPharm House Drug- Trinity
18 miTrinity RX Pharmacy
18 miShowing the 3 closest pharmacies to Onalaska, 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 Onalaska, 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.
$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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Polk County, the county that includes Onalaska, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~11% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#194 of 254 Texas counties for chlamydia, a higher rate than 24% of the state
| Infection | Polk County | Texas | United States |
|---|---|---|---|
| Chlamydia | 201.2 109 cases ▼ 59% | 491.9 | 492.2 |
| Gonorrhea | 49.8 27 cases ▼ 72% | 176.4 | 179.5 |
| Syphilis (P&S) | 3.7 2 cases ▼ 75% | 15 | 15.8 |
| Syphilis (early) | 5.5 3 cases ▼ 79% | 26.4 | 16 |
| Syphilis (late/unknown) | 53.5 29 cases ▲ 21% | 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 Polk County, chlamydia has fallen from 215.5 to 201.2 per 100,000 (7%), gonorrhea has fallen from 73.8 to 49.8 per 100,000 (33%), and P&S syphilis has risen from 2 to 3.7 per 100,000 (85%).
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 Polk County.
Local HIV snapshot
Polk County HIV care continuum (2023)
Polk County recorded 10.8 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Polk County residents living with HIV, 73.5% are in care · 56.3% 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 Polk County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 190 stretches through Onalaska as the main artery connecting residents to nearly everything outside town limits, and a clinic visit means committing to that drive, since none of the options listed on this page sit inside Onalaska itself. For a community where more than half of adults are outside the paid workforce and unemployment runs notably above typical small-town figures, that round trip carries real weight: it costs time, fuel, and often a day's arrangement rather than a quick errand. Those realities land differently depending on where someone sits in the local housing picture. Three-quarters of Onalaska households own their homes, many of them modest by value, and the quarter who rent face monthly costs that leave little slack for discretionary spending.
Meaning even a low-fee clinic visit competes with other line items. Younger adults in their late teens and twenties, a smaller slice of the population here than in most Texas towns, tend to have the least buffer against both expenses and scheduling gaps, which makes options listed on this page, sorted by proximity, worth knowing before the need feels urgent. Nearly half of Onalaska households are married-couple arrangements, with average household sizes leaning toward families rather than single occupants. Testing fits that life stage too: a clear result is something partners and households carry together, not just individuals.
Getting there
At 5.49/20 on the EPA walkability index, day-to-day errands in Onalaska 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 77360 snapshot
ZIP-level Census figures for the wider 77360 area around Onalaska: a single ZIP can span several communities, so they describe the area, not Onalaska alone.
Onalaska sits in Polk County, ZIP 77360. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Onalaska? 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 Polk 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 an Onalaska-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 Onalaska 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 7 options within a 30-mile drive.
Yes, Medicaid typically covers it.
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.
Polk County reported ~201 chlamydia cases per 100,000 in 2023, below the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Yes, site matters; oral/anal exposure needs a throat or rectal swab, which urine testing won't catch.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Go to an ER or call RAINN (800-656-4673); they provide testing, PEP, and support right away.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.