Every year, Frio County reports about 200 gonorrhea cases per 100,000 residents, near the US average. If you're seeking STI testing in Pearsall, Texas, before starting a new relationship or as part of ongoing care, you'll find some clinics that can test you immediately, while labs and at-home kits let you schedule on your terms. The options below can help you decide.
Available testing centers
9 testing options are listed for Pearsall, TX. The nearest, Texas Department of State Health Services, is about 0.9 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.
Texas Department of State Health Services in Pearsall runs on appointments, so scheduling ahead unlocks the full visit: gonorrhea, chlamydia, syphilis, and HIV testing alongside STI treatment, DoxyPEP, and HPV, hepatitis A, and mpox vaccines. All on a sliding-scale or no-fee basis.
Doxycycline post-exposure prophylaxis remains outside the scope of many STI clinics, left to specialists or primary care. Texas DSHS Pearsall carries a prescription protocol for DoxyPEP directly, meaning the regimen is discussed, dispensed, and followed up within the same clinical relationship.
Services at Texas DSHS Pearsall are delivered in Spanish, which means counseling, test results, and prevention education are communicated with the same precision as the clinical work itself. Nothing filtered or summarized through a secondary step.
The no-fee commitment at Texas DSHS Pearsall is operational, not selective: HIV testing, vaccines, DoxyPEP, STI treatment, and TB care are all staffed and administered under the same cost framework. No service is carved out at a separate rate.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
South Texas Rural Health Services is a rural health clinic in Pearsall where appointments cover gonorrhea, chlamydia, syphilis, HIV, hepatitis B and C, and TB on a sliding-scale fee, with same-visit treatment for bacterial infections and care delivered in Spanish.
Without a clinic where Spanish is a working language of care, not an accommodation, a patient navigating STI results, treatment decisions, or prevention options loses something real: precision. At South Texas Rural Health Services, that conversation happens in Spanish from the start, with no gap between what's said and what's understood.
South Texas Rural Health Services carries substance-use treatment as a standing clinical service alongside STI care: meaning someone managing both concerns doesn't have to split their care across separate systems, separate records, or separate referral chains. One appointment, one clinic in Pearsall, both addressed.
The basic STI panel (gonorrhea, chlamydia, syphilis, HIV) leaves hepatitis B and C untested at many clinics. South Texas Rural Health Services runs both, along with TB testing, so a single visit surfaces infections that a shorter panel would miss entirely.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN
Pearsall Behavioral Health, in Pearsall, earns its federally qualified status by tying fees to income. No patient is turned away for inability to pay. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with costs scaled to what each person actually earns.
Tests offered
Fees & payment
A public STD-testing site about 31 miles from Pearsall.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Lytle Community Health Center, serving Lytle, earned federal qualification that locks in a sliding-scale fee structure tied to income. Meaning cost adjusts to what you actually earn. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with no appointment needed to get started.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Pearsall, 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 range: couples & full panels
$79 & 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.
Local clinicians
Beyond dedicated clinics, 5 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Pearsall. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 3 offer telehealth.
Robert Pease, MD
Infectious disease · 200 South Interstate 35, Pearsall
Oscar Garza, MD Telehealth
Family medicine · 205 North Oak Street, Pearsall
Jose Sosa, MD Telehealth
Family medicine · 151 Medical Drive, Pearsall
Earl Marshall, MD
Family medicine · 151 Medical Drive, Pearsall
Marcela Riojas, MD Telehealth
Family medicine · 150 Medical Drive, Pearsall
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 Pearsall, 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.
0.8 mi 
1.1 mi 
30 mi Lifechek
32 miShowing the 4 closest pharmacies to Pearsall, 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 Pearsall, 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 $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
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 Frio County, the county that includes Pearsall, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~36% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2 of 254 Texas counties for chlamydia, among the very highest in the state
| Infection | Frio County | Texas | United States |
|---|---|---|---|
| Chlamydia | 1267.6 228 cases ▲ 158% | 491.9 | 492.2 |
| Gonorrhea | 200.1 36 cases ▲ 13% | 176.4 | 179.5 |
| Syphilis (P&S) | 16.7 3 cases ▲ 11% | 15 | 15.8 |
| Syphilis (early) | 33.4 6 cases ▲ 27% | 26.4 | 16 |
| Syphilis (late/unknown) | 389.2 70 cases ▲ 779% | 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 Frio County, chlamydia has risen from 625.5 to 1267.6 per 100,000 (103%), gonorrhea has risen from 168.6 to 200.1 per 100,000 (19%), and P&S syphilis has risen from 10.8 to 16.7 per 100,000 (55%).
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 Frio County.
Local HIV snapshot
Frio County HIV care continuum (2023)
Frio County recorded 167.6 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Frio County residents living with HIV, 31.2% are in care · 24.2% 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 Frio County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Frio Lodge No. 399 anchors the older residential blocks off North Oak Street, and the households spread out around it carry a particular character: large by national standards, with most residents owning rather than renting, and extended families often under one roof. That kind of household structure shapes how health decisions get made, because a doctor's visit or a screening appointment rarely affects just one person's schedule; it ripples through shared cars, shared childcare, and shared working hours. With nearly half the adult population outside the formal labor force, the people who are working tend to hold down jobs that don't bend easily around a weekday appointment.
That reality lands harder for young adults in their late teens and twenties, a group that represents a substantial share of Pearsall's population and the years when STI transmission runs highest. The options listed on this page serve the broader area around Frio County, which means reaching the nearest clinic typically involves a drive along I-35 Business or out past Firemans Park toward the edge of town and beyond. A typical rent here leaves little cushion for unexpected medical costs, so sliding-scale or low-cost options among the listings deserve a close look before booking.
Frio County's STI figures reflect patterns common to rural South Texas, where testing gaps tend to widen between outbreaks rather than narrow. For someone living here, staying current with screening is less about any single episode of concern and more about not letting a longer interval between tests become the default.
Getting there
At 5.54/20 on the EPA walkability index, day-to-day errands in Pearsall 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 78061 snapshot
ZIP-level Census figures for the wider 78061 area around Pearsall: a single ZIP can span several communities, so they describe the area, not Pearsall alone.
Pearsall sits in Frio County, ZIP 78061. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Pearsall? 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 Frio 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 Pearsall-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 Pearsall 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 Texas Department of State Health Services (0.9 mi); 3 options are within 30 miles.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 1,268 cases per 100,000 residents (2023), above the Texas average.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Start treatment, tell recent partners so they can test, avoid sex until cleared, and retest if advised, most STIs resolve with care.
A urine sample or a swab (genital, throat, or rectal) detects gonorrhea, often tested alongside chlamydia.
Likely yes, if you were past the window period; otherwise retest, and keep up routine screening with new partners.
Yes, test after the window period, and if HIV exposure is a concern, ask about PEP within 72 hours.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.