Gonorrhea reports in Wayne County run 90% lower than the national average. If you're starting a new relationship or managing ongoing care in Piedmont, Missouri, decide if you prefer the cost savings of community or public clinics or the speed and convenience of private labs. Below are local testing options.
Available testing centers
5 testing options are listed for Piedmont, MO. The nearest, Missouri Highlands Health Care, is about 0.7 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.
Missouri Highlands Health Care in Piedmont runs appointments for gonorrhea, chlamydia, syphilis, and more. With same-visit treatment for bacterial infections when results call for it. Fees slide to income, and insurance or Medicaid covers what they cover. PrEP and PEP are both on the menu.
Missouri Highlands Health Care prescribes both PrEP and PEP directly, which means ongoing prevention stays with a provider who already knows your testing history. No separate appointment at a different practice to keep the regimen going.
An STI clinic typically hands off substance-use concerns entirely. Missouri Highlands Health Care carries both, treatment for substance use is integrated into the same practice, so a patient managing addiction doesn't have to split care across two providers.
The standard four-infection panel leaves hepatitis A, B, and C, plus herpes, off the table. Missouri Highlands Health Care tests for all of them, which matters when a complete picture of exposure is what the visit is actually for.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Saint Francis Healthcare in Piedmont accepts Medicaid, Medicare, and private insurance, with a fee schedule applied to visits. Appointments are required. The testing panel covers HIV via rapid test, syphilis, gonorrhea, chlamydia, and hepatitis A, B, and C, with same-visit treatment available for bacterial STIs and HPV and hepatitis vaccines on-site.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Wayne County Health Center in Greenville runs STI care through a county public health framework, offering gonorrhea, chlamydia, syphilis, and HIV testing by appointment, with same-visit treatment for bacterial infections, HPV and hepatitis vaccines, and all testing provided free of charge.
Plenty of clinics advertise sliding-scale fees as their answer to cost, Wayne County Health Center charges nothing for any service it provides. Donations are accepted, Medicaid is welcome, but the bill for someone who walks in with neither is the same: zero.
Gonorrhea, chlamydia, syphilis, and HIV are the baseline nearly everywhere. Wayne County Health Center adds hepatitis C to that list as a routine part of testing. Getting a complete picture of blood-borne and sexually transmitted infections doesn't require a separate appointment or a separate facility.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Piedmont, 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 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.
Local clinicians
Beyond dedicated clinics, 42 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Piedmont. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1 offer telehealth.
Elizabeth Bowman, DO
Family medicine · 1 Hals Plz, Piedmont
David Gayle, MD
Family medicine · 420 Piedmont Avenue, Piedmont
Ali Aziz, MD
Internal medicine · 3100 Oak Grove Road, Poplar Bluff
Syed Anees, MD
Internal medicine · 3100 Oak Grove Road, Poplar Bluff
David Wood, DO Telehealth
Family medicine · 3100 Oak Grove Road, Poplar Bluff
Maxine Theriot, MD
Family medicine · 3098 Oak Grove Road, Poplar Bluff
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 Piedmont, MO 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.
Piedmont Family Pharmacy
0.7 miToney Drug & Wellness
0.7 miTown & Country Pharmacy
0.7 miParkland Pharmacy
1.5 miShowing the 4 closest pharmacies to Piedmont, MO.
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 Piedmont, 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
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Wayne County, the county that includes Piedmont, compare with Missouri and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#88 of 115 Missouri counties for chlamydia, a higher rate than 23% of the state
| Infection | Wayne County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 157.2 17 cases ▼ 68% | 498.6 | 492.2 |
| Gonorrhea | 18.5 2 cases ▼ 91% | 201.9 | 179.5 |
| Syphilis (P&S) | 46.2 5 cases ▲ 115% | 21.5 | 15.8 |
| Syphilis (early) | 18.5 2 cases ▲ 49% | 12.4 | 16 |
| Syphilis (late/unknown) | 83.2 9 cases ▲ 146% | 33.8 | 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 Wayne County, chlamydia has fallen from 209.6 to 157.2 per 100,000 (25%), gonorrhea has fallen from 145.8 to 18.5 per 100,000 (87%), and P&S syphilis has risen from 18.3 to 46.2 per 100,000 (152%).
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 Wayne County.
Local HIV snapshot
Federal priority area: Missouri is one of the U.S. jurisdictions prioritized under the Ending the HIV Epidemic initiative: targeted federal funding to expand local HIV testing, PrEP, and prevention.
Wayne County HIV care continuum (2023)
Wayne County recorded 0 new HIV diagnoses per 100,000 (2023), against 10.6 statewide and 13.7 nationally. Among Wayne County residents living with HIV, 85.7% are in care · 85.7% 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.
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 Wayne County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
With just over half the adult population actively in the workforce, many residents are juggling hours that don't leave much room for appointments that require a dedicated trip. The cost side of life here sharpens that picture. Rent runs low by most measures, and home values reflect a community where budgets are genuinely tight, which makes the fee structure and insurance policies listed on each clinic card worth reading closely before you drive. The small share of households clearing six figures means most people are making real trade-offs, and an unexpected out-of-pocket cost can quietly kill an intention to follow through.
Young adults in their late teens and twenties make up a meaningful slice of Piedmont's population, and those are the years when regular screening has the most practical impact. Earlier catches, simpler treatment, fewer complications. But the household texture here is notably family-oriented: average households run larger than the national norm, and a substantial share of adults are married. Testing fits into that picture too: partners, shared households, and ongoing relationships all give routine screening a clear, practical purpose beyond any single person's individual health.
Getting there
At 5.8/20 on the EPA walkability index, day-to-day errands in Piedmont 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 63957 snapshot
ZIP-level Census figures for the wider 63957 area around Piedmont: a single ZIP can span several communities, so they describe the area, not Piedmont alone.
Piedmont sits in Wayne County, ZIP 63957. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Piedmont? 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 Wayne County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Missouri 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 Piedmont-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 Piedmont 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 Missouri 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 Missouri, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Missouri 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 MissouriSource: 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.
Possibly, Greenville, MO is close; compare it by distance against Missouri Highlands Health Care.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, Wayne County Health Center (13.3 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 157 cases per 100,000 residents (2023), below the Missouri average.
In Missouri, 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.
Lab results typically come back in 1–2 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.