Decatur County reported gonorrhea runs 93% lower than the national US average. Whether you have symptoms or just want peace of mind in Pleasanton, Iowa, consider costs and speed to find the right option. Community and public clinics are often low-cost or free, while private labs can offer faster results and more flexible scheduling. See the list below.
Available testing centers
6 testing options are listed for Pleasanton, IA. The nearest, Infinity Health - Lamoni Office, is about 9.8 miles away. Compare 3 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.
A safety-net federally qualified health center about 10 miles from Pleasanton. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Northwest Health Services in Cainsville tests for gonorrhea, chlamydia, syphilis, and HIV, and can treat bacterial infections the same visit rather than sending you elsewhere for a prescription. Fees run on a sliding scale, with Medicaid and private insurance also accepted. An appointment is required.
Languages
English
Tests offered
Serves
Care services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
A community safety-net rural health clinic about 12 miles from Pleasanton. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
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 10 miles away; if you'd rather skip the trip, an at-home kit ships to Pleasanton, 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 Decatur 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.
302 Northeast 14th Street, Leon, IA 50144
CMS-certified lab
802 East Ackerly Street, Lamoni, IA 50140
CMS-certified lab
1405 Northwest Church Street, Leon, IA 50144
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Pleasanton. 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, 28 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Pleasanton. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
Nathan Allen, DO
Family medicine · 302 Northeast 14th Street, Leon
David Zelinskas
Family medicine · 1405 Northwest Church Street, Leon
Gregory Dean, MD
Family medicine · 16027 Locust Street, Eagleville
Tammy Hart, MD
Family medicine · 400 North Fullerton Street, Princeton
Amy Bingaman, MD
OB-GYN · 417 South East Street, Corydon
Dillon Cleary, MD
Family medicine · 417 South East Street, Corydon
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 Pleasanton, IA 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.
Hy-Vee Clinic Pharmacy
10 miHy-Vee
10 miLamoni Varsity Drug
10 miHy-Vee Clinic Pharmacy (3389)
11 miDecatur Family Pharmacy
11 miHy-Vee Pharmacy
11 miShowing the 6 closest pharmacies to Pleasanton, IA.
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 Pleasanton, 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 Decatur County, the county that includes Pleasanton, compare with Iowa 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.
#29 of 99 Iowa counties for chlamydia, a higher rate than 71% of the state
| Infection | Decatur County | Iowa | United States |
|---|---|---|---|
| Chlamydia | 300.1 23 cases ▼ 30% | 426.8 | 492.2 |
| Gonorrhea | 13 1 cases ▼ 89% | 116.8 | 179.5 |
| Syphilis (P&S) | — no data | 10.3 | 15.8 |
| Syphilis (early) | — no data | 9.2 | 16 |
| Syphilis (late/unknown) | — no data | 9.9 | 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.
Between 2020 and 2023 in Decatur County, chlamydia has risen from 287.8 to 300.1 per 100,000 (4%), and gonorrhea has fallen from 104.6 to 13 per 100,000 (88%).
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 Decatur County.
Local HIV snapshot
Decatur County HIV care continuum (2021)
Decatur County recorded 0 new HIV diagnoses per 100,000 (2021), against 5.1 statewide and 13.7 nationally. Among Decatur County residents living with HIV, 100% are in care · 100% 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 Decatur County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Pleasanton moves at the rhythm of a small Iowa town: errands consolidated, routines tight, the kind of place where nearly everyone owns their home and most households are built around a partner. With four in five adults married and average household size hovering above the national norm, this is a community of established families, not a transient one. Yet underneath that stability, Decatur County's STI rates tell a more complicated story, and the younger adults here, people in their late teens and twenties, face the same exposure windows that make regular screening important everywhere. The employment picture adds another layer.
A meaningful share of residents are out of the workforce entirely, whether through choice, circumstance, or the county's limited local economy. For those who are working, schedules can be rigid, and with a third of households earning well into six figures alongside others managing on less, cost calculus around healthcare varies widely across the same streets. Neither group benefits from a clinic visit that requires elaborate planning. Often a significant one into the county's rural spread.
The options listed on this page reflect that geography. Knowing which is closest, and whether it offers same-day slots, is the practical first question anyone here should answer before their calendar fills back up.
Getting there
At 2.87/20 on the EPA walkability index, day-to-day errands in Pleasanton 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 50065 snapshot
ZIP-level Census figures for the wider 50065 area around Pleasanton: a single ZIP can span several communities, so they describe the area, not Pleasanton alone.
Nearby cities & towns
Just outside Pleasanton? 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 Decatur County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Iowa 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 Pleasanton-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 Pleasanton 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 Iowa 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 Iowa, a minor of any age can consent to confidential STI testing and treatment on their own; a parent may be notified only in the case of a positive HIV test result.
Iowa 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 IowaSource: 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.
Infinity Health - Lamoni Office, about 9.8 mi away, with 3 options within 30 miles.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
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.
Decatur County reported ~300 chlamydia cases per 100,000 in 2023, below the Iowa average.
At-home kits mail to 50065: self-collect, send to the lab, results in ~2–5 days.
In Iowa, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.