In Atascosa County, reported syphilis runs about 27% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Pleasanton, Texas, you can choose between answering questions and starting treatment at a clinic or mailing in a sample from an at-home kit. Use the list below to weigh your options.
Available testing centers
9 testing options are listed for Pleasanton, TX. The nearest, Atascosa Health Center, 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.
Atascosa Health Center, in Pleasanton, earned its federal qualification by tying fees directly to each patient's income: meaning syphilis, gonorrhea, and chlamydia screening costs what you can actually pay, with no appointment needed to get started.
Tests offered
Fees & payment
Poteet Community Health Center, in Poteet, carries federal qualification as a community health center. A status that ties STI screening costs directly to income through a sliding-scale fee structure. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, with no fixed price standing between patients and care.
Tests offered
Fees & payment
CentroMed in Somerset tests for gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis A, B, and C on a sliding-scale fee that applies to everyone, with same-visit treatment for bacterial infections and appointments required; services are available in Spanish.
Stopping at gonorrhea, chlamydia, syphilis, and HIV leaves herpes and hepatitis unaccounted for: meaning a separate appointment, a separate copay, and a gap in your picture. CentroMed's panel covers hepatitis A, B, and C plus herpes in the same visit, closing that gap before it costs you twice.
For a Spanish-dominant speaker without a regular primary care provider, CentroMed in Somerset handles every step (testing, counseling, and same-visit bacterial treatment) directly in Spanish, so nothing that matters gets lost in translation between a question and an answer.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN + HRSA
CentroMed - Lifetime Recovery Clinic in San Antonio carries federally qualified health center status, which means sliding-scale fees tied to income apply to STI screening for syphilis, gonorrhea, and chlamydia. No appointment needed to get started.
Tests offered
Fees & payment
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 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 value: single tests
$49 & 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 Atascosa 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.
1905 Highway 97 East, Jourdanton, TX 78026
CMS-certified lab Accredited · Joint Commission
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, 136 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, and 31 offer telehealth.
Abimbola Banjo, MD
Internal medicine · 130 South Water Street, Pleasanton
Armando Villarreal, MD
Family medicine · 1540 West Goodwin Street, Pleasanton
Fnu Rajlakshmi, MD
Internal medicine · 310 West Oaklawn Road, Pleasanton
Benjamin Zertuche, MD Telehealth
Family medicine · 1746 West Goodwin, Pleasanton
Nimesh Patel, MD
Family medicine · 2106 West Oaklawn Road, Pleasanton
Laura Givens, MD Telehealth
Family medicine · 1504 Oak Street, Jourdanton
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, 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 Jourdanton Pharmacy
3.8 miPoteet Discount Pharmacy
7.5 miMedcare Plus Pharmacy
15 mi
17 mi 
24 mi Showing the 6 closest pharmacies to Pleasanton, 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 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.
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
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
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 Atascosa County, the county that includes Pleasanton, compare with Texas 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.
#127 of 254 Texas counties for chlamydia, a higher rate than 50% of the state
| Infection | Atascosa County | Texas | United States |
|---|---|---|---|
| Chlamydia | 299.3 155 cases ▼ 39% | 491.9 | 492.2 |
| Gonorrhea | 86.9 45 cases ▼ 51% | 176.4 | 179.5 |
| Syphilis (P&S) | 11.6 6 cases ▼ 23% | 15 | 15.8 |
| Syphilis (early) | 50.2 26 cases ▲ 90% | 26.4 | 16 |
| Syphilis (late/unknown) | 54.1 28 cases ▲ 22% | 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 Atascosa County, chlamydia has fallen from 410.4 to 299.3 per 100,000 (27%), gonorrhea has fallen from 142.9 to 86.9 per 100,000 (39%), and P&S syphilis has risen from 6.1 to 11.6 per 100,000 (90%).
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 Atascosa County.
Local HIV snapshot
Atascosa County HIV care continuum (2023)
Among Atascosa County residents living with HIV, 76.8% are in care · 65.9% 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 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 Atascosa County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
South Main Street runs through the center of Pleasanton's daily life, past the First Baptist Church and toward the quieter blocks where home values sit well below state averages and rents hover just over a thousand dollars a month. That cost profile tells a real story: most households here own their homes, but a substantial share rent, and with nearly three in ten households earning above six figures, a meaningful portion of the population navigates expenses on considerably tighter budgets. Larger-than-average household sizes and a majority of adults raising families together mean that time and money both get stretched across multiple people, and a routine health expense can feel less routine than it should.
That pressure lands unevenly on young adults, the people in their late teens and twenties who statistically face the steepest STI risk and who are also more likely to be early in careers, between coverage, or juggling schedules that don't flex easily. For them, an option listed on this page that fits within a short drive off TX 97 or US 281 without a long wait or a steep out-of-pocket cost makes a genuine difference in whether screening actually happens.
Getting there
At 2.79/20 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 78064 snapshot
ZIP-level Census figures for the wider 78064 area around Pleasanton: a single ZIP can span several communities, so they describe the area, not Pleasanton alone.
Pleasanton sits in Atascosa County, ZIP 78064. Local context that shapes where residents test:
Local landmarks
Major routes
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 Atascosa 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 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 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 Atascosa Health Center (0.7 mi); 9 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 299 cases per 100,000 residents (2023), below the Texas average.
Yes, at-home kits ship to 78064; you collect a sample, mail it back, and get results in about 2–5 days.
Lab results typically come back in 1–2 days.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
It depends: a blood draw covers HIV, syphilis, and hepatitis, while urine or a swab covers chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.