Gonorrhea in Giles County reports at about 64% lower than the US average. If you've had a recent risk or simply test on a regular schedule in Pulaski, Tennessee, weigh public clinics, private labs, and at-home kits based on your priorities of cost, speed, and convenience: see the list below.
Available testing centers
9 testing options are listed for Pulaski, TN. The nearest, Tennessee Department of Health, is about 0.8 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.
Tennessee Department of Health in Pulaski brings STI testing into a public health infrastructure built for community-wide prevention: covering HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis C, and TB on a sliding scale, with same-visit treatment for bacterial infections, by appointment, at no fee.
When cost becomes a reason to delay treatment, an infection persists, and for gonorrhea or chlamydia, that gap has real consequences. At the Tennessee Department of Health in Pulaski, every service carries no fee, so nothing between a positive result and completed care is a financial calculation.
The Tennessee Department of Health in Pulaski delivers clinical care in Spanish directly, not through a relay, but within the appointment itself. For someone navigating PrEP dosing, treatment instructions, or a hepatitis C management plan, that capability means the medical conversation lands with the precision it requires.
The Tennessee Department of Health in Pulaski prescribes both PrEP and PEP directly, which means a patient can leave with an active prevention strategy, not a suggestion to follow up somewhere else, after a single appointment.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
A public safety-net rural health clinic about 1 mile from Pulaski. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
A community safety-net rural health clinic about 17 miles from Pulaski. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Mercy Marshall County in Lewisburg extends its federally funded sliding-scale model to anyone paying out of pocket, between insurance plans, or stretching a tight budget. No appointment is needed to be screened for syphilis, gonorrhea, and chlamydia, with fees adjusted to income.
Tests offered
Fees & payment
Lewisburg Family Practice, in Lewisburg, meets patients wherever they are financially: uninsured, cash-paying, or caught between coverage gaps. Federal qualification backs its sliding-scale structure, making syphilis, gonorrhea, and chlamydia screening genuinely affordable for anyone who walks in, regardless of income.
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 Pulaski, 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 Giles 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.
1265 East College Street, Pulaski, TN 38478
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Pulaski. 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, 164 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Pulaski. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 23 offer telehealth.
Sara Bush, MD
Family medicine · 202 Hillside Drive, Pulaski
Jerry Beasley, MD
Family medicine · 204 Hillside Drive, Pulaski
Stephen Savage, MD
Family medicine · 215 South Cedar Lane, Pulaski
Anthony Khim, MD Telehealth
Urology · 215 South Cedar Lane, Pulaski
Clement Aluyi, MD Telehealth
Internal medicine · 1119 East College Street, Pulaski
Elizabeth Louie, MD
Internal medicine · 1255 East College Street, Pulaski
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 Pulaski, TN 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.
0.4 mi Reeves Drug Store
0.5 mi
0.6 mi Southern Family Markets
0.6 miSutton Family Pharmacy
0.8 mi
1.6 mi Showing the 6 closest pharmacies to Pulaski, TN.
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 Pulaski, 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 Giles County, the county that includes Pulaski, compare with Tennessee and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~30% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#25 of 95 Tennessee counties for chlamydia, a higher rate than 74% of the state
| Infection | Giles County | Tennessee | United States |
|---|---|---|---|
| Chlamydia | 384.1 118 cases ▼ 26% | 517.4 | 492.2 |
| Gonorrhea | 65.1 20 cases ▼ 65% | 186.4 | 179.5 |
| Syphilis (P&S) | 9.8 3 cases ▼ 34% | 14.8 | 15.8 |
| Syphilis (early) | 3.3 1 cases ▼ 71% | 11.5 | 16 |
| Syphilis (late/unknown) | 22.8 7 cases ▼ 14% | 26.4 | 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 Giles County, chlamydia has fallen from 435 to 384.1 per 100,000 (12%), gonorrhea has fallen from 197.7 to 65.1 per 100,000 (67%), and P&S syphilis has fallen from 9.9 to 9.8 per 100,000 (1%).
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 Giles County.
Local HIV snapshot
Giles County HIV care continuum (2023)
Among Giles County residents living with HIV, 79.5% are in care · 69.2% 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 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 Giles County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Along US 31 where South 1st Street carries commuters in and out of downtown, a $600-a-month apartment can feel like a reasonable foothold until the electric bill, the car payment, and the grocery run all arrive in the same week, and in Pulaski, where most households rent rather than own and fewer than one in ten earn a six-figure income, a clinic visit that carries any out-of-pocket cost can quietly fall off the list. That financial tightrope shapes how people here approach routine health care, including STI screening, in ways that a simple rate table can't capture. Layered on top of that is the town's geography. Pulaski is not a place you walk across, not along US 31, not down West College Street, not out toward the neighborhoods off Elkton Pike.
Getting anywhere requires a car and a window of free time, and with labor-force participation running well below the national norm and unemployment elevated, schedules here are uneven in both directions: some people are stretched across multiple jobs, others are between work entirely, and neither situation makes a mid-week appointment feel easy to keep. Younger adults in Pulaski, the late-teen and twentysomething crowd who see the highest rates of chlamydia and gonorrhea nationally, face all of this at once: tighter budgets, no-car or one-car households, and work hours that don't bend. A clinic that's low-cost, close to the South 1st Street corridor, and open on a Saturday morning isn't a luxury here; for a lot of people in this town, it's the only version that actually works.
Getting there
At 5.62/20 on the EPA walkability index, day-to-day errands in Pulaski 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 38478 snapshot
ZIP-level Census figures for the wider 38478 area around Pulaski: a single ZIP can span several communities, so they describe the area, not Pulaski alone.
Pulaski sits in Giles County, ZIP 38478. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Pulaski? 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 Giles County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Tennessee 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 Pulaski-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 Pulaski 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 Tennessee 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 Tennessee, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Tennessee 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 TennesseeSource: 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 8 options within a 30-mile drive.
Free at public clinics. 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.
Giles County reported ~384 chlamydia cases per 100,000 in 2023, below the Tennessee average.
Most results are ready in about 1–2 days.
In Tennessee, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.