Gonorrhea reports in Pulaski County are 48% below the US average. If you're wondering about your sexual health in Richland, Missouri, whether you have symptoms or just want peace of mind, you have options. Whether you prefer visiting a clinic for immediate care and answers or an at-home kit for convenience and flexibility, you can find both in our list of STI testing options.
Available testing centers
6 testing options are listed for Richland, MO. The nearest, Central Ozarks Medical Center, is about 0.3 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.
Central Ozarks Medical Center in Richland delivers its full STI panel (HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C) alongside TB testing, with Medicaid, Medicare, and insurance accepted and a sliding scale for everyone else, all at no fee. Appointments required.
At Central Ozarks Medical Center, the no-fee structure extends across every service on the menu: not just the HIV rapid test but also herpes and hepatitis panels, STI treatment, and vaccination. That breadth means cost never selectively narrows which part of your care actually happens.
Central Ozarks Medical Center offers interpretation services for non-English languages, meaning the clinical detail of a diagnosis, a treatment plan, or a PrEP regimen reaches you in full rather than through approximation. A difference that directly shapes whether dosing instructions and follow-up plans land correctly.
When HIV prevention requires either PrEP for ongoing protection or PEP after exposure, hunting for a prescriber who handles both is its own barrier. Delays that interrupt continuity. Central Ozarks Medical Center holds both prescribing capabilities, so neither medication waits on an outside referral chain.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
COMC Administration and Behavioral Health, in Richland, earned its federally qualified designation by committing to income-based fees for the communities it serves: meaning sliding-scale STI screening for syphilis, gonorrhea, and chlamydia is available regardless of insurance status, with no appointment required.
Tests offered
Fees & payment
Mercy in Richland runs STI testing through an appointment-based clinic accepting Medicaid, Medicare, insurance, and sliding-scale fees, covering gonorrhea, chlamydia, syphilis, rapid and conventional HIV, herpes, hepatitis A, B, and C, and TB. With same-visit treatment for bacterial infections and DoxyPEP on formulary.
Mercy's panel extends to herpes, hepatitis A, B, and C, and TB alongside the core bacterial and HIV tests, which means a single appointment can surface infections that a narrower panel would leave undetected and unaddressed.
Mercy holds DoxyPEP as part of its standing care, no separate specialist or outside prescription required. For someone paying out of pocket or without a regular provider who can prescribe bacterial STI prevention, having the medication accessible at the same clinic that does the testing closes a gap that often goes unfilled.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
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 Richland, 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.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Pulaski 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.
700 Gw Lane, Waynesville, MO 65583
CMS-certified lab Accredited · Joint Commission
Showing the nearest 1 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Richland. 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, 94 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Richland. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 5 offer telehealth.
Mario Macias, DO
OB-GYN · 304 West Washington Avenue, Richland
Jeffrey Semeyn, DO
Family medicine · 904 South Pine Street, Richland
Benny Thomas, DO
Family medicine · 215 North Street, Waynesville
Linda Morgan-Evans, MD
Family medicine · 881 Old Route 66, Saint Robert
Saima Jabeen, MD
Internal medicine · 608 Old Route 66, Saint Robert
James Eikermann, DO
Family medicine · 165 Park Drive, Saint Robert
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 Richland, 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.
Stockstills Pharmacy
0.4 miJonk
0.5 miRPCS
10 miThe Health Pals Company
10 miMedley Pharmacy
11 miMercy Pharmacy Services
13 miShowing the 6 closest pharmacies to Richland, 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 Richland, 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
$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
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 Pulaski County, the county that includes Richland, 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.
#21 of 115 Missouri counties for chlamydia, a higher rate than 82% of the state
| Infection | Pulaski County | Missouri | United States |
|---|---|---|---|
| Chlamydia | 407 219 cases ▼ 18% | 498.6 | 492.2 |
| Gonorrhea | 92.9 50 cases ▼ 54% | 201.9 | 179.5 |
| Syphilis (P&S) | 13 7 cases ▼ 40% | 21.5 | 15.8 |
| Syphilis (early) | 9.3 5 cases ▼ 25% | 12.4 | 16 |
| Syphilis (late/unknown) | 20.4 11 cases ▼ 40% | 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 Pulaski County, chlamydia has fallen from 572.7 to 407 per 100,000 (29%), gonorrhea has fallen from 155.7 to 92.9 per 100,000 (40%), and P&S syphilis has risen from 3.7 to 13 per 100,000 (251%).
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 Pulaski 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.
Pulaski County HIV care continuum (2023)
Among Pulaski County residents living with HIV, 75% are in care · 65.6% 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 Pulaski County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Shady Dell Park sits at the intersection of where families have lived for decades and where younger adults are building lives of their own. That mix, longtime homeowners alongside people in their late teens through thirties, shapes health needs that don't always get discussed openly. STI testing in and around Richland reflects a community where people value privacy without apology, and where affordability matters when making healthcare decisions. The clinics and providers listed on this page understand that confidentiality isn't theater; it's the baseline that lets someone walk in without calculating what the receptionist might tell a cousin or coworker. Multigenerational households are common here, and so is the reality that a person seeking testing may need to arrange it without broadcast.
Young adults in particular benefit from straightforward access to screening, not as shame management, but as routine self-knowledge. Testing happens, results stay confidential, and people move forward. The modest cost of living that draws people to Richland can make health services feel more reachable. Testing facilities available in the area work with that reality, offering pathways that don't demand a second mortgage or a day off work to navigate.
Getting there
At 3.66/20 on the EPA walkability index, day-to-day errands in Richland 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 65556 snapshot
ZIP-level Census figures for the wider 65556 area around Richland: a single ZIP can span several communities, so they describe the area, not Richland alone.
Richland sits in Pulaski County, ZIP 65556. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Richland? 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 Pulaski 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 Richland-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 Richland 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.
The closest is Central Ozarks Medical Center (0.3 mi); 4 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 407 cases per 100,000 residents (2023), below the Missouri average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Missouri, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
That's a myth; STIs need sexual contact to spread, not surfaces.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.