Fort Bend County reported chlamydia cases are 34% lower than the national average. If you're in Richmond, Texas for a one-time concern or regular check-ups, weigh options between community clinics, which are often low-cost or free, versus private labs, which may offer faster results and more flexible scheduling. Find your options listed below.
Available testing centers
9 testing options are listed for Richmond, TX. The nearest, Richmond Community Health Center, is about 0.2 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.
Richmond, in Richmond, earned federal qualification to serve patients at every income level, including those paying out of pocket, through a sliding-scale fee structure. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, with fees adjusted to what each patient can actually afford.
Tests offered
Fees & payment
Richmond Center, in Richmond, draws its sliding-scale STI screening from federally qualified health center funding. Meaning fees adjust to income for anyone who walks in. The clinic tests for syphilis, gonorrhea, and chlamydia without an appointment, and its Ryan White-funded program extends that same income-based model to HIV care.
Tests offered
Fees & payment
Fort Bend County Clinical Health Services Department, Rosenberg's county-run public health clinic, folds STI testing into a department with TB, immunization, and chronic disease infrastructure: bringing that same institutional depth to gonorrhea, chlamydia, syphilis, and rapid HIV screening, all at no fee, by appointment.
The department runs STI tests, HIV screening, STI treatment, and PrEP management under a public-health funding structure where no individual charge is generated at the point of service. Not sliding-scale with a floor, but fully county-supported, so the billing step doesn't exist.
Spanish-language care at this department is delivered directly by staff: counseling, HIV test results, and STI education happen in Spanish without routing through a secondary service, keeping clinical detail accurate and the conversation between the patient and the provider.
Without on-site PrEP and PEP availability, a patient leaves a county clinic with nothing but contact information and a gap in coverage that can stretch days or weeks. Fort Bend County Clinical Health Services prescribes and manages both here, closing that gap before the appointment ends.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Memorial Hermann-GoHealth Urgent Care in Sugar Land accepts Medicaid and private insurance, with fees for those paying out of pocket, and tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB, no appointment required, with same-visit treatment for bacterial infections and interpretation services available.
Walk-in urgent care with no regular provider and a language other than English spoken at home can make STI care genuinely complicated. Memorial Hermann-GoHealth's standing interpretation services mean the clinical conversation (symptoms, medications, follow-up) happens in the language you use, without scheduling around it.
PrEP at Memorial Hermann-GoHealth involves an initial HIV test, baseline labs, and an ongoing prescription managed through the clinic. Not a one-time handoff. PEP is likewise dispensed and monitored here, with the clinical staff tracking the full course rather than leaving follow-up to another provider.
Plenty of STI clinics test HIV, syphilis, gonorrhea, and chlamydia and nothing further: leaving herpes, hepatitis A, hepatitis B, and hepatitis C off the list entirely. Memorial Hermann-GoHealth runs all of them, which means a single visit can surface infections that a narrower panel would simply miss.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Memorial Hermann in Sugar Land charges fee-based rates with insurance accepted, covering HIV (rapid and conventional), syphilis, gonorrhea, chlamydia, hepatitis B, hepatitis C, and TB: same-visit treatment for bacterial STIs, with HPV and hepatitis vaccines and sliding-scale options available by appointment.
Memorial Hermann prescribes and monitors PrEP: meaning the baseline labs, the prescription itself, and the follow-up testing required every three months are all handled by the same clinical staff. PEP is likewise dispensed and overseen on-site, not coordinated through an outside provider.
For anyone without a standing specialist relationship, Memorial Hermann's capacity to both diagnose and treat hepatitis C on-site is the practical answer. Antivirals can be prescribed by the same team that ran the test, skipping the specialist queue that otherwise separates a positive antibody result from actual medication.
Someone without a regular primary care provider, and paying out of pocket, benefits most from a panel that includes hepatitis B, hepatitis C, and TB alongside HIV and the bacterial STIs: one appointment, one fee structure, no need to source hepatitis testing separately.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · 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 Richmond, 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 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 Fort Bend 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.
1705 Jackson Street, Richmond, TX 77469
CMS-certified lab Accredited · College of American Pathologists
22003 Southwest Freeway, Richmond, TX 77469
CMS-certified lab Accredited · College of American Pathologists
26000 Fm 1093 Road, Richmond, TX 77406
CMS-certified lab Accredited · COLA
22001 Southwest Freeway, Richmond, TX 77469
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Richmond. 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, 2,993 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Richmond. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 1,080 offer telehealth.
Andrew Shore, DO
Internal medicine · 400 Austin Street, Richmond
Ivan Mefford, MD
Family medicine · 1505 Liberty Street, Richmond
Huong Tong, MD
Family medicine · 1705 Jackson Street, Richmond
Omerine Aseh, MD
Family medicine · 1705 Jackson Street, Richmond
Conrado Ordonez, MD
Family medicine · 5633 Ave I, Rosenberg
Charles Holmsten, MD Telehealth
Family medicine · 1730 Fm 2218 Road, Rosenberg
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 Richmond, 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.
Health 1st Pharmacy
0.3 miMbepe Pharmacy
0.3 miPeyton Pharmacy
0.3 miPharma
0.3 miAccountable RX
0.3 miPrescript Assist Pharmacy
0.3 miShowing the 6 closest pharmacies to Richmond, 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 Richmond, 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 $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
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 Fort Bend County, the county that includes Richmond, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~37% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#112 of 254 Texas counties for chlamydia, a higher rate than 56% of the state
| Infection | Fort Bend County | Texas | United States |
|---|---|---|---|
| Chlamydia | 322.8 2,959 cases ▼ 34% | 491.9 | 492.2 |
| Gonorrhea | 97 889 cases ▼ 45% | 176.4 | 179.5 |
| Syphilis (P&S) | 6.7 61 cases ▼ 55% | 15 | 15.8 |
| Syphilis (early) | 10.4 95 cases ▼ 61% | 26.4 | 16 |
| Syphilis (late/unknown) | 16.8 154 cases ▼ 62% | 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 Fort Bend County, chlamydia has risen from 264.8 to 322.8 per 100,000 (22%), gonorrhea has fallen from 99.1 to 97 per 100,000 (2%), and P&S syphilis has risen from 4.7 to 6.7 per 100,000 (43%).
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 Fort Bend County.
Local HIV snapshot
Fort Bend County HIV care continuum (2023)
Fort Bend County recorded 11.1 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Fort Bend County residents living with HIV, 78.4% are in care · 71.1% 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 Fort Bend County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
US 90 Alt threads through Richmond's older core past Morton Lodge No. 72 and Keith A. Crawford Memorial Park, connecting neighborhoods like Veranda and Kingdom Heights to the errands and appointments that shape a family's week. That household character matters here: average households run larger than the national norm, and most adults are raising or living alongside others, which means health decisions rarely feel purely individual. When one person schedules a screening, the cost, the timing, and the distance from home factor into a shared budget and a shared calendar.
With just under half of residents owning their homes and a majority renting at a relatively modest monthly rate, disposable income varies considerably across Richmond. The share of households clearing six figures sits below a quarter of the population, so clinic fees and the time cost of a drive are real considerations, not abstractions. Young adults, particularly people in their late teens and twenties who are still building relationships and establishing care routines, benefit most when screening options are close and affordable, because any extra step tends to be the one that gets skipped. Fort Bend County's STI figures reflect a community large enough and growing fast enough that routine testing carries genuine weight.
Getting there
At 5.14/20 on the EPA walkability index, day-to-day errands in Richmond 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 77406 snapshot
ZIP-level Census figures for the wider 77406 area around Richmond: a single ZIP can span several communities, so they describe the area, not Richmond alone.
Richmond sits in Fort Bend County, ZIP 77406. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Richmond? 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 Fort Bend 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 Richmond-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 Richmond 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 Richmond Community Health Center (0.2 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.
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 323 cases per 100,000 residents (2023), below the Texas average.
In Texas, 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.
Yes, at-home kits ship to 77406; you collect a sample, mail it back, and get results in about 2–5 days.
Public health clinics, family-planning clinics, and many school or campus health centers test teens and young adults, often free.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.