STD Testing in Roanoke, AL: Free, Same-Day & Confidential
Roanoke, Alabama sees about 44% fewer syphilis cases than average nationwide, but residents may still want STD testing whether they need testing after a possible exposure or as part of routine check-ups. If you're looking for testing in Roanoke, Alabama, clinics that bill insurance may also offer sliding-scale fees. Meanwhile, private labs usually allow you to pay a flat self-pay price. We list options below.
9 testing options are listed for Roanoke, AL. The nearest, Regional Health Management, is about 1.2 miles away. Compare community and public clinics, private labs, and at-home kits below.
How to read these listings
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.
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Address
812 South Park Street, Carrollton, GA 30117 33.7 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Community health center 1.2 miles
Regional Health Management
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A community safety-net rural health clinic about 1 mile from Roanoke. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Quality of Life Health Services in Wadley tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding-scale fee accepted by Medicaid, Medicare, and most insurers. Same-visit treatment is available for bacterial STIs, and an appointment is required.
A community safety-net rural health clinic about 14 miles from Roanoke. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
A community safety-net rural health clinic about 16 miles from Roanoke. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Georgia Department of Public Health in Franklin runs STI care through the infrastructure of a public health department: appointment-based, with gonorrhea, chlamydia, syphilis, and rapid HIV testing, same-visit bacterial treatment, sliding-scale fees, and all services provided at no fee.
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No Fee Attached to Any Service
Sliding-scale clinics still leave some patients weighing whether they can afford the visit. At Georgia Department of Public Health in Franklin, that calculation disappears entirely. Every service, from the initial test to treatment, carries no charge for any patient.
Spanish-Language Care Stays In This Building
When STI care requires a second appointment to clear up what the first one couldn't communicate, infections go unresolved and follow-through drops. Georgia Department of Public Health in Franklin delivers care directly in Spanish, keeping the clinical conversation intact from screening through treatment.
Herpes and Hepatitis Testing Alongside the Standard Panel
Plenty of STI clinics test for the basic four and send patients elsewhere for everything else. Georgia Department of Public Health in Franklin also tests for herpes, hepatitis A, hepatitis B, hepatitis C, and TB. A broader panel handled in a single appointment.
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.
The nearest testing center is about 1 mile away, if you'd rather skip the trip, an at-home kit ships to Roanoke, 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 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
Quest Diagnostics
$79 & up
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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
Other CLIA-certified labs near Roanoke, AL
Beyond the public testing sites above, these federally certified (CLIA) labs serve Randolph 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Roanoke. 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
Clinicians near Roanoke, AL who may help arrange STD testing
Beyond dedicated clinics, 59 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Roanoke. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 14 offer telehealth.
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
Pharmacies near Roanoke, AL
Compare the pharmacies closest to Roanoke, AL. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Roanoke, 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.
Online treatment
Wisp
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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
STDs & HIV in Randolph County: the local picture
How reported STI rates in Randolph County, the county that includes Roanoke, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~23% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#45
#45 of 67 Alabama counties for chlamydia, a higher rate than 33% of the state
Reported STD rates per 100,000, Randolph County vs Alabama vs U.S.
Randolph CountyAlabamaU.S.▲▼ = Randolph County vs the state average
Infection
Randolph County
Alabama
United States
Chlamydia
399.491 cases▼ 39%
651.1
492.2
Gonorrhea
83.419 cases▼ 63%
226.9
179.5
Syphilis (P&S)
8.82 cases▼ 69%
28.6
15.8
Syphilis (early)
13.23 cases▼ 35%
20.4
16
Syphilis (late/unknown)
30.77 cases▲ 25%
24.5
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.
Reported STD rates in Randolph County over time (per 100,000)
Chlamydia ▼ 19% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Randolph County, chlamydia has risen from 391.5 to 399.4 per 100,000 (2%), gonorrhea has fallen from 332.3 to 83.4 per 100,000 (75%), and P&S syphilis has fallen from 13.6 to 8.8 per 100,000 (35%).
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
What shapes testing access in and around Roanoke, AL
Adults uninsured
10.4%
No routine checkup
18.6%
No transportation
10.7%
Binge drinking
12.9%
Frequent mental distress
18.2%
Depression
24.3%
Below poverty line
20.3%
Primary-care ratio
3,665 : 1
Randolph County
Primary-care shortage score 15 / 26
Medically Underserved Area · IMU 61
Social Vulnerability Index · 56th percentile nationally
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 Randolph County.
Local HIV snapshot
HIV in Randolph County (2023)
Federal priority area: Alabama 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.
People living with HIV
103 / 100k
PrEP users / 100k
72
Randolph County HIV care continuum (2023)
Among Randolph County residents living with HIV, 94.4% are in care · 72.2% 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.
Pregnant or planning to be?Congenital syphilis is the fastest-rising STI: what to test, and when
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 Randolph County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
AL 22 cuts straight through the center of Roanoke, and a clinic visit from almost anywhere in town means getting behind the wheel: there's no sidewalk route that gets you there, and the drive, while short, is one you have to plan for. That planning matters for younger adults in their late teens and twenties, who are most likely to encounter an STI and least likely to have a flexible schedule built around preventive care. Roanoke's household profile tells part of the story. Nearly seven in ten residents own their homes, and the typical rent here is well below state averages: that modest cost of living is real, but it coexists with a workforce participation rate that leaves a meaningful share of working-age adults outside regular employment, and less than half of adults are in a married household.
Smaller, single-adult or cohabiting households, stretched between work schedules and daily logistics, are exactly where a testing appointment can stall before it starts. With the listed options in and around Randolph County, the practical question isn't whether care exists. It's which location's hours line up with a workday that may start early and end late. The Rec Center of Roanoke sits at the social heart of the community; the clinics on this page are just as reachable for anyone already moving through town on Highway 22.
Getting there
How residents reach STD testing in Roanoke, AL
Walkability5.29 / 20 · Least walkable
At 5.29/20 on the EPA walkability index, day-to-day errands in Roanoke 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 36274 snapshot
Residents
9,827
Median age
44.6
Median income
$43,679
ZIP-level Census figures for the wider 36274 area around Roanoke: a single ZIP can span several communities, so they describe the area, not Roanoke alone.
Roanoke sits in Randolph County, ZIP 36274. Local context that shapes where residents test:
Local landmarks
Rec center of Roanoke
Major routes
AL 22 (Main Street)
Nearby cities & towns
STD testing near Roanoke, AL
Just outside Roanoke? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Roanoke, AL: screening, costs & privacy
Everything to know before you test in Randolph County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Alabama law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Who should test, and whenCDC screening schedule + each infection's detection window
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Roanoke-area provider.
What each STD test costsMedicare reference prices per lab test, a benchmark before you pay out of pocket
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Roanoke 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.
Confidentiality & consent in AlabamaMinor consent and partner treatment (EPT) under state law, plus how to test privately
Two things that actually depend on Alabama 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).
Can a minor consent on their own?
In Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
Alabama 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.
