In Denton County, new HIV diagnoses run about 18% lower than the US average. Whether you have symptoms or just want peace of mind in Roanoke, Texas, you can weigh costs, speed, and convenience across public clinics, private labs, and at-home kits. Below you'll find listings for all three.
Available testing centers
9 testing options are listed for Roanoke, TX. The nearest, Labcorp at Walgreens, is about 5.3 miles away. Compare community and public clinics, private labs, and at-home kits below.
Texas Health Family Care in Justin covers gonorrhea, chlamydia, syphilis, HIV, hepatitis B, hepatitis C, and TB under a sliding-scale fee structure accepted by Medicaid, Medicare, and most insurance. Bacterial infections treated at the same visit, with an appointment required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
Be Well Primary Care in Keller runs STI testing by appointment, folding gonorrhea, chlamydia, syphilis, and HIV screening into a primary care visit that can also handle treatment, HPV and hepatitis A and B vaccination, and family planning. Fees billed to insurance or Medicare.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Aug 2025 · Source: CDC NPIN
MEDI Care Clinics in Fort Worth accepts Medicaid, Medicare, and private insurance, with a standard fee schedule that applies across all services. Walk-ins are welcome for gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, and HIV testing, with same-visit treatment for bacterial infections.
The testing menu at MEDI Care Clinics runs past gonorrhea, chlamydia, syphilis, and HIV to include herpes simplex and both hepatitis B and C: each ordered, collected, and processed through the same clinical workflow as the core panel, no separate referral pathway required.
MEDI Care Clinics carries a substance-use treatment program staffed alongside its STI services: meaning the same facility that diagnoses and treats a gonorrhea or chlamydia infection can also initiate, prescribe, and monitor a substance-use treatment plan, handled by clinical staff on-site rather than through a separate program intake.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Lighthouse Family Medicine in Colleyville runs STI care on an appointment basis, pairing a full bacterial-and-viral panel with same-visit treatment for bacterial infections, HPV and hepatitis vaccines, and sliding-scale fees that apply to everyone. PrEP and PEP available for ongoing and post-exposure prevention.
Plenty of testing-focused clinics hand off prevention prescribing to a separate provider. At Lighthouse Family Medicine, both PrEP for ongoing HIV prevention and PEP are managed in-house. Meaning the same appointment that catches an infection can also start the medication that prevents one.
Lighthouse Family Medicine tests for herpes and all three hepatitis strains alongside gonorrhea, chlamydia, syphilis, and HIV, so a single visit produces a genuinely complete picture rather than one that leaves common infections unexamined until symptoms force a second appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Grace Grapevine tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale basis, with no-fee care available, and covers HPV, hepatitis A, and hepatitis B vaccines alongside STI treatment and family planning, all by appointment.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · 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 about 5 miles 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 (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 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 Denton 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.
2850 West Hwy 114, Trophy Club, TX 76262
CMS-certified lab Accredited · College of American Pathologists
2341 Jt Ottinger Road, Westlake, TX 76262
CMS-certified lab
4851 South I-35, Suite 101, Corinth, TX 76210
CMS-certified lab
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
Beyond dedicated clinics, 3,728 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 1,280 offer telehealth.
Vishal Patel, MD
Family medicine · 1530 North Hwy 377, Roanoke
Miguel Hernandez, DO Telehealth
Internal medicine · 601 Howe Road, Roanoke
Thomas Diaz, DO
Family medicine · 945 Trophy Club Drive, Trophy Club
Jonathan Matthews, DO
Internal medicine · 300 Trophy Club Drive, Trophy Club
Theron Bowman, DO Telehealth
Internal medicine · 11468 Deer Valley Drive, Roanoke
Oluwaseun Odumosu, MD
Family medicine · 420 Johnson Road, Keller
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 Roanoke, 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.
0.4 mi Minyard Pharmacy
0.5 mi
0.5 mi Roanoke Pharmacy
0.7 miTom Thumb Pharmacy
1.6 miShowing the 5 closest pharmacies to Roanoke, 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 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.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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
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
How reported STI rates in Denton County, the county that includes Roanoke, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#122 of 254 Texas counties for chlamydia, a higher rate than 52% of the state
| Infection | Denton County | Texas | United States |
|---|---|---|---|
| Chlamydia | 304.2 3,065 cases ▼ 38% | 491.9 | 492.2 |
| Gonorrhea | 105.2 1,060 cases ▼ 40% | 176.4 | 179.5 |
| Syphilis (P&S) | 1.4 14 cases ▼ 91% | 15 | 15.8 |
| Syphilis (early) | 9.7 98 cases ▼ 63% | 26.4 | 16 |
| Syphilis (late/unknown) | 28.6 288 cases ▼ 35% | 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 Denton County, chlamydia has risen from 234.1 to 304.2 per 100,000 (30%), gonorrhea has risen from 93 to 105.2 per 100,000 (13%), and P&S syphilis has fallen from 4.2 to 1.4 per 100,000 (67%).
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 Denton County.
Local HIV snapshot
Denton County HIV care continuum (2023)
Denton County recorded 11.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Denton County residents living with HIV, 82.9% are in care · 73.8% 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 Denton County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Roanoke skews heavily toward homeowners, nearly two-thirds of households hold a mortgage or a deed here, but the roughly four in ten who rent, at rates around $1,288 a month, are carrying real cost pressure that tends to crowd out discretionary health spending. That pressure lands unevenly on younger adults still in early careers, the same people in their late teens and twenties who face the highest rates of chlamydia, gonorrhea, and syphilis locally and across Denton County. The household picture adds another layer. With average households running close to four people and more than half of adults married, a lot of residents are partnered or parenting.
Meaning a positive result isn't just a personal matter. Convenient screening protects partners and families, not just individuals. And with nearly three-quarters of the working-age population in the labor force and unemployment low, most people here are logging full schedules; a clinic that requires a long detour off US 377 or Alliance Gateway Freeway on a workday simply doesn't get used. Getting tested means planning a drive, which is why the range of the listed options matters: finding one that fits your route along North Front Street, near Hills of Roanoke, or off TX 170 turns proximity into something you'll actually act on.
Getting there
At 6.82/20 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 76262 snapshot
ZIP-level Census figures for the wider 76262 area around Roanoke: a single ZIP can span several communities, so they describe the area, not Roanoke alone.
Roanoke sits in Denton County, ZIP 76262. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Roanoke? 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 Denton 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 Roanoke-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 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.
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.
Possibly, Keller, TX is close; compare it by distance against Labcorp at Walgreens.
Medicaid generally covers STD testing, and public clinics test for free regardless of coverage.
Yes, public clinics in the area offer free or low-cost 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 304 cases per 100,000 residents (2023), below the Texas average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
A clinic offers same-day answers and on-site treatment; an at-home kit trades that for privacy and convenience, both use real lab testing.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.