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STD Testing in Roscoe, TX: Free, Same-Day & Confidential

In Nolan County, there are about 49 syphilis cases per 100,000 residents, well above the US average. Whether you have symptoms or just want peace of mind, you can choose from several STI testing options in Roscoe, Texas. There are trade-offs to consider between clinics that take walk-ins for same-day testing and labs and at-home kits that fit around your own schedule.

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STD testing near Roscoe, TX

4 testing options are listed for Roscoe, TX. The nearest, Sweetwater Nolan County Health Department, is about 7.6 miles away. Compare community and public clinics, private labs, and at-home kits below.

Closest to you 7.6 miles

Sweetwater Nolan County Health Department

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Sweetwater Nolan County Health Department brings STI testing into public health infrastructure, pairing gonorrhea, syphilis, chlamydia, HIV, and herpes testing with same-visit bacterial treatment on a sliding-scale fee. Appointments are required, and Title X family planning, including legally confidential services for minors, is available.

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Confidential Minor Services, With Real Downstream Access

Title X designation makes family planning services for minors legally confidential here, not at the discretion of staff, but by federal statute. That means a minor can schedule, test, and receive care without the visit appearing on a parent's insurance or records.

Herpes Testing Runs Through the Same Visit

The testing panel at Sweetwater Nolan County Health Department includes herpes alongside gonorrhea, syphilis, chlamydia, and HIV. Collected and processed through the department's own clinical workflow rather than sent as an add-on order. One appointment covers the full range without scheduling a separate draw.

Tests & treats Title X Sliding-scale
Address
301 East 12th Street, Sweetwater, TX 79556
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25
  • Private lab (self-pay)

    Never billed to insurance

    $24–$200
  • At-home kit

    Mailed to your door, private

    From $49
  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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More ways to get tested in Roscoe, TX

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.

At-home STD testing in Roscoe, TX

The nearest testing center is about 8 miles away; if you'd rather skip the trip, an at-home kit ships to Roscoe, 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.

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.

Other CLIA-certified labs near Roscoe, TX

Beyond the public testing sites above, these federally certified (CLIA) labs serve Nolan 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.

  • Rolling Plains Memorial Hospital LAB

    200 East Arizona, Sweetwater, TX 79556

    CMS-certified lab Accredited · COLA

    • STD testing

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Roscoe. 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.

Clinicians near Roscoe, TX who may help arrange STD testing

Beyond dedicated clinics, 20 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Roscoe. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.

  • Rebecca Burson, MD

    Family medicine · 201 East Arizona Avenue, Sweetwater

  • Charles Anderson, MD

    OB-GYN · 301 Jenny George Lane, Sweetwater

  • Robert Eaker, MD

    Family medicine · 301 Jenny George Lane, Sweetwater

  • Joseph Scott, MD

    Family medicine · 997 West Interstate 20, Colorado City

  • Chad White, MD

    Family medicine · 774 State Hwy 70 North, Rotan

  • Henry Fosah, MD

    Family medicine · 774 State Hwy 70 North, Rotan

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.

Pharmacies near Roscoe, TX

No pharmacy near Roscoe, 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.

  • Brookshires Pharmacy

    7.8 mi
    Rx pickupCondoms / EC
  • Walgreens 7.8 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC
  • Rolling Plains Pharmacy

    7.8 mi
    Rx pickupCondoms / EC
  • The Medicine Place

    7.8 mi
    Rx pickupCondoms / EC
  • Maloney Prescription Pharmacy

    8.1 mi
    Rx pickupCondoms / EC
  • Walmart Pharmacy 8.2 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC

Showing the 6 closest pharmacies to Roscoe, TX.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

PrEP, prevention & online treatment

Testing is one step. For residents of Roscoe, 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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

STDs & HIV in Nolan County: the local picture

How reported STI rates in Nolan County, the county that includes Roscoe, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~29% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#56 of 254 Texas counties for chlamydia, a higher rate than 78% of the state

Reported STD rates per 100,000, Nolan County vs Texas vs U.S.

Nolan County Texas U.S. ▲▼ = Nolan County vs the state average
Infection Nolan County Texas United States
Chlamydia
433.4 62 cases ▼ 12%
491.9 492.2
Gonorrhea
111.8 16 cases ▼ 37%
176.4 179.5
Syphilis (P&S)
48.9 7 cases ▲ 226%
15 15.8
Syphilis (early)
21 3 cases ▼ 20%
26.4 16
Syphilis (late/unknown)
55.9 8 cases ▲ 26%
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.

Reported STD rates in Nolan County over time (per 100,000)

Chlamydia ▼ 27% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 300 600 2020202120222023

Between 2020 and 2023 in Nolan County, chlamydia has fallen from 542.8 to 433.4 per 100,000 (20%), gonorrhea has fallen from 264.6 to 111.8 per 100,000 (58%), and P&S syphilis has risen from 13.6 to 48.9 per 100,000 (260%).

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 Roscoe, TX

Adults uninsured
18.2%
No routine checkup
24.6%
Binge drinking
16.1%
Frequent mental distress
16.3%
Depression
21.6%
Below poverty line
11%
Primary-care ratio
2,085 : 1
Nolan County
  • Primary-care shortage score 15 / 26
  • Social Vulnerability Index · 98th 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 Nolan County.

Local HIV snapshot

HIV in Nolan County (2023)

People living with HIV
211 / 100k
PrEP users / 100k
59

Nolan County HIV care continuum (2021)

Nolan County recorded 0 new HIV diagnoses per 100,000 (2021), against 20.2 statewide and 13.7 nationally. Among Nolan County residents living with HIV, 82.6% are in care · 78.3% 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.

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 Nolan County tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

18 Sources

Local resources & officials

Data & references

About Roscoe, TX

George Parks Field anchors the north end of town the way US 84 anchors everything else: a fixed point in a place where most people have deep roots, owned homes, and schedules built around physical work rather than office hours. That stability is real, but it doesn't make getting screened for STIs automatic. With nearly three in five residents in the labor force and unemployment running notably high, a meaningful share of households are navigating stretched budgets and irregular hours at the same time. Two conditions that quietly compress the window for routine health visits. Roscoe skews toward long-term residents: the overwhelming majority own their homes, households here are larger than the national norm, and more than half of adults are married.

All of which shapes how people think about sexual health, sometimes as something that only matters in other circumstances. That assumption leaves younger adults, those in their late teens and twenties who are statistically most likely to encounter an STI, without a clear prompt to get tested routinely. None sit within Roscoe itself. For workers on unpredictable schedules, the sites listed here that offer extended or weekend hours aren't a convenience; they're the only realistic opening in the week.

Getting there

How residents reach STD testing in Roscoe, TX

Walkability 5.18 / 20 · Least walkable

At 5.18/20 on the EPA walkability index, day-to-day errands in Roscoe 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.

Map of 4 STD & STI testing locations in Roscoe, Texas, EasySTD

ZIP 79545 snapshot

Residents
1,778
Median age
32.6
Median income
$55,667

ZIP-level Census figures for the wider 79545 area around Roscoe: a single ZIP can span several communities, so they describe the area, not Roscoe alone.

Roscoe sits in Nolan County, ZIP 79545. Local context that shapes where residents test:

Local landmarks

  • George Parks Field
  • Roscoe Memorial Park
  • Roscoe, Snyder & Pacific Railway
  • Roscoe City Park
  • Roscoe Cemetery

Major routes

  • US 84 (US Highway 84)

STD testing in Roscoe, TX: screening, costs & privacy

Everything to know before you test in Nolan 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.

Who should test, and when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 Roscoe-area provider.

InfectionEarliest reliable testSample
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

What each STD test costs

Medicare 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 Roscoe 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.

TestReference priceCPT / 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 Texas

Minor consent and partner treatment (EPT) under state law, plus how to test privately

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).

Can a minor consent on their own?

In Texas, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.

Can my partner be treated too? (EPT)

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 Texas

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

STD testing FAQs for Roscoe, TX

Answers to the questions people ask most before getting tested.

Is testing closer in Sweetwater, TX?

Sweetwater, TX is a nearby town with options, the listing shows each one's distance so you can pick the closest.

How much does STD testing cost near Roscoe, TX?

Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.

Where can I get tested for free near Roscoe, TX?

Public health clinics nearby provide free testing.

What's included in a full panel near Roscoe, TX?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Nolan County?

Nolan County reported ~433 chlamydia cases per 100,000 in 2023, below the Texas average.

Is there an at-home STD test for Roscoe, TX?

At-home kits mail to 79545: self-collect, send to the lab, results in ~2–5 days.

Can someone under 18 get tested in Texas without a parent?

In Texas, people under 18 can consent to confidential STD testing and treatment on their own.

What happens after a positive result?

Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.

Can gonorrhea have no symptoms?

Often, yes, especially throat and rectal infections, which is why site-specific testing matters.

Does a negative test mean I'm safe?

Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.