In Fisher County, Texas, reported syphilis runs about 75% higher than the US average. Whether you have a one-time concern or need regular check-ups in Rotan, Texas, you can weigh the benefits of a clinic visit with a healthcare provider against the convenience of an at-home kit. See your options below.
Available testing centers
No STD testing centers are located in Rotan, TX. The nearest, Quest Diagnostics, is about 50.4 miles away. At-home STD kits and online lab tests ship to your ZIP; compare private labs and at-home kits below.
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 50 miles away; if you'd rather skip the trip, an at-home kit ships to Rotan, 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 Fisher 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.
774 Hwy 70 North, Rotan, TX 79546
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Rotan. 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, 18 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Rotan. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit.
Chad White, MD
Family medicine · 774 State Hwy 70 North, Rotan
Henry Fosah, MD
Family medicine · 774 State Hwy 70 North, Rotan
Axel Martinez Irizarry, MD
Family medicine · 821 North Broadway Street, Aspermont
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
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 Rotan, 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.
Clinic Pharmacy
1.7 miAspermont Pharmacy
24 miMaloney Prescription Pharmacy
26 miBrookshires Pharmacy
27 mi
27 mi Rolling Plains Pharmacy
28 miShowing the 6 closest pharmacies to Rotan, 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 Rotan, 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.
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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
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 Fisher County, the county that includes Rotan, 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.
#161 of 254 Texas counties for chlamydia, a higher rate than 37% of the state
| Infection | Fisher County | Texas | United States |
|---|---|---|---|
| Chlamydia | 249.2 9 cases ▼ 49% | 491.9 | 492.2 |
| Gonorrhea | 83.1 3 cases ▼ 53% | 176.4 | 179.5 |
| Syphilis (P&S) | 27.7 1 cases ▲ 85% | 15 | 15.8 |
| Syphilis (early) | — no data | 26.4 | 16 |
| Syphilis (late/unknown) | 27.7 1 cases ▼ 37% | 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 Fisher County, chlamydia has risen from 190.6 to 249.2 per 100,000 (31%), gonorrhea has fallen from 190.6 to 83.1 per 100,000 (56%), and P&S syphilis has held roughly steady from 27.7 to 27.7 per 100,000.
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 Fisher County.
Local HIV snapshot
Fisher County HIV care continuum (2023)
Fisher County recorded 0 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Fisher County residents living with HIV, 60% are in care · 40% 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 Fisher County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Ed Patton Memorial Park sits at the kind of unhurried center that makes Rotan feel genuinely settled, a town where nearly two-thirds of residents own their homes and most households include a partner or family member under the same roof. That matters most for younger adults still building their lives here, people in their late teens and twenties whose testing needs are most acute and whose schedules are least predictable. With a labor-force participation rate well below full engagement, a meaningful share of residents are either caregiving, working irregular hours, or managing other constraints that make a long round-trip feel genuinely costly in time.
Finding a clinic open on a day that actually lines up with someone's week is the practical barrier, not reluctance. For renters, whose typical monthly outlay is modest by any urban measure, cost can still tip the decision. The sliding-scale and low-cost options flagged on this page carry particular weight for households outside that top income tier, where an unexpected fee is the detail that determines whether an appointment gets made at all.
Getting there
At 6.56/20 on the EPA walkability index, day-to-day errands in Rotan 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 79546 snapshot
ZIP-level Census figures for the wider 79546 area around Rotan: a single ZIP can span several communities, so they describe the area, not Rotan alone.
Rotan sits in Fisher County, ZIP 79546. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Rotan? 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 Fisher 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 Rotan-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 Rotan 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Yes, Medicaid typically covers it.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Fisher County reported ~249 chlamydia cases per 100,000 in 2023, below the Texas average.
At-home kits mail to 79546: self-collect, send to the lab, results in ~2–5 days.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
A urine test or swab finds trichomoniasis, one of the most treatable STIs.
It can; oral HSV-1 transmits to the genitals during oral sex.
Usually urine or a swab for chlamydia/gonorrhea, and blood for HIV, syphilis, and hepatitis.
Most HIV tests detect infection about 2–6 weeks out depending on the test type; a later retest confirms a negative.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.