STD Testing in San Angelo, TX: Free, Same-Day & Confidential
In Tom Green County, reported chlamydia runs about 24% higher than the US average. If you're testing before starting a new relationship or as part of ongoing care in San Angelo, Texas, weigh your options: public clinics keep costs down, private labs prioritize speed, and at-home kits trade a clinic visit for convenience. Consider your preferences and see your options below.
8 testing options are listed for San Angelo, TX. The nearest, La Esperanza Clinic, Inc.-West, is about 2.3 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.
Location unavailable — enter a ZIP code or city instead.
Community health center 2.3 miles
La Esperanza Clinic, Inc.-West
4.0(15)?Where these reviews come from
Review sources
Google14
EasySTD1
Rated 4 out of 5 from 15 reviews
La Esperanza Clinic, Inc.-West in San Angelo carries federally qualified health center standing, which means its STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied to what patients actually earn, keeping care within reach regardless of income.
Lake View Clinic in San Angelo earned its federal qualification by meeting strict access and quality standards, which means its sliding-scale fees adjust to each patient's income. Walk-in STI screening covers syphilis, gonorrhea, and chlamydia, with costs scaled so inability to pay isn't a barrier.
City of San Angelo-Tom Green County Health Department
3.7(8)?Where these reviews come from
Review sources
Google7
EasySTD1
Rated 3.7 out of 5 from 8 reviews
City of San Angelo-Tom Green County Health Department schedules appointments for testing that spans gonorrhea, chlamydia, syphilis, conventional HIV, herpes, hepatitis A, B, and C, plus TB. Bacterial STIs treated same visit, vaccines available, sliding-scale fees waived entirely.
Read full overviewShow less
Every Service Runs on a Zero-Dollar Bill
Staffing and funding are structured so that no charge is generated for any service: testing, treatment, vaccination, or counseling. The billing workflow simply doesn't route patients to a payment counter. Every visit closes without a balance.
Spanish Is Staffed, Not Scheduled Around
Spanish-language capability is embedded in the clinical staff rather than arranged on request. Intake, test counseling, and follow-up conversations happen directly in Spanish. Same provider, same appointment, no coordination lag.
Herpes and Three Hepatitis Strains on the Panel
The panel extends to herpes simplex and antibody tests for hepatitis A, B, and C. Infections that most panels omit. Vaccines for hepatitis A and B and HPV are also administered on-site, so a single appointment can close both diagnostic and preventive gaps simultaneously.
Frontera Healthcare Network, a community health network in Menard, TX, brings STI care into a primary-care setting where treatment, family planning, and vaccinations (HPV, hepatitis A and B) sit alongside the standard panel. Appointments required; sliding-scale fees apply to all, with Medicaid, Medicare, and insurance accepted.
Frontera Healthcare Network - Menard, in Menard, carries federal community health center standing, which means STI screening for syphilis, gonorrhea, and chlamydia is priced on a sliding scale tied directly to each patient's income, and walk-ins are welcome without an 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 2 miles away; if you'd rather skip the trip, an at-home kit ships to San Angelo, 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
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 San Angelo, TX
Beyond the public testing sites above, these federally certified (CLIA) labs serve Tom Green 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.
Shannon Clinic Pathology Laboratory
220 East Harris Avenue, Fourth Floor, San Angelo, TX 76903
CMS-certified labAccredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near San Angelo. 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 San Angelo, TX who may help arrange STD testing
Beyond dedicated clinics, 112 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of San Angelo. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 22 offer telehealth.
CR
Cynthia Rutledge, DO
Family medicine · 2237 South Jackson Street, San Angelo
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 San Angelo, TX
No pharmacy near San Angelo, 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.
Showing the 5 closest pharmacies to San Angelo, TX.
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 San Angelo, 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
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
STDs & HIV in Tom Green County: the local picture
How reported STI rates in Tom Green County, the county that includes San Angelo, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~30% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#18
#18 of 254 Texas counties for chlamydia, a higher rate than 93% of the state
Reported STD rates per 100,000, Tom Green County vs Texas vs U.S.
Tom Green CountyTexasU.S.▲▼ = Tom Green County vs the state average
Infection
Tom Green County
Texas
United States
Chlamydia
610.6727 cases▲ 24%
491.9
492.2
Gonorrhea
207.5247 cases▲ 18%
176.4
179.5
Syphilis (P&S)
24.429 cases▲ 63%
15
15.8
Syphilis (early)
43.752 cases▲ 66%
26.4
16
Syphilis (late/unknown)
69.783 cases▲ 57%
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 Tom Green County over time (per 100,000)
Chlamydia ▼ 5% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Tom Green County, chlamydia has risen from 562.5 to 610.6 per 100,000 (9%), gonorrhea has fallen from 250 to 207.5 per 100,000 (17%), and P&S syphilis has risen from 20.8 to 24.4 per 100,000 (17%).
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 San Angelo, TX
Adults uninsured
20.6%
No routine checkup
27.5%
Binge drinking
17.8%
Frequent mental distress
18.5%
Depression
23.8%
Below poverty line
10.5%
Primary-care ratio
1,389 : 1
Tom Green County
Primary-care shortage score 16 / 26
Medically Underserved Area · IMU 51.01
Social Vulnerability Index · 81st 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 Tom Green County.
Local HIV snapshot
HIV in Tom Green County (2023)
People living with HIV
224 / 100k
New diagnoses (2023)
31cases countywide
On PrEP (coverage)
15.2%
Tom Green County HIV care continuum (2023)
Tom Green County recorded 31.3 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Tom Green County residents living with HIV, 82.5% are in care · 71.4% 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 Tom Green 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 → (opens in a new tab)
San Angelo carries a settled, even rooted feel: more than half of households own their homes, and the neighborhoods fanning out from Downtown toward Santa Rita and Rio Vista have the look of a city where people stay. But owning a home here doesn't automatically mean flexible time or easy transit, and for the four in ten residents renting near the South Bryant Boulevard corridor, a typical rent that leaves little cushion means an unexpected clinic copay can genuinely compete with other bills. That kind of cost pressure, layered over a city where getting anywhere without a car takes real planning, shapes who follows through on routine health care and who keeps deferring it. That matters especially for the large share of San Angeloans in their late teens and twenties, a stretch of life when relationships shift frequently and testing tends to feel optional until it isn't.
Households here run larger than the national average and most include working adults, which means schedules are genuinely compressed. With labor-force participation solid and unemployment low, the city isn't idle: people are busy, and busy people need clinics that don't demand half a weekday. The testing locations on this page cover San Angelo's spread, from the ASU – College Hills side of town to sites accessible off West Beauregard Avenue, so the practical question is simply choosing the one that fits your commute rather than adding a separate trip.
Getting there
How residents reach STD testing in San Angelo, TX
Walkability6.24 / 20 · Below average
At 6.24/20 on the EPA walkability index, day-to-day errands in San Angelo 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.
San Angelo sits in Tom Green County. Local context that shapes where residents test:
Local landmarks
Monogram Square
San Angelo Museum of Fine Arts
Miss Hattie's Bordello Museum
San Angelo State Park
Nasworthy Hill
Fairmount Cemetery
Neighborhoods & communities
Santa Rita
Rio Vista
ASU - College Hills
Downtown
Central
Ft. Concho
Vista del Arroyo
Angelo Heights
Major routes
South Bryant Boulevard
South Abe Street
South Koenigheim Street
US 67 Bus (West Beauregard Avenue)
Nearby cities & towns
Nearby cities and towns near San Angelo, TX
Just outside San Angelo? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in San Angelo, TX: screening, costs & privacy
Everything to know before you test in Tom Green 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.
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 San Angelo-area provider.
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 San Angelo 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 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.
