Madison County reports about 13 new HIV diagnoses per 100,000 residents, near the US average. If you live in Skinem, Alabama and need testing for a one-time concern or regular check-ups, you can visit a clinic for in-person care, or use an at-home kit for convenience.
Available testing centers
7 testing options are listed for Skinem, AL. The nearest, Central North Alabama Health Services, is about 6.2 miles away. Compare community and public clinics, private labs, and at-home kits below.
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.
Central North Alabama Health Services in New Market runs appointments-only STI care covering gonorrhea, chlamydia, syphilis, herpes, hepatitis B, hepatitis C, and HIV, bacterial infections treated same visit, with sliding-scale fees accepted across all income levels alongside Medicaid, Medicare, and insurance.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Crestwood Medical Group in Meridianville runs on scheduled appointments, and a single visit covers rapid and conventional HIV testing, gonorrhea, chlamydia, syphilis, and hepatitis C: with same-visit treatment for bacterial infections, sliding-scale fees, and PrEP and PEP available on-site.
Crestwood Medical Group prescribes both PrEP and PEP directly, without routing through a separate provider. That means prevention medication can be initiated, evaluated, and continued within the same practice where testing happens. Reducing the gap between a clinical conversation and an active prescription.
Crestwood Medical Group carries hepatitis C treatment on-site, the medication, not just the antibody test. For someone without a regular specialist or paying out of pocket, that standing capacity means a confirmed diagnosis doesn't stall at the detection stage while a treatment provider is tracked down.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Crestwood tests for hepatitis C. Useful for anyone whose risk history or lack of a regular provider has left those infections unexamined. Hepatitis A and B vaccines are also available, so gaps in immunity can be addressed during the same appointment.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2025 · Source: CDC NPIN
Toney Family Health Center, serving Toney, carries federal qualification that ties its STI fees to a sliding income scale: meaning syphilis, gonorrhea, and chlamydia screening is priced according to what each patient actually earns, with no appointment needed to get started.
Tests offered
Fees & payment
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 6 miles away; if you'd rather skip the trip, an at-home kit ships to Skinem, 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 for simplicity & support
$89 & 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 Madison 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.
12935 Hwy 231/431 North, Hazel Green, AL 35750
CMS-certified lab Accredited · COLA
101 Red Hill Way, Madison, AL 35758
CMS-certified lab
21 Hughes Road Suite 2, Madison, AL 35758
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Skinem. 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, 369 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Skinem. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 73 offer telehealth.
Laura Taylor, MD
Family medicine · 12935 Hwy 231 431 North, Hazel Green
Viktoriya Nelson, MD
Internal medicine · 12801 Hwy 231 431 North, Hazel Green
Jose Pace Telehealth
Internal medicine · 11836 Hwy 231 431 North, Meridianville
Francis Essien, DO Telehealth
Internal medicine · 131 Edenshire Drive, Huntsville
Rinkesh Patel, MD Telehealth
Family medicine · 5107 Moores Mill Road, Huntsville
Meera Boppana, MD
Internal medicine · 5107 Moores Mill Road, Huntsville
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 Skinem, AL 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.
3.1 mi 
3.1 mi The Drug Store at Griners
3.2 miHazel Green Pharmacy
4.4 miNew Market Discount Drugs
6.3 miShowing the 5 closest pharmacies to Skinem, AL.
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 Skinem, 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 $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
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 Madison County, the county that includes Skinem, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~21% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#30 of 67 Alabama counties for chlamydia, a higher rate than 55% of the state
| Infection | Madison County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 589.7 2,433 cases ▼ 9% | 651.1 | 492.2 |
| Gonorrhea | 236.8 977 cases ▲ 4% | 226.9 | 179.5 |
| Syphilis (P&S) | 15 62 cases ▼ 48% | 28.6 | 15.8 |
| Syphilis (early) | 11.9 49 cases ▼ 42% | 20.4 | 16 |
| Syphilis (late/unknown) | 10.2 42 cases ▼ 58% | 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.
Between 2020 and 2023 in Madison County, chlamydia has fallen from 649.2 to 589.7 per 100,000 (9%), gonorrhea has fallen from 381 to 236.8 per 100,000 (38%), and P&S syphilis has risen from 9.5 to 15 per 100,000 (58%).
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 Madison County.
Local HIV snapshot
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.
Madison County HIV care continuum (2023)
Madison County recorded 13.1 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Madison County residents living with HIV, 73.9% are in care · 63.3% 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.
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 Madison County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Skinem households lean heavily married, and in homes like these, health decisions often get filtered through schedules built around two working adults, school pickups, and weekend obligations rather than personal convenience alone. That dynamic shapes who gets tested and when, the partner who mentions it first, the calendar that never quite clears. With more than half of adults here paired up and households averaging close to three people, STI screening is rarely just a personal errand; it's something that has to find a seam in a genuinely full week.
That's worth naming because Madison County's STI rates don't spare stable, coupled households, and the younger adults in Skinem, the late-teens-through-mid-twenties crowd still building relationships and navigating new partnerships, represent a slice of the population where transmission moves fastest. The high homeownership rate here signals rootedness and community investment, and that same investment extends to staying healthy. With a strong share of households earning well above median and most residents actively employed, the practical levers for getting screened (covering a fee, taking a long lunch) are genuinely within reach for most people in Skinem.
Getting there
At 3.59/20 on the EPA walkability index, day-to-day errands in Skinem 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 35750 snapshot
ZIP-level Census figures for the wider 35750 area around Skinem: a single ZIP can span several communities, so they describe the area, not Skinem alone.
Nearby cities & towns
Just outside Skinem? 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 Madison 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.
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 Skinem-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 Skinem 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 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).
In Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
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.
Learn more about confidential STD testing in AlabamaSource: 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.
7 testing options are within 30 miles of Skinem, AL.
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 590 cases per 100,000 residents (2023), below the Alabama average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
Lab results typically come back in 1–2 days.
Yes, the CDC recommends STI screening early in pregnancy, since untreated infections can affect the baby.
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.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.