HIV infections in Jefferson County are reported at rates 93% above the US average. If you're seeking STI testing in Spaulding, Alabama, for a one-time concern or regular check-ups, you can weigh clinics that bill insurance or use a sliding scale, or choose private labs with self-pay pricing.
Available testing centers
7 testing options are listed for Spaulding, AL. The nearest, Cahaba Medical Care, is about 0.7 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.
Cahaba Medical Care in Birmingham is a community health center where STI testing (gonorrhea, chlamydia, syphilis, HIV, and hepatitis C) sits alongside primary care, sliding-scale fees, and same-visit bacterial treatment; appointments are required, and PrEP and PEP are prescribed on-site.
Cahaba Medical Care holds the standing capacity to prescribe both PrEP and PEP directly, no outside referral to a separate infectious disease or prevention clinic required. For anyone paying on a sliding scale and needing ongoing prevention medication without a dedicated HIV provider, that continuity inside one practice is the practical answer.
Beyond gonorrhea, chlamydia, syphilis, and HIV, Cahaba Medical Care tests for hepatitis C. A bloodborne infection that often goes undetected without a specific order. That single addition to the panel means a visit surfaces risk that a four-test screen would leave invisible.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Oak Street Health in Birmingham pairs same-visit treatment for bacterial STIs (gonorrhea, chlamydia, syphilis) with testing across a panel that extends to herpes, hepatitis B and C, and TB, all on a sliding-scale fee open to anyone. Appointments are required. Care is delivered in Spanish.
Oak Street Health tests for herpes and both hepatitis B and C alongside the bacterial STIs and HIV, infection types on one appointment. Catching hepatitis C early, before symptoms appear, is when antiviral treatment is most effective at clearing the infection.
Plenty of testing sites hand off prevention prescribing entirely: Oak Street Health in Birmingham carries both PrEP and PEP on-site, so the same provider who orders your panel can initiate or manage a prevention regimen without sending you elsewhere.
Clinical staff at Oak Street Health conduct visits in Spanish, which means test results, treatment instructions, and prevention counseling land with full precision. Nothing filtered through a secondary layer before it reaches you.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
A safety-net federally qualified health center about 3 miles from Spaulding. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to Spaulding, 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 for simplicity & support
$89 & up
Best value: single tests
$49 & 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 Jefferson 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.
701 Princeton Avenue Southwest, Birmingham, AL 35211
CMS-certified lab Accredited · Joint Commission
833 Princeton Avenue Southwest, Pop III, Suite 105A, Birmingham, AL 35211
CMS-certified lab
832 Princeton Avenue Southwest, Birmingham, AL 35211
CMS-certified lab Accredited · COLA
832 Princeton Avenue, Southwest Suite 100, Birmingham, AL 35211
CMS-certified lab Accredited · COLA
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Spaulding. 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, 866 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Spaulding. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 185 offer telehealth.
Jay Hofweber, MD
Internal medicine · 117 Gemini Circle, Homewood
Jian Fong, MD
Family medicine · 471 Green Springs Highway, Homewood
Sarah Kane, DO
Family medicine · 1308 Tuscaloosa Avenue Southwest, Birmingham
Igor Shkolnik Telehealth
Internal medicine · 324 Commons Drive, Birmingham
Christopher Thomas Telehealth
Family medicine · 832 Princeton Avenue Southwest, Birmingham
Gregory Ayers, MD
Internal medicine · 701 Princeton Avenue Southwest, Birmingham
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 Spaulding, 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.
Elite RX
0.5 miTransdermal Therapeutics
0.7 miMeds Iv
0.8 miS C Wellness
1.0 mi
1.1 mi Drugs for Less 1781
1.1 miShowing the 6 closest pharmacies to Spaulding, 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 Spaulding, 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
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
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 Jefferson County, the county that includes Spaulding, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#14 of 67 Alabama counties for chlamydia, a higher rate than 79% of the state
| Infection | Jefferson County | Alabama | United States |
|---|---|---|---|
| Chlamydia | 852.9 5,654 cases ▲ 31% | 651.1 | 492.2 |
| Gonorrhea | 355.9 2,359 cases ▲ 57% | 226.9 | 179.5 |
| Syphilis (P&S) | 44.2 293 cases ▲ 55% | 28.6 | 15.8 |
| Syphilis (early) | 36.2 240 cases ▲ 77% | 20.4 | 16 |
| Syphilis (late/unknown) | 29.6 196 cases ▲ 21% | 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 Jefferson County, chlamydia has risen from 759 to 852.9 per 100,000 (12%), gonorrhea has fallen from 463.5 to 355.9 per 100,000 (23%), and P&S syphilis has risen from 14.4 to 44.2 per 100,000 (207%).
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 Jefferson 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.
Jefferson County HIV care continuum (2023)
Jefferson County recorded 26.4 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Jefferson County residents living with HIV, 68.6% are in care · 45.2% 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 Jefferson County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Bessemer Road carries you past the kind of neighborhoods (Smithfield, Lakewood Hills) where most households rent rather than own, and where health decisions tend to get made the same way grocery runs do: around work schedules, around budget, around whoever else is depending on you that week. With a majority of adults unmarried and households running small, there's often no second person nudging you toward a clinic visit, no shared calendar where "get tested" lands automatically. That household reality matters for STI screening because the younger adults in Spaulding (the late-teens-through-late-twenties crowd most likely to encounter chlamydia, gonorrhea, or syphilis) are also the most likely to be stretching a four-digit rent on a single income, or juggling gig hours that make a midday appointment feel like a luxury.
When unemployment sits high enough that many people are scrambling for stable work, and when a meaningful share of the labor force has stepped out entirely, the calculus around taking time off for a routine test tilts sharply against follow-through. The options listed on this page include sliding-scale and low-cost choices precisely because cost and logistics in Spaulding are rarely abstract worries.
Getting there
Spaulding scores 12.97/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 35211 snapshot
ZIP-level Census figures for the wider 35211 area around Spaulding: a single ZIP can span several communities, so they describe the area, not Spaulding alone.
Spaulding sits in Jefferson County, ZIP 35211. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Spaulding? 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 Jefferson 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 Spaulding-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 Spaulding 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.
The closest is Cahaba Medical Care (0.7 mi); 7 options are within 30 miles.
Public clinics are free; private labs ~$24–$139, at-home kits $49+.
Yes, community and public clinics test the uninsured, with sliding-scale fees.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 853 cases per 100,000 residents (2023), above 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.
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.
Just note your exposure dates and symptoms; for urine tests, hold off urinating ~1 hour before.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.