STD Testing in Spruce Pine, AL: Free, Same-Day & Confidential
Gonorrhea cases in Franklin County run about 61% lower than the US average. Whatever your reason, whether it's your first STI test or a routine screening in Spruce Pine, Alabama, you have choices. Community and public clinics are often low-cost or free, while private labs tend to offer faster results and more flexible scheduling. Below, you’ll find a list of your various options.
7 testing options are listed for Spruce Pine, AL. The nearest, Morrow Clinics, is about 3.5 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.
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Quest Diagnostics
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Address
3901 Peach Street, Florence, AL 35630 30.4 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Community health center 3.5 miles
Morrow Clinics
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A community safety-net rural health clinic about 4 miles from Spruce Pine. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
A community safety-net rural health clinic about 7 miles from Spruce Pine. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Family Health Care Clinic, rooted in family practice medicine in Russellville, folds STI care into ongoing clinical relationships: conventional HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C tested by appointment, bacterial infections treated same visit, all services provided at no fee.
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Every Service Carries a Zero-Dollar Price Tag
Family Health Care Clinic charges nothing for any service on its menu: testing, treatment, vaccines, counseling, and hepatitis management alike. Sliding-scale adjustments exist, but the floor is already zero: no service is withheld pending payment, and no cost calculation applies to any visit.
Hepatitis C Treatment Prescribed and Managed In-House
Family Health Care Clinic carries hepatitis C care through the full clinical arc: diagnosis, antiviral prescribing, and treatment monitoring handled by the same practice. Direct-acting antivirals require sustained viral-load follow-up, and that monitoring stays within the clinic rather than being handed off elsewhere.
Herpes and All Three Hepatitis Strains Added to the Panel
Beyond gonorrhea, chlamydia, syphilis, and HIV, Family Health Care Clinic tests for herpes simplex and screens for hepatitis A, B, and C. Infections that share transmission routes with bacterial STIs but are routinely excluded from a basic four-pathogen panel. That breadth changes what a single appointment can rule out.
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 4 miles away, if you'd rather skip the trip, an at-home kit ships to Spruce Pine, 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 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
Quest Diagnostics
$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 Spruce Pine, AL
Beyond the public testing sites above, these federally certified (CLIA) labs serve Franklin 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.
Russellville Hospital
15155 Highway 43, Russellville, AL 35653
CMS-certified labAccredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Spruce Pine. 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 Spruce Pine, AL who may help arrange STD testing
Beyond dedicated clinics, 104 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Spruce Pine. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 16 offer telehealth.
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 Spruce Pine, AL
Compare the pharmacies closest to Spruce Pine, AL. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Showing the 5 closest pharmacies to Spruce Pine, AL.
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 Spruce Pine, 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.
PrEP & DoxyPEP
Q Care Plus
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
STDs & HIV in Franklin County: the local picture
How reported STI rates in Franklin County, the county that includes Spruce Pine, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~32% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#59
#59 of 67 Alabama counties for chlamydia, a higher rate than 12% of the state
Reported STD rates per 100,000, Franklin County vs Alabama vs U.S.
Franklin CountyAlabamaU.S.▲▼ = Franklin County vs the state average
Infection
Franklin County
Alabama
United States
Chlamydia
273.687 cases▼ 58%
651.1
492.2
Gonorrhea
69.222 cases▼ 70%
226.9
179.5
Syphilis (P&S)
9.43 cases▼ 67%
28.6
15.8
Syphilis (early)
12.64 cases▼ 38%
20.4
16
Syphilis (late/unknown)
12.64 cases▼ 49%
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.
Reported STD rates in Franklin County over time (per 100,000)
Chlamydia ▼ 9% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Franklin County, chlamydia has fallen from 364.3 to 273.6 per 100,000 (25%), gonorrhea has fallen from 205.5 to 69.2 per 100,000 (66%), and P&S syphilis has fallen from 49.8 to 9.4 per 100,000 (81%).
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 Spruce Pine, AL
Adults uninsured
11.5%
No routine checkup
21.4%
No transportation
10%
Binge drinking
14.8%
Frequent mental distress
18.5%
Depression
25.9%
Below poverty line
24.2%
Primary-care ratio
2,463 : 1
Franklin County
Primary-care shortage score 15 / 26
Medically Underserved Area · IMU 59.1
Social Vulnerability Index · 76th 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 Franklin County.
Local HIV snapshot
HIV in Franklin County (2023)
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.
People living with HIV
119 / 100k
New diagnoses (2023)
5cases countywide
PrEP users / 100k
65 · PnR 3.4
Franklin County HIV care continuum (2023)
Franklin County recorded 19.1 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Franklin County residents living with HIV, 65.4% are in care · 53.8% 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 Franklin 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 →
Spruce Pine's name echoes the evergreens that once dominated the landscape around Franklin County, and the town has long served as a quiet anchor for families and workers moving through the area. Today, the community includes a notable population of young adults, late teens through their thirties, for whom confidential STI screening is often a straightforward part of staying healthy. Testing providers in and around Spruce Pine understand that privacy matters, especially in smaller communities where discretion shapes whether someone gets tested at all. The clinics and health centers listed on this page offer screening without judgment and with real confidentiality protections built in.
Results remain between you and your provider; notification practices are clear upfront, and no one at work, school, or home needs to know you've been tested unless you choose to tell them. Many people find that knowing their status, whether negative or positive, removes the weight of uncertainty and opens the door to next steps, whether that's peace of mind or prompt treatment. Spruce Pine residents can reach testing services without traveling far, and the providers here are accustomed to serving people of all backgrounds with the same care and respect. Whether you're new to the area or have lived here for years, getting tested is a choice you can make on your own terms.
Getting there
How residents reach STD testing in Spruce Pine, AL
Walkability3.03 / 20 · Least walkable
At 3.03/20 on the EPA walkability index, day-to-day errands in Spruce Pine 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 35581 snapshot
Residents
6,271
Median age
38.1
Median income
$47,633
ZIP-level Census figures for the wider 35581 area around Spruce Pine: a single ZIP can span several communities, so they describe the area, not Spruce Pine alone.
Spruce Pine sits in Franklin County, ZIP 35581. Local context that shapes where residents test:
Local landmarks
Phil Campbell Recreation Center
Major routes
AL 13 (Broad Street)
Andrew Jackson Highway
Nearby cities & towns
STD testing near Spruce Pine, AL
Just outside Spruce Pine? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Spruce Pine, AL: screening, costs & privacy
Everything to know before you test in Franklin 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.
Who should test, and whenCDC 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 Spruce Pine-area provider.
What each STD test costsMedicare 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 Spruce Pine 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 AlabamaMinor consent and partner treatment (EPT) under state law, plus how to test privately
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).
Can a minor consent on their own?
In Alabama, a minor aged 12 or older can consent to confidential STI testing and treatment on their own, no parental permission is required.
Can my partner be treated too? (EPT)
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.
Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
STD testing FAQs for Spruce Pine, AL
Answers to the questions people ask most before getting tested.
Is walk-in STD testing available near Spruce Pine, AL?
Yes, several local labs offer same-day walk-in testing; best to call first.
Can I use Medicaid for testing?
Yes, Medicaid typically covers it, and public clinics are free either way.
Can I get tested in Spruce Pine, AL without insurance?
Public clinics serve people without insurance, often on a sliding scale.
What's included in a full panel near Spruce Pine, AL?
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
How common is chlamydia in Franklin County?
Franklin County reported ~274 chlamydia cases per 100,000 in 2023, below the Alabama average.
Can someone under 18 get tested in Alabama without a parent?
In Alabama, people under 18 can consent to confidential STD testing and treatment on their own.
Is STD testing part of prenatal care?
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Clinic or at-home test, which is better near Spruce Pine, AL?
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
How do I prepare for an STD test near Spruce Pine, AL?
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
How do I tell a partner I tested positive?
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
