In Bowie County, Texarkana, Texas, there are about 16 syphilis cases per 100,000 residents. Whether it's your first test or a routine screening, decide if you want a clinic visit for answers and treatment or an at-home kit for convenience. Your options for either appear below.
Available testing centers
12 testing options are listed for Texarkana, TX. The nearest, Core Health Systems - Texarkana College, is about 0.5 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.
Core Health Systems - Texarkana College, in Texarkana, welcomes walk-ins for STI screening without an appointment. Federal FQHC standing anchors its sliding-scale fees, letting one visit cover syphilis, gonorrhea, and chlamydia testing at a cost tied to what a patient actually earns.
Tests offered
Fees & payment
Genesis Prime Care in Texarkana folds STI testing into a family care practice, meaning gonorrhea, chlamydia, syphilis, and HIV screening share space with routine medicine: walk-ins welcome, sliding-scale fees apply, and same-visit treatment is available for bacterial infections.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Genesis PrimeCare Womans Health Texarkana calibrates fees to each patient's income, so cost is never the reason someone skips care. This federally qualified health center in Texarkana offers sliding-scale STI screening (syphilis, gonorrhea, and chlamydia) with no appointment required to get started.
Tests offered
Fees & payment
Texarkana-Bowie County Family Health Center, in Texarkana, delivers gonorrhea, chlamydia, syphilis, and HIV testing alongside same-visit treatment for bacterial infections. All on a sliding-scale fee, with appointments required. Every service here is accepted at no cost to the patient.
Sliding-scale clinics routinely land patients with a remaining balance after adjustments, some fee, however small, follows them out. At Texarkana-Bowie County Family Health Center, the scale bottoms out at nothing: donations are accepted but never required, and no patient leaves owing a dollar for any service on the menu.
Without Title X standing, a minor seeking STI care or family planning at Texarkana-Bowie County Family Health Center would face a patchwork of referrals and exposure of their visit through insurance or parental billing. Title X designation means those services are legally confidential, no secondary appointment needed, no billing trail created.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
Texarkana Care Clinic - Texas Blvd, in Texarkana, welcomes walk-ins for STI screening without an appointment. Federal qualification underpins its sliding-scale fees, keeping syphilis, gonorrhea, and chlamydia testing within reach regardless of income. One visit, no scheduling hurdle.
Tests offered
Fees & payment
Special Health Resources for Texas in Texarkana runs entirely on a sliding-scale and donation model, covering HIV (rapid and self-test), syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB. With same-visit treatment for bacterial STIs and appointments required.
Plenty of clinics post a sliding scale and still leave patients with a balance after insurance is applied or the income calculation runs short. Special Health Resources for Texas charges nothing: the full range of testing, treatment, and prevention services operates on donations, not on whatever a patient can document at the front desk.
Special Health Resources for Texas delivers care in Spanish as a standing clinical capability, not routed through scheduling workarounds. For someone managing HIV treatment, hepatitis C care, or PrEP adherence counseling in their primary language, that continuity shapes how medication education actually lands.
Special Health Resources for Texas holds dedicated funding for PrEP for uninsured patients, meaning cost doesn't gate access to ongoing HIV prevention. PEP is also available on-site, so the same clinic that starts a PEP course can transition a patient into a PrEP regimen with continuous HIV monitoring already in place.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Arkansas Department of Health in Texarkana charges nothing for its services (no sliding scale to navigate, just zero cost) and covers gonorrhea, chlamydia, syphilis, and rapid or conventional HIV testing, with same-visit treatment for bacterial STIs and an appointment required to be seen.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Mar 2026 · Source: CDC NPIN
Engaging Arkansas Communities in Texarkana covers gonorrhea, chlamydia, syphilis, hepatitis C, and rapid HIV testing, bacterial infections treated the same visit, with no fee charged for any service, to anyone.
Every test, every treatment, every prevention visit at Engaging Arkansas Communities carries no charge. That means a patient who needs both a rapid HIV test and same-visit gonorrhea treatment leaves without any out-of-pocket cost at all, no partial billing, no exceptions.
Many sexual health programs stock PrEP and stop there, leaving DoxyPEP off the table entirely. Engaging Arkansas Communities prescribes all three (PrEP, PEP, and DoxyPEP) giving people in Texarkana access to the full current range of biomedical HIV and bacterial STI prevention options in one appointment.
Engaging Arkansas Communities tests for hepatitis C alongside the standard bacterial panel and rapid HIV: meaning the antibody screen is ordered, results are reviewed, and next steps for reactive findings are addressed through the same clinic rather than deferred elsewhere.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
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 Texarkana, 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 range: couples & full panels
$79 & 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 Bowie 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.
4250 Gibson Lane, Texarkana, TX 75503
CMS-certified lab Accredited · College of American Pathologists
1000 Pine Street, Texarkana, TX 75501
CMS-certified lab Accredited · College of American Pathologists
2600 St Michael Drive, Texarkana, TX 75503
CMS-certified lab Accredited · College of American Pathologists
2400 St Michael Drive 2nd Floor, Texarkana, TX 75503
CMS-certified lab Accredited · Joint Commission
5701 Summerhill Road, Texarkana, TX 75503
CMS-certified lab Accredited · Joint Commission
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Texarkana. 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, 123 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Texarkana. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 13 offer telehealth.
Subhashini Ladella, MD
OB-GYN · 2900 Saint Michael Drive, Texarkana
Charles Mbonu, MD
Infectious disease · 2604 Saint Michael Drive, Texarkana
Thomas Wilson, MD
OB-GYN · 2602 Saint Michael Drive, Texarkana
Deborah Shuman, MD
OB-GYN · 2602 Saint Michael Drive, Texarkana
Michael Domina, DO
OB-GYN · 2600 Saint Michael Drive, Texarkana
Jon Northam, MD
OB-GYN · 2600 Saint Michael Drive, Texarkana
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 Texarkana, 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.
0.2 mi 
0.2 mi Senior Respiratory Solutions
0.4 miSams Pharmacy
0.7 miSuper 1 Pharmacy
0.9 miShowing the 5 closest pharmacies to Texarkana, 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 Texarkana, 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
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
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 Bowie County, the county that includes Texarkana, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#25 of 254 Texas counties for chlamydia, a higher rate than 90% of the state
| Infection | Bowie County | Texas | United States |
|---|---|---|---|
| Chlamydia | 583.5 535 cases ▲ 19% | 491.9 | 492.2 |
| Gonorrhea | 207.2 190 cases ▲ 17% | 176.4 | 179.5 |
| Syphilis (P&S) | 16.4 15 cases ▲ 9% | 15 | 15.8 |
| Syphilis (early) | 17.5 16 cases ▼ 34% | 26.4 | 16 |
| Syphilis (late/unknown) | 85.1 78 cases ▲ 92% | 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 Bowie County, chlamydia has risen from 515.6 to 583.5 per 100,000 (13%), gonorrhea has fallen from 274.5 to 207.2 per 100,000 (25%), and P&S syphilis has risen from 7.5 to 16.4 per 100,000 (119%).
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 Bowie County.
Local HIV snapshot
Bowie County HIV care continuum (2023)
Bowie County recorded 27.5 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Bowie County residents living with HIV, 82.1% are in care · 67.4% 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.
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 Bowie County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Spring Lake Park sits at the heart of a city where households run large and nearly half of residents rent rather than own, a tenure split that shapes daily rhythms in ways that ripple into health decisions. In a household averaging more than three people, with many adults navigating shared schedules and budgets tight enough that $781 a month in rent leaves little margin, the question of whether to get tested rarely comes down to motivation. It comes down to logistics. That's relevant here because Texarkana's younger adults (people still forming relationships, many of them in their twenties) are the same group most likely to benefit from routine STI screening.
Bowie County's STI rates confirm the pattern holds locally, not just nationally. With unemployment sitting meaningfully above typical benchmarks and fewer than six in ten adults in the labor force, a significant share of residents are balancing irregular income with the ordinary demands of a large household. Prioritizing a clinic visit competes with everything else. What works in Texarkana's favor is breadth of choice.
With the testing options listed here, someone living off Summerhill Road or near the North Loop corridor doesn't have to travel far or navigate a single overloaded system. That range matters most to the roughly half of residents without the equity of homeownership anchoring their finances, people for whom a nearby, affordable appointment is simply the one they can keep.
Getting there
At 8.9/20 on the EPA walkability index, day-to-day errands in Texarkana 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 75501 snapshot
ZIP-level Census figures for the wider 75501 area around Texarkana: a single ZIP can span several communities, so they describe the area, not Texarkana alone.
Texarkana sits in Bowie County, ZIP 75501. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Texarkana? 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 Bowie 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 Texarkana-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 Texarkana 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.
There are 11 options within a 30-mile drive.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Texarkana-Bowie County Family Health Center, about 2.1 mi away, provides free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Bowie County reported ~584 chlamydia cases per 100,000 in 2023, above the Texas average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Reputable kits use the same lab methods as clinics; any positive should be confirmed and treated by a provider.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
Herpes isn't curable, but daily or as-needed antiviral medicine controls outbreaks and lowers the chance of passing it on.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.