In Tiki Island, Texas, reported syphilis runs about 16% lower than the US average. People in Tiki Island, Texas might need options whether they need testing after a possible exposure or as part of routine care. Community or public clinics offer low-cost or free testing, while private labs might offer quicker results and more flexible scheduling. Consider your needs and explore the options below.
Available testing centers
7 testing options are listed for Tiki Island, TX. The nearest, Galveston County Health District, is about 5.9 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.
Galveston County Health District tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C. All at no charge, no appointment required. Bacterial infections can be treated the same visit, and sliding-scale fees apply to any services that carry a cost, with walk-in access throughout.
HIV tests, hepatitis C tests, STI treatment, the mpox vaccine, and PrEP are each listed at no fee at Galveston County Health District. That structure means a patient managing multiple prevention needs (say, PrEP alongside hepatitis C monitoring) faces no cost barrier at any point in their care.
Galveston County Health District conducts services in Spanish and Tagalog, with broader interpretation available for other languages. For patients navigating a DoxyPEP regimen or PrEP adherence conversation, that means the clinical detail lands clearly, not filtered through approximation.
Prescribing DoxyPEP, the doxycycline-based post-exposure prevention for bacterial STIs, remains outside the scope of many STI clinics, which offer PrEP or PEP but leave the third leg of prevention unaddressed. Galveston County Health District carries all three, so prevention planning doesn't require sourcing care from multiple providers.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish, Tagalog
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jan 2026 · Source: CDC NPIN
The University of Texas Medical Branch in Galveston tests for HIV, syphilis, chlamydia, gonorrhea, herpes, hepatitis A, B, and C, and TB, with free HIV, hepatitis B, and hepatitis C tests available; the full slate runs on a sliding-scale fee, and appointments are required.
Delay a follow-up appointment because you can't absorb the cost, and a treatable infection becomes a managed condition. At The University of Texas Medical Branch, every service (testing, treatment, prevention) is provided at no fee, so cost never becomes the reason care stops.
Most clinics offer a single language line and leave it at that. The University of Texas Medical Branch conducts care directly in American Sign Language, Chinese, French, and Haitian Creole. Meaning the clinical conversation, not just intake paperwork, happens in the language a patient uses to think through their health.
Ryan White funding at The University of Texas Medical Branch structures a continuous HIV care pathway: antiretroviral therapy is prescribed and monitored on-site, medication adherence is supported through dedicated counseling, and patients move from a reactive rapid HIV test into ongoing HIV/AIDS medical treatment without changing providers.
Languages
American Sign Language, Chinese, English, French, Haitian Creole, Interpretation Services Available for Non-English Languages, Portuguese, Spanish, Tagalog, Vietnamese
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN + HRSA
Saint Hope Foundation in Dickinson runs every service (rapid and conventional HIV testing, hepatitis A/B/C, syphilis, gonorrhea, chlamydia, herpes, and TB) by appointment, with same-visit treatment for bacterial STIs, sliding-scale fees, and no charge for HIV, hepatitis C, or STI testing.
Saint Hope Foundation's free-services structure covers the full scope: HIV and hepatitis C tests, the standard bacterial panel, STI treatment, HPV and hepatitis A/B vaccines, and PrEP. All at no fee. Sliding-scale pricing applies to additional services, and Medicaid and Medicare are accepted, meaning cost is not a filter at any point in care.
Saint Hope Foundation delivers care in Spanish, which means HIV test counseling, medication adherence education, and PrEP consultations all proceed in Spanish without a handoff or delay. The clinical relationship itself carries the language.
For someone without a regular provider who needs ongoing HIV prevention, Saint Hope Foundation holds full prescribing capability for both PrEP and PEP in-house. No outside referral required to start or maintain either medication.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · 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 about 6 miles away; if you'd rather skip the trip, an at-home kit ships to Tiki Island, 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 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 Galveston 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.
1310 34th Street North Suite C, Texas City, TX 77590
CMS-certified lab
2555 Gulf Freeway South, Suite 700, League City, TX 77573
CMS-certified lab
301 University Boulevard, Galveston, TX 77555
CMS-certified lab Accredited · College of American Pathologists
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Tiki Island. 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, 553 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Tiki Island. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 165 offer telehealth.
April Mcdougal, DO
Infectious disease · 1005 Harborside Drive, Galveston
Eugene Harper, MD
Infectious disease · 1005 Harborside Dr Floor, Galveston
Steven Socher, MD
Urology · 1005 Harborside Dr Floor, Galveston
Bethany Powell, MD
Family medicine · 2027 61st Street, Galveston
Sunil Kurup, MD
Family medicine · 2724 61st Street, Galveston
Mary Wilkerson, MD
Internal medicine · 4700 Broadway Street, Galveston
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 Tiki Island, 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.
4.8 mi 
5.5 mi Randalls Pharmacy
5.6 mi
5.7 mi 
6.1 mi Showing the 5 closest pharmacies to Tiki Island, 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 Tiki Island, 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.
$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
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions 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 Galveston County, the county that includes Tiki Island, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~11% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#80 of 254 Texas counties for chlamydia, a higher rate than 69% of the state
| Infection | Galveston County | Texas | United States |
|---|---|---|---|
| Chlamydia | 384.2 1,390 cases ▼ 22% | 491.9 | 492.2 |
| Gonorrhea | 107.3 388 cases ▼ 39% | 176.4 | 179.5 |
| Syphilis (P&S) | 13.3 48 cases ▼ 11% | 15 | 15.8 |
| Syphilis (early) | 22.9 83 cases ▼ 13% | 26.4 | 16 |
| Syphilis (late/unknown) | 17.1 62 cases ▼ 61% | 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 Galveston County, chlamydia has fallen from 413.8 to 384.2 per 100,000 (7%), gonorrhea has fallen from 170.8 to 107.3 per 100,000 (37%), and P&S syphilis has risen from 6.8 to 13.3 per 100,000 (96%).
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 Galveston County.
Local HIV snapshot
Galveston County HIV care continuum (2023)
Galveston County recorded 17.5 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Galveston County residents living with HIV, 76% are in care · 61.1% 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 Galveston County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Campbell's Bayou cuts quietly behind HarborWalk, a reminder that Tiki Island sits on a sliver of water-edged land where nearly every errand (groceries, a clinic visit, anything off-island) means merging onto I-45 toward Galveston or Texas City. For STI screening, that drive is the defining reality: no listed options sit on the island itself, so residents rely entirely on what's reachable via the Gulf Freeway. The community's profile shapes who that drive affects most.
Galveston County's STI rates make the case for staying current regardless. The island's labor-force participation is notably below typical urban rates, which means more residents may have schedule flexibility than in a commuter-heavy suburb, but the households that do work full schedules, many of them comfortably above the six-figure income threshold, are exactly the ones most likely to let a non-emergency appointment wait. The options listed on this page include same-day and low-cost appointments that can absorb a one-way drive down TX-146 without requiring a pre-planned half-day off.
Getting there
At 7.73/20 on the EPA walkability index, day-to-day errands in Tiki Island 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 77554 snapshot
ZIP-level Census figures for the wider 77554 area around Tiki Island: a single ZIP can span several communities, so they describe the area, not Tiki Island alone.
Tiki Island sits in Galveston County, ZIP 77554. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Tiki Island? 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 Galveston 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 Tiki Island-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 Tiki Island 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.
The closest is Galveston County Health District (5.9 mi); 7 options are within 30 miles.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Yes, Galveston County Health District (5.9 mi) offers free testing, and public clinics serve the uninsured.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 384 cases per 100,000 residents (2023), below the Texas average.
PrEP (HIV-prevention medicine for HIV-negative people) is available locally, any provider can prescribe it.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
You self-collect a sample at home, mail it in, and view results online, no clinic visit needed.
Yes, most chlamydia infections cause no symptoms, so screening is the only reliable way to catch it.
Yes, HSV-1 from the mouth can spread to the genital area through oral sex.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.