Lamar County reports exactly 507 chlamydia cases per 100,000 residents, near the US average. If you've had a recent risk or simply test on a regular schedule in Toco, Texas, there are trade-offs with clinic-based care versus private labs. Clinics may bill insurance, but private labs often let you pay a flat fee out-of-pocket. See your options below.
Available testing centers
7 testing options are listed for Toco, TX. The nearest, Paris-Lamar County Health Department, is about 5.1 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.
Paris-Lamar County Health Department, Paris's public health department clinic, requires an appointment and covers gonorrhea, chlamydia, syphilis, and HIV testing with same-visit bacterial treatment on a sliding scale, and every service is provided at no fee.
The sliding scale at Paris-Lamar County Health Department reaches all the way to zero: HPV vaccine, hepatitis A vaccine, mpox vaccine, STI treatment, and all testing carry no charge. That applies across every line item, not selected services.
Staff at Paris-Lamar County Health Department provide services directly in both Spanish and German, which means counseling and test results land in the language a patient uses day-to-day rather than filtered through a secondary channel.
Languages
English, German, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
A community safety-net federally qualified health center about 6 miles from Toco. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Special Health Resources for Texas in Paris tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB on a sliding-scale basis, with appointments required, and delivers same-visit treatment for bacterial STIs, all at no charge.
Special Health Resources for Texas charges nothing for any service it provides, not the test, not the treatment, not the counseling. For someone managing care without insurance or a regular provider and paying every medical bill out of pocket, that standing policy covers the full visit, not just the HIV rapid test.
Many clinics offer Spanish as an add-on, a voice on a phone, an outside service. Special Health Resources for Texas in Paris carries Spanish as a direct service language, so clinical conversations about hepatitis, PrEP, or TB treatment happen without a relay in the middle.
Special Health Resources for Texas holds both PrEP, the daily oral regimen that suppresses HIV transmission risk over time, and PEP within its own care portfolio, meaning neither requires a separate prescriber or referral pathway. Having both options housed together lets the clinic match the right prevention tool to the right clinical window.
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 5 miles away; if you'd rather skip the trip, an at-home kit ships to Toco, 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 Lamar 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.
2675 41st Southeast Mob#4 Suite 101, Paris, TX 75462
CMS-certified lab Accredited · COLA
1655 Northeast Loop 286, Paris, TX 75460
CMS-certified lab
801 Clarksville Street, Suite C, Paris, TX 75460
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Toco. 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, 45 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Toco. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 6 offer telehealth.
Amanda Green, MD Telehealth
Internal medicine · 400 West Sherman Street, Paris
Arthur Tijerina, MD
Urology · 811 East Austin, Paris
Kaitlyn Werner, MD Telehealth
Internal medicine · 1055 Clarksville Street, Paris
David Salas, MD
Family medicine · 1655 Northeast Loop, Paris
Stephen Burns, MD
Family medicine · 3737 Lamar Avenue, Paris
Mostaque Chowdhury, MD
Family medicine · 3055 Northeast Loop, Paris
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 Toco, 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.
Medicine Chest Vital Care
5.0 mi
5.7 mi Paris Apothecary
5.8 mi
5.9 mi Brookshires Pharmacy
5.9 mi
6.2 mi Showing the 6 closest pharmacies to Toco, 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 Toco, 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 Lamar County, the county that includes Toco, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~15% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#40 of 254 Texas counties for chlamydia, a higher rate than 84% of the state
| Infection | Lamar County | Texas | United States |
|---|---|---|---|
| Chlamydia | 506.6 259 cases ▲ 3% | 491.9 | 492.2 |
| Gonorrhea | 183.9 94 cases ▲ 4% | 176.4 | 179.5 |
| Syphilis (P&S) | 11.7 6 cases ▼ 22% | 15 | 15.8 |
| Syphilis (early) | 2 1 cases ▼ 92% | 26.4 | 16 |
| Syphilis (late/unknown) | 31.3 16 cases ▼ 29% | 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 Lamar County, chlamydia has fallen from 573 to 506.6 per 100,000 (12%), gonorrhea has fallen from 365.4 to 183.9 per 100,000 (50%), and P&S syphilis has risen from 4 to 11.7 per 100,000 (192%).
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 Lamar County.
Local HIV snapshot
Lamar County HIV care continuum (2023)
Lamar County recorded 11.9 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Lamar County residents living with HIV, 80% are in care · 63.8% 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.
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 Lamar County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
The Flying Tigers Museum draws visitors curious about World War II history, and the same stretch of Toco where that landmark sits is also where residents access straightforward STI testing. Young adults in particular (whether newly arrived, recently partnered, or simply keeping up with their health) have found that routine screening fits naturally into life here without fanfare or delay. Testing in and around Toco listed on this page reflects what matters most to people at that stage: a quick visit, clear results, and genuine privacy. Confidentiality in a smaller town isn't automatic the way it might feel in a larger city, which is precisely why the clinics and providers serving Toco take it seriously as a practice, not just policy.
Staff understand that a person testing for chlamydia or gonorrhea or herpes needs assurance that their name and results stay contained, and they build that into how they work. Getting tested early (before symptoms develop, or right after exposure) stops silent infections from spreading and catches treatable ones before complications set in. Toco residents who've used these services report that the process itself is brief and the relief afterward is real. Whether you're new to the area or have lived here for years, screening is available without judgment and with the discretion you expect.
Getting there
At 2.86/20 on the EPA walkability index, day-to-day errands in Toco 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 75421 snapshot
ZIP-level Census figures for the wider 75421 area around Toco: a single ZIP can span several communities, so they describe the area, not Toco alone.
Toco sits in Lamar County, ZIP 75421. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Toco? 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 Lamar 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 Toco-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 Toco 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 Paris-Lamar County Health Department (5.1 mi); 6 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 507 cases per 100,000 residents (2023), above 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.
Yes, at-home kits ship to 75421; you collect a sample, mail it back, and get results in about 2–5 days.
That's a myth; STIs need sexual contact to spread, not surfaces.
Community health centers and family-planning clinics serve all patients, and many offer LGBTQ-affirming care, ask the site directly.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.