STD Testing in Underwood Crossroads, AL: Free, Same-Day & Confidential
Reported syphilis in Colbert County runs about 52% higher than the US average. Whether it's your first STI test or a routine screening in Underwood Crossroads, Alabama, you can weigh the benefits of a clinic visit with on-site answers against the convenience of an at-home kit. See the list below.
7 testing options are listed for Underwood Crossroads, AL. The nearest, Quest Diagnostics, is about 7.5 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.
Premium Partner
Quest Diagnostics
Most popular Results in 1–2 days
4.0(5)?
Review sources
Google4
EasySTD1
Rated 4 out of 5 from 5 reviews
Address
3901 Peach Street, Florence, AL 35630 7.5 miles away
Today's offer: $10 off any test panel, applied automatically at checkout.
Community health center 8.1 miles
Family Health Care Clinic
No ratings yet
Family Health Care Clinic in Town Creek covers gonorrhea, chlamydia, syphilis, herpes, HIV, hepatitis A, B, and C, and TB. With same-visit treatment for bacterial infections and a sliding-scale fee that applies to everyone. An appointment is required, and all services are provided at no fee.
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Every Service Carries a Zero Balance
Family Health Care Clinic in Town Creek extends its no-fee model across every service it provides: testing, treatment, vaccines, and counseling alike. For someone without a regular provider, paying entirely out of pocket, or managing a condition that requires ongoing medication, that standing policy means the full scope of care is available without financial negotiation at the door.
Spanish Care Without a Language Workaround
Many clinics handle language needs through remote interpretation alone, which puts distance between a patient and their provider at the exact moment clarity matters. Family Health Care Clinic in Town Creek offers Spanish directly, alongside broader interpretation services, so a visit isn't mediated through a screen or a phone call when the conversation turns clinical.
Hepatitis C Managed and Treated On-Site
Family Health Care Clinic in Town Creek carries hepatitis C treatment on-site, not just the antibody test and a handoff. For someone without a specialist, without insurance, or simply needing one place to manage a chronic infection from diagnosis forward, that capability means the treatment conversation starts at the same clinic where the result does.
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Hepatitis A
Hepatitis C
Hepatitis B
TB
Gonorrhea
Syphilis
Herpes
Chlamydia
Conventional HIV
Serves
Adolescents/Youth/Teens
Low Income Persons
Persons with HIV
Persons with STI
Care services
Family Planning
Medication Adherence Education and Counseling
Mpox Vaccine
STI Treatment
Human Papillomavirus Vaccine (HPV)
HIV/AIDS Medical Treatment
Hepatitis C Treatment
Hepatitis B Treatment
Hepatitis A Vaccine
Adult Hepatitis B Vaccine
Prevention services
TB Prevention/Education
STI Prevention/Education
HIV/AIDS Prevention/Education
HIV Test Counseling
Hepatitis Prevention/Education
Fees & payment
Free Mpox Vaccine
Medicaid Accepted
Medicare Accepted
Fee
Insurance Accepted
Listing verified May 2026 · Source: CDC NPIN + HRSA
Community health center 8.5 miles
Familly Health Care Clinic, Inc.--Muscle Shoals
No ratings yet
Familly Health Care Clinic, Inc. in Muscle Shoals ties STI screening fees directly to household income. Federal qualification means no one is turned away for inability to pay. Walk-ins are welcome for syphilis, gonorrhea, and chlamydia screening, with costs scaled to what each patient actually earns.
Thrive Alabama in Florence tests for HIV, gonorrhea, chlamydia, syphilis, herpes, and hepatitis A, B, and C. With same-visit treatment for bacterial infections confirmed on the spot. Appointments are required, and every service is provided at no fee, with sliding-scale fees and insurance also accepted.
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Every Dollar Stays in Your Pocket
All services at Thrive Alabama carry no charge, which means testing, treatment, counseling, and prevention education are available without weighing one against another. That frees the visit to be shaped entirely by what you need, not what you can afford that week.
Spanish-Language Care Throughout
Thrive Alabama delivers care in Spanish, so conversations about symptoms, treatment options, and prevention happen with real fluency on both sides. The clinical relationship works the way it should: clearly, directly, and without anything getting lost.
Prevention Prescriptions Written at Thrive Alabama
Without a clinic that prescribes PrEP and PEP directly, preventing HIV can mean a separate provider, a delayed prescription, and a gap where risk stays open. Thrive Alabama writes those prescriptions in-house, so prevention and testing live in the same appointment.
Tests & treatsSliding-scalePrEP
Address
112 South Pine Street Southwest, Suite 202 Florence, AL 35630
More ways to get tested in Underwood Crossroads, AL
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 8 miles away, if you'd rather skip the trip, an at-home kit ships to Underwood Crossroads, 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 Underwood Crossroads, AL
Beyond the public testing sites above, these federally certified (CLIA) labs serve Colbert 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Underwood Crossroads. 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 Underwood Crossroads, AL who may help arrange STD testing
Beyond dedicated clinics, 109 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Underwood Crossroads. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 20 offer telehealth.
ZN
Zeke Nichols, MD
Family medicine · 14490 County Line Road, Muscle Shoals
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 Underwood Crossroads, AL
Compare the pharmacies closest to Underwood Crossroads, AL. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Showing the 5 closest pharmacies to Underwood Crossroads, 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 Underwood Crossroads, 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
Mistr
$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
STDs & HIV in Colbert County: the local picture
How reported STI rates in Colbert County, the county that includes Underwood Crossroads, compare with Alabama and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~16% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#43
#43 of 67 Alabama counties for chlamydia, a higher rate than 36% of the state
Reported STD rates per 100,000, Colbert County vs Alabama vs U.S.
Colbert CountyAlabamaU.S.▲▼ = Colbert County vs the state average
Infection
Colbert County
Alabama
United States
Chlamydia
421.5246 cases▼ 35%
651.1
492.2
Gonorrhea
195.3114 cases▼ 14%
226.9
179.5
Syphilis (P&S)
2414 cases▼ 16%
28.6
15.8
Syphilis (early)
17.110 cases▼ 16%
20.4
16
Syphilis (late/unknown)
2414 cases▼ 2%
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 Colbert County over time (per 100,000)
Chlamydia ▼ 9% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Colbert County, chlamydia has fallen from 576.7 to 421.5 per 100,000 (27%), gonorrhea has fallen from 283.1 to 195.3 per 100,000 (31%), and P&S syphilis has fallen from 24.5 to 24 per 100,000 (2%).
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 Underwood Crossroads, AL
Adults uninsured
11%
No routine checkup
19.4%
No transportation
10.2%
Binge drinking
13.4%
Frequent mental distress
18%
Depression
24.3%
Below poverty line
12.1%
Primary-care ratio
1,512 : 1
Colbert County
Primary-care shortage score 17 / 26
Medically Underserved Area · IMU 57
Social Vulnerability Index · 45th 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 Colbert County.
Local HIV snapshot
HIV in Colbert 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
182 / 100k
New diagnoses (2023)
6cases countywide
PrEP users / 100k
69 · PnR 5.67
Colbert County HIV care continuum (2023)
Colbert County recorded 12.1 new HIV diagnoses per 100,000 (2023), against 16.5 statewide and 13.7 nationally. Among Colbert County residents living with HIV, 84.1% are in care · 73.2% 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.
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 Colbert 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 →
Underwood Crossroads sits far enough from the nearest clinic that getting there means carving out real drive time, not a quick errand, but a deliberate trip across Colbert County's rural spread. For younger adults here who are still sorting out jobs, relationships, and routines, that distance can quietly become the reason a test keeps getting postponed. The community's profile adds texture to that reality. With nearly nine in ten residents owning their homes and just a fraction renting, often at rents well under five hundred dollars a month, this is a place where people have put down roots. Nearly half of adults are married, households tend to be small, and the unemployment rate is remarkably low.
But the flip side of that settled, working character is a labor-force participation rate that sits below fifty percent, meaning many residents (retirees, caregivers, people between careers) keep irregular schedules that don't map neatly onto standard clinic hours. When the only listed option requires a county-road drive each way, even a flexible week can make the appointment feel bigger than it should. For the roughly four in ten Underwood Crossroads households earning above a hundred thousand dollars annually, out-of-pocket testing costs are unlikely to be the barrier. For everyone else, confirming what a visit will actually cost, before making the drive, is the practical first step.
Getting there
How residents reach STD testing in Underwood Crossroads, AL
Walkability2.84 / 20 · Least walkable
At 2.84/20 on the EPA walkability index, day-to-day errands in Underwood Crossroads 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 35646 snapshot
Residents
4,005
Median age
55.3
Median income
$58,407
ZIP-level Census figures for the wider 35646 area around Underwood Crossroads: a single ZIP can span several communities, so they describe the area, not Underwood Crossroads alone.
Nearby cities & towns
STD testing near Underwood Crossroads, AL
Just outside Underwood Crossroads? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Underwood Crossroads, AL: screening, costs & privacy
Everything to know before you test in Colbert 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 Underwood Crossroads-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 Underwood Crossroads 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.
