Smith County reports about 518 chlamydia cases per 100,000 residents. Whether you are managing a one-time concern or planning regular check-ups in Winona, Texas, you can choose between clinics that take walk-ins for same-day testing and labs or at-home kits that offer more flexibility. See the options below.
Available testing centers
7 testing options are listed for Winona, TX. The nearest, Family Circle of Care Health Centers, is about 10.9 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.
Family Circle of Care Health Centers in Tyler tests for gonorrhea, chlamydia, syphilis, HIV, hepatitis C, and TB, treating bacterial infections at the same appointment. No second visit to fill a prescription. Fees run on a sliding scale, with Medicaid, Medicare, and most insurance accepted. An appointment is required.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
Bethesda Health Clinic in Tyler runs testing for HIV, syphilis, gonorrhea, chlamydia, hepatitis B and C, and TB on a no-fee basis. Donations accepted, nothing required. Appointments are needed, and bacterial STIs can be treated the same visit.
For anyone paying out of pocket, between providers, or simply without coverage, Bethesda's standing policy removes the fee entirely. Not reduced, not billed later. Every test, every vaccine, every treatment visit runs at zero cost, with donations welcomed but never required.
A basic four-infection screen leaves hepatitis unexamined, and for many people, that's exactly where the gap is. Bethesda tests for both hepatitis B and hepatitis C alongside HIV, syphilis, gonorrhea, and chlamydia, plus TB, making the panel meaningfully broader than what most walk-in options carry.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Wellness Pointe - Social Services - Tyler, in Tyler, anchors its STI care in a sliding-scale fee structure tied to income. No one is turned away for inability to pay. Federal FQHC standing backs that commitment, with screening for syphilis, gonorrhea, and chlamydia available without an appointment.
Tests offered
Fees & payment
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 11 miles away; if you'd rather skip the trip, an at-home kit ships to Winona, 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 value: single tests
$49 & up
Best range: couples & full panels
$79 & 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 Smith 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.
2401 Sse Loop 323, Tyler, TX 75701
CMS-certified lab Accredited · Joint Commission
800 East Dawson, Tyler, TX 75701
CMS-certified lab Accredited · Joint Commission
1720 South Beckham Ave Suite 107, Tyler, TX 75701
CMS-certified lab Accredited · Joint Commission
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Winona. 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, 496 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Winona. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 122 offer telehealth.
Jay Hofweber, MD
Internal medicine · 11937 US Hwy 271, Tyler
Christine Kang, DO
Internal medicine · 11937 US Hwy 271, Tyler
Lijo John, MD Telehealth
Internal medicine · 501 Saunders Avenue, Tyler
Angela Smith, MD Telehealth
Internal medicine · 820 East Front Street, Tyler
Yuhoe Dice, MD Telehealth
Internal medicine · 620 South Fleishel Avenue, Tyler
Brady Holstead, MD Telehealth
Internal medicine · 630 South Fleishel Avenue, Tyler
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 Winona, 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.
4.2 mi Super 1 Pharmacy
11 mi
11 mi Texas Oncology Pharmacy Tyler
12 miShowing the 4 closest pharmacies to Winona, 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 Winona, 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
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or 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
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 Smith County, the county that includes Winona, compare with Texas and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~37% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#37 of 254 Texas counties for chlamydia, a higher rate than 85% of the state
| Infection | Smith County | Texas | United States |
|---|---|---|---|
| Chlamydia | 517.9 1,270 cases ▲ 5% | 491.9 | 492.2 |
| Gonorrhea | 146.4 359 cases ▼ 17% | 176.4 | 179.5 |
| Syphilis (P&S) | 11 27 cases ▼ 27% | 15 | 15.8 |
| Syphilis (early) | 9.4 23 cases ▼ 64% | 26.4 | 16 |
| Syphilis (late/unknown) | 35.9 88 cases ▼ 19% | 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 Smith County, chlamydia has risen from 402.6 to 517.9 per 100,000 (29%), gonorrhea has fallen from 193.6 to 146.4 per 100,000 (24%), and P&S syphilis has risen from 2.1 to 11 per 100,000 (424%).
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 Smith County.
Local HIV snapshot
Smith County HIV care continuum (2023)
Smith County recorded 19.2 new HIV diagnoses per 100,000 (2023), against 20.2 statewide and 13.7 nationally. Among Smith County residents living with HIV, 82.4% are in care · 66.5% 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 Smith County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
A drive down North Main Street past the First Baptist Church of Winona brings you through the heart of town, where everyday life unfolds at a measured pace. For young adults in Winona (those navigating early careers, relationships, and the ordinary decisions that come with that stage) access to straightforward STI testing matters as much as it does anywhere else, though the conversation around it often stays quiet. The clinics and urgent care facilities listed on this page serve Winona and the surrounding area, offering the kind of confidential screening that lets you move forward without fanfare or explanation to anyone in your circle. Testing here works the way it does elsewhere: you schedule, you go, results come back to you alone.
What sets Winona apart is the smaller-town reality that shapes how people think about health care, there's no anonymity in the grocery store, but there's also no reason that should keep you from getting tested. The providers available in and around Winona understand that straightforward care, without judgment or broadcast, is what people actually need. Whether you're between jobs, settling into a new relationship, or simply maintaining your health as routine, the testing services listed on this page give you a practical way forward. Confidentiality isn't performance here; it's basic practice.
Getting there
At 6.81/20 on the EPA walkability index, day-to-day errands in Winona 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 75792 snapshot
ZIP-level Census figures for the wider 75792 area around Winona: a single ZIP can span several communities, so they describe the area, not Winona alone.
Winona sits in Smith County, ZIP 75792. Local context that shapes where residents test:
Local landmarks
Major routes
Nearby cities & towns
Just outside Winona? 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 Smith 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 Winona-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 Winona 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.
7 testing options are within 30 miles of Winona, TX.
Most plans cover STD screening; a clinic or lab can bill insurance, or you can pay a flat self-pay price.
Public clinics nearby offer free HIV testing.
Local options test for Chlamydia, Gonorrhea, Syphilis, Herpes, Hepatitis A, Hepatitis B, Hepatitis C, Rapid HIV, a full panel covers the common ones.
About 518 cases per 100,000 residents (2023), above the Texas average.
Lab results typically come back in 1–2 days.
In Texas, people under 18 can consent to confidential STD testing and treatment on their own.
Screening checks when you have no symptoms; diagnostic testing confirms a cause when you do. The lab tests are often the same.
The sore can disappear on its own even though the infection remains; only testing confirms it's gone.
A retest around 3 months after treatment is recommended for chlamydia and gonorrhea.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.