In Lincoln County, reported chlamydia runs about 42% lower than the US average. If it's your first STI test or a routine screening in Worthing, South Dakota, you'll find community and public clinics often have lower costs, while private labs usually provide faster results and more flexible scheduling. Find some local options below.
Available testing centers
7 testing options are listed for Worthing, SD. The nearest, Sanford Medical Center, is about 6.4 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.
A safety-net rural health clinic about 6 miles from Worthing. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Avera in Sioux Falls covers gonorrhea, chlamydia, syphilis, hepatitis B and C, and HIV testing with same-visit treatment for bacterial infections when needed; fees run on a sliding scale and insurance is accepted. Appointments are required. Prevention includes PrEP and PEP.
Avera writes PrEP prescriptions and manages PEP directly, so prevention and testing stay with the same clinical team. That continuity means medication adjustments, follow-up labs, and ongoing care happen in one place rather than across separate providers.
When hepatitis C goes untreated, the gap usually opens between a positive result and a specialist who can act on it. A gap that can stretch for months. At Avera in Sioux Falls, treatment is managed on-site, so a diagnosis doesn't sit idle waiting for a second appointment somewhere else.
Avera's panel extends beyond the standard four STIs to include hepatitis B and C testing, the standing capability that matters most for someone paying cash without a primary care physician who would otherwise order those labs. Sliding-scale fees apply to the full panel.
Languages
English
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Apr 2026 · Source: CDC NPIN
Planned Parenthood North Central States in Sioux Falls tests for gonorrhea, chlamydia, syphilis, herpes, and HIV on a sliding-scale fee open to anyone, with insurance and Medicaid also accepted; bacterial infections treated same visit, by appointment.
Many clinics offer a number to dial and hand the phone across the desk, a setup that fragments the conversation and slows care. At Planned Parenthood North Central States in Sioux Falls, interpretation services are built into the visit itself, so the clinical exchange happens directly and completely, not through a patched-in relay.
Without Title X status, a minor seeking STI testing can find themselves navigating parental notification requirements that stop care before it starts. Planned Parenthood North Central States in Sioux Falls operates under Title X, which means family planning and STI services for minors are legally confidential. The protection is statutory, not a clinic policy that can shift.
PrEP isn't a single prescription: it requires regular HIV testing, kidney function monitoring, and prescription renewals to stay effective. Planned Parenthood North Central States in Sioux Falls manages that full cycle in-house, and also prescribes PEP for post-exposure prevention, with clinical staff who handle both the initiation and the follow-through.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Aug 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 about 6 miles away; if you'd rather skip the trip, an at-home kit ships to Worthing, 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 for simplicity & support
$89 & 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 Lincoln 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.
725 Figzel Court Suite 100, Tea, SD 57064
CMS-certified lab Accredited · College of American Pathologists
440 North Hiawatha, Canton, SD 57013
CMS-certified lab Accredited · COLA
Showing the nearest 2 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Worthing. 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, 296 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Worthing. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 38 offer telehealth.
Dustin Collins, MD Telehealth
Family medicine · 2120 Live Stronger Street, Tea
John Jones, MD
Family medicine · 440 North Hiawatha Drive, Canton
Stuart Andersen, MD Telehealth
Internal medicine · 6100 South Louise Avenue, Sioux Falls
Jeffrey Anderson, MD
Family medicine · 4500 West 69 Street, Sioux Falls
Steven Joyce, MD
Internal medicine · 4700 West 69th Street, Sioux Falls
Jeffrey Edman, MD
Urology · 201 West 69th Street, Sioux Falls
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 Worthing, SD 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.
Lewis Family Drug
7.6 miYour Daily Dose
7.6 miLewis Family Drug - Harrisburg Pharmacy
7.7 miHaisch Pharmacy
9.2 mi
10 mi Showing the 5 closest pharmacies to Worthing, SD.
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 Worthing, 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
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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 Lincoln County, the county that includes Worthing, compare with South Dakota and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~22% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#32 of 66 South Dakota counties for chlamydia, a higher rate than 52% of the state
| Infection | Lincoln County | South Dakota | United States |
|---|---|---|---|
| Chlamydia | 286.7 210 cases ▼ 46% | 531.6 | 492.2 |
| Gonorrhea | 68.3 50 cases ▼ 73% | 253.3 | 179.5 |
| Syphilis (P&S) | 8.2 6 cases ▼ 89% | 73.4 | 15.8 |
| Syphilis (early) | 6.8 5 cases ▼ 91% | 76.8 | 16 |
| Syphilis (late/unknown) | 10.9 8 cases ▼ 85% | 72.9 | 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 Lincoln County, chlamydia has risen from 259.4 to 286.7 per 100,000 (11%), gonorrhea has fallen from 82.9 to 68.3 per 100,000 (18%), and P&S syphilis has risen from 6.1 to 8.2 per 100,000 (34%).
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 Lincoln County.
Local HIV snapshot
Lincoln County HIV care continuum (2022)
Lincoln County recorded 0 new HIV diagnoses per 100,000 (2022), against 6.8 statewide and 13.7 nationally. Among Lincoln County residents living with HIV, 93.3% are in care · 60% 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 Lincoln County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Where SD 44 and US 18 intersect near Worthing, the town's character emerges: households that span generations under one roof, neighbors who've known each other for decades, and a quiet expectation of privacy that runs deep. STI testing here carries real weight precisely because discretion cannot be assumed or taken for granted. The clinics and providers listed on this page understand that confidentiality in a place where extended family often lives together and social ties run long is not a formality, it's the foundation that lets people seek care without hesitation. Young adults in Worthing face the same health realities as their peers elsewhere, and routine screening remains essential during years when transmission risk peaks and prevention matters most.
Testing facilities in and around Worthing are built to respect that need, separating medical records from everyday life in ways that allow residents to act on health concerns without broadcasting them across town. The providers available here recognize what Worthing's character demands: real walls between the clinic and the community, results that stay confidential, and no assumptions about who knows what. That separation, between your health decisions and your neighbors' gossip, is what makes testing genuinely accessible in a town where everyone's business can easily become public knowledge.
Getting there
At 6.15/20 on the EPA walkability index, day-to-day errands in Worthing 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 57077 snapshot
ZIP-level Census figures for the wider 57077 area around Worthing: a single ZIP can span several communities, so they describe the area, not Worthing alone.
Worthing sits in Lincoln County, ZIP 57077. Local context that shapes where residents test:
Major routes
Nearby cities & towns
Just outside Worthing? 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 Lincoln County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under South Dakota 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 Worthing-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 Worthing 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 South Dakota 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 South Dakota, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Expedited Partner Therapy (EPT) is potentially allowable in South Dakota: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.
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 South DakotaSource: 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.
Nearest is Sanford Medical Center, about 6.4 mi away; 7 are within 30 miles. An at-home kit shipped to 57077 also works.
Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Lincoln County reported ~287 chlamydia cases per 100,000 in 2023, below the South Dakota average.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
In South Dakota, people under 18 can consent to confidential STD testing and treatment on their own.
Negative is good news, just retest later if the test was soon after a possible exposure.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
Use condoms, test regularly, get the HPV and hep B vaccines, and ask about PrEP for HIV.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.