STD Testing in South Dakota

We list 64 public testing locations across 35 cities in South Dakota, plus 20 partner lab locations you can order online. 55 of the public sites test for free or on a sliding scale. The public sites are drawn from the CDC GetTested directory, with their fees shown exactly as published.

  • 64public locations
  • 20partner labs
  • 12test for free
  • 43sliding scale
  • 2offer PrEP
  • 8open Saturdays
  • 8speak Spanish

Order a test online

Results in 1–2 days · no appointment · nothing filed through insurance

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Partner labs in South Dakota

Order online, then walk in with no appointment. Tap a pin for the address.

Partner lab · 20

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STD rates in South Dakota

Reported cases per 100,000 residents, compared with the US rate and ranked against the other states. The badge shows the change from the year before.

Chlamydia

▼ 6.3%

531.6per 100k

4,887 reported cases · 20238% above the US rate (490.7)

Ranks 14th of 50 states

2000–2023 · up 119%

Gonorrhea

▼ 24.9%

253.3per 100k

2,329 reported cases · 202342% above the US rate (178.2)

Ranks 4th of 50 states

2000–2023 · up 590%

Syphilis

▼ 12.9%

73.4per 100k

675 reported cases · 2023365% above the US rate (15.8)

Ranks 1st of 50 states

HIV

5.6per 100k

42 new diagnoses · 202258% below the US rate (13.3)

Ranks 38th of 50 states

2017–2022 · unchanged

South Dakota ranks 8th of 50 states for combined chlamydia, gonorrhea and syphilis: 858.3 per 100k, 25% above the US rate of 684.7.

Counties with the highest rates in South Dakota

CountyCombinedChlamydiaGonorrheaSyphilis
Todd County5,652.83,087.32,130.7434.8
Oglala Lakota County5,582.92,769.11,697.21,116.6
Buffalo County5,467.12,388.52,070.11,008.5
Dewey County5,433.92,803.41,862.5768.0
Ziebach County2,627.01,507.3602.9516.8
Jackson County2,557.71,368.9936.6252.2
Bennett County2,450.81,452.3423.6574.9
Mellette County2,377.11,242.6972.4162.1
Corson County2,247.51,084.1555.3608.1
Lyman County2,132.21,214.6728.7188.9

Per 100,000 residents, 2023. All counties in South Dakota →

Source: CDC NCHHSTP AtlasPlus, 2023 release · South Dakota STD Statistics

Testing privacy

Anonymous vs. confidential testing

Most clinics test confidentially. Some also offer anonymous testing, usually for HIV. Availability varies by testing site, so ask when you call.

Confidential

  • You give your name, and the result goes in your medical record.
  • Results are not available to the public.
  • Chlamydia, gonorrhea, syphilis and HIV are reportable in every state, so a positive result is reported to the health department. Those reports are kept confidential.

Anonymous

  • You don’t give your name.
  • You receive a number and use it, not your name, to get your result.
  • Not every site offers it. Ask before your visit.

Source: NIH HIVinfo, HIV Testing · CDC, STI Reporting and Confidentiality

Buy an at-home STD test in South Dakota

myLAB Box ships a kit to any address in South Dakota. You collect the sample at home and mail it to a lab, so there is no clinic to reach and no appointment to make.

  • myLAB Box

    Online · ships statewideMail-in kit

    Ordered online and delivered to your door, so there is no trip to make and nothing to ask for at a counter.

    Order a kit →

We earn a commission if you order a myLAB Box kit through the link above. It does not change what you pay.

HIV prevention & treatment

PrEP, DoxyPEP & Online Treatment

A test result is the start, not the end. Both prevention and treatment are available to people in South Dakota by video visit, prescribed by clinicians licensed in South Dakota.

  • Treatment & DoxyPEP

    Wisp

    STI treatment $39 · DoxyPEP from $22

    Treatment for an STI, and DoxyPEP, prescribed online. The prescription goes to your pharmacy the same day.

    Visit Wisp
  • HIV PrEP & DoxyPEP

    Q Care Plus

    $0 for most insured patients

    PrEP and DoxyPEP by video visit, with test kits posted to you and follow-up bloodwork tracked between refills.

    Visit Q Care Plus
  • HIV PrEP & DoxyPEP

    MISTR

    $0 with or without insurance

    HIV prevention handled entirely from home: PrEP and the lab work that goes with it, no appointment.

    Visit MISTR

Common questions about STD testing in South Dakota

Where can I get free STD testing in South Dakota?

Of the 64 public testing locations we list in South Dakota, 12 provide free STD testing and 43 charge on a sliding scale based on income. Open the city closest to you above to see which ones those are, with their fees, hours and phone numbers.

Can I get tested on a weekend in South Dakota?

8 of the public locations we list in South Dakota publish Saturday hours. Hours change without notice, so call before travelling.

Where can I get PrEP in South Dakota?

2 of the public South Dakota locations we list offer PrEP. It is also prescribed by video visit statewide, without a clinic appointment.

How common are STDs in South Dakota?

South Dakota reported 858.3 chlamydia, gonorrhea and syphilis cases per 100,000 residents in 2023, which ranks it 8th of 50 states. The full breakdown, including every county, is on our South Dakota STD statistics page.

Do I need insurance to get tested in South Dakota?

No. The free and sliding-scale locations listed above do not require it, and an online order is paid directly, so nothing is filed through insurance and no explanation of benefits is generated.