STD Testing in Spearfish, SD
5 places to get tested — 5 clinics and testing sites near Spearfish, and no partner lab. The nearest one is out of town, so an at-home kit is usually the quicker route.
- 2free clinics
- 2sliding scale
- 1insurance or fee
Order a test online
Pick a panel, visit a lab nearby, results in 1–2 days. No appointment, no insurance.
GET TESTED NOWCompare pricing →4,500+ labs nationwide · from $24Buy an at-home STD test near Spearfish and online
Walgreens and Walmart sell over-the-counter test kits near Spearfish, and myLAB Box ships one to your door. You collect the sample at home and mail it to a lab. Stock varies by branch — call ahead or check online before making the trip.
Walgreens
Nearest branch · 0.6 mi1 storeWalmart
Nearest branch · 2.6 mi1 storemyLAB Box
Online · ships nationwideMail-in kit
We earn a commission if you order a myLAB Box kit through the link above. It does not change what you pay, and it does not decide which pharmacies are listed — those are the chains with branches near Spearfish.
Clinics and testing sites near Spearfish
No free or low-cost clinic is addressed in Spearfish itself, so the nearest are listed below, closest first. Public clinics generally take longer to return results than a private lab, and several test on set days only, so it is worth calling ahead. If you would rather not wait or give your details at a public clinic, an at-home collection kit posts back to a lab and needs no local appointment at all.
How we chose these 5 clinics
- Every one is on the CDC’s GetTested locatorThe wider CDC directory we draw from has over 16,000 entries. Only the ones GetTested also lists can appear here, and all 5 clinics below do.
- Listings that name fewer than three tests are left outEven on GetTested, 527 listings name fewer than three tests. We don’t show them anywhere.
- Unverified pregnancy centers are never shownThe CDC lists some pregnancy centers whose STD testing we couldn’t verify. We don’t list them anywhere.
- Cost is stated the way the CDC lists itFree, sliding scale or insurance accepted, as each clinic reports it to the CDC. We don’t estimate prices, and if the listing says nothing, the card says “Fees not listed.”
Directory retrieved September 4, 2026. Open “View services” on any card to see when that clinic last updated its listing. All sources
- Public health department40.7 mi away
Oyate Health Center
3200 Canyon Lake Dr, Rapid City, SD, 57702
HoursMon-Fri 8:00am-4:30pm
AppointmentsAppointment requiredFeesFree STI testing listed- HIV & STI testing
- Treats STIs
- Spanish spoken
CallWebsiteDirectionsView services
Tests Chlamydia · Gonorrhea · Syphilis · HIV · Herpes · TB
Treatments STI treatment · Family planning · Hep B vaccine · Free condoms · Case management
Languages English · Spanish
CDC GetTested listing, last updated by the source October 10, 2025. Directory retrieved September 4, 2026.
- Public health department41.1 mi away
South Dakota Department of Health
Pennington County Office
221 Mall Dr, Rapid City, SD, 57701
HoursNot listedAppointmentsAppointment requiredFeesFree STI testing listed- HIV & STI testing
- Treats STIs
- Interpretation listed
CallWebsiteDirectionsView services
Tests Chlamydia · Gonorrhea · Syphilis · HIV · Hepatitis B · Hepatitis C · Hepatitis A · TB
Treatments STI treatment · HPV vaccine · Hep B vaccine · Free condoms · PrEP navigation · Case management
Languages English · interpreter available
CDC GetTested listing, last updated by the source February 10, 2026. Directory retrieved September 4, 2026.
- Clinic41.2 mi away
Black Hills Urgent Care
Rapid City Location
741 Mountain View Rd, Rapid City, SD, 57702
HoursMon-Fri 7:00am-7:00pm+1
Sat-Sun 8:00am-6:00pmAppointmentsAppointment requiredFeesInsurance accepted- HIV & STI testing
- PrEP
- Treats STIs
CallWebsiteDirectionsView services
Tests Chlamydia · Gonorrhea · Syphilis · HIV · Herpes · Hepatitis B · Hepatitis C · TB
Treatments STI treatment · PrEP · HIV care · Hep C treatment · Family planning · HPV vaccine · Hep B vaccine · PrEP navigation · Case management
Languages English
CDC GetTested listing, last updated by the source March 25, 2026. Directory retrieved September 4, 2026.
Explore testing locations in and near Spearfish
Nearest partner lab
No partner lab operates in Spearfish. The closest one is listed below — for most readers here an at-home kit is the quicker option, but the lab is there if you would rather give a sample in person.
Labcorp
42 mi awayIn Rapid City, not Spearfish
Lawrence County STD rates
Reported cases per 100,000 residents. Change shown against the year before.
Chlamydia
▲ 17.5%306.6per 100k
86 reported cases · 2023 · 42% below the SD rate
Gonorrhea
▼ 10.5%42.8per 100k
12 reported cases · 2023 · 83% below the SD rate
Syphilis
▲ 61.8%17.8per 100k
5 reported cases · 2023 · 76% below the SD rate
HIV
0new diagnoses
2020 · rate not published
Source: CDC NCHHSTP AtlasPlus, 2023 release · Lawrence County SD STD Statistics
There were 0 new HIV diagnoses in Lawrence County in 2020. HIV is the one infection where how soon you test changes which test you need — an RNA test detects it far earlier than a standard antibody test.
Lawrence County reported 86 chlamydia cases in 2023, a rate of 306.6 per 100,000 residents. Most people who have chlamydia or gonorrhea have no symptoms at all, so waiting for something to feel wrong is not a strategy.
HIV prevention & treatment
PrEP, DoxyPEP & Online Treatment
A test result is the start, not the end. If you are negative and want to stay that way, PrEP and DoxyPEP cut the risk of a future infection. If you are positive, most STIs can be treated without setting foot in a clinic. Both are available to people in Spearfish 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
Prices depend on your insurance and change frequently — check the provider’s own site before ordering. None of these replace emergency care.
STD testing in Spearfish, answered
Where can I find free or sliding-scale STD testing near Spearfish?
Among the 5 clinics listed near Spearfish, 2 list free testing for at least one infection and 2 list sliding-scale fees. Confirm eligibility and charges before visiting. Free testing is listed at Oyate Health Center, South Dakota Department of Health.
How much does STD testing cost near Spearfish?
Among the 5 clinics listed near Spearfish, 2 list free testing for at least one infection and 2 charge on a sliding scale based on income. Private lab testing is a flat price paid up front — no insurance is filed, so nothing appears on an explanation of benefits.
Can I get tested on a weekend near Spearfish?
1 of the 5 listed clinics publish Saturday hours: Black Hills Urgent Care. The partner labs are weekday only, so a Saturday visit means one of the community clinics.
How common are STDs in Spearfish?
In 2023, Lawrence County reported 86 chlamydia cases — a rate of 306.6 per 100,000 residents. Gonorrhea was 42.8 per 100,000. There were also 0 new HIV diagnoses in 2020.
Is testing available in Spanish near Spearfish?
2 of the 5 listed clinics indicate that Spanish-language services are available, and 1 list PrEP.
- Partner labs
- Quest and Labcorp location directories · checked August 2026
- Public clinics
- CDC GetTested / NPIN directory · retrieved September 4, 2026
- Retailers
- Retailer store directories · updated September 2026
- Statistics
- CDC NCHHSTP AtlasPlus · reporting year 2023
- HIV diagnoses
- CDC HIV Surveillance · reporting year 2020
