HIV testing in Wyoming — where to get tested, free options, what to expect

310 people are living with HIV in Wyoming, and 12% of new diagnoses in 2022 were among Black residents. Getting tested is the first step — the CDC recommends at least one HIV test for every adult 13-64, and annual testing for anyone sexually active with more than one partner or injecting drugs. Rapid tests return results in about 20 minutes from a fingerstick; laboratory tests take a few days but catch infections sooner after exposure (as early as 10 days with a nucleic-acid test).

Where to test for free in Wyoming: every county health department runs an STI / HIV testing clinic, and Wyoming Department of Health, Communicable Disease Unit contracts with community-based organizations to operate walk-in rapid testing with evening and Saturday hours. No ID or insurance is required at these sites. Confidentiality is protected — state law requires public-health HIV testing results to stay out of your medical record unless you authorize release, and anonymous testing (no name collected) is available at most community sites.

What to expect: a pre-test conversation about risk and what a positive result would mean, the test itself (either fingerstick or blood draw), and post-test counseling. If the rapid test is reactive, the counselor draws blood for a confirmatory Western blot or antigen/antibody test. If you're positive, you'll be linked to a Ryan White Part C clinic for same-week HIV primary care and ADAP enrollment if you qualify by income.

The Wyoming HIV info line is 1-307-777-7953; staff can point you to the nearest free testing site, schedule PrEP, and help you navigate insurance or no-insurance options. Long-time Black residents name Wyoming Health Council and Cheyenne Regional Medical Center Infectious Disease Clinic as the local institutions that show up consistently — both are listed below.

Wyoming Health Council. The Wyoming Health Council in Casper is the state's Ryan White Part B case-management contractor, operating rapid testing at six clinic sites across Natrona, Laramie, and Fremont counties and the state's only dedicated HIV peer-navigation program.

Cheyenne Regional Medical Center Infectious Disease Clinic. The ID Clinic at Cheyenne Regional Medical Center is Wyoming's primary HIV specialty clinic and Ryan White Part C grantee, covering eastern Wyoming through a telehealth partnership with the University of Colorado's Denver Health ID Clinic.