St. Louis Health Department phone, address, testing, records and city health services
The City of St. Louis Department of Health is the public-health agency for residents inside the independent City of St. Louis. Its work includes communicable-disease control, HIV/STI services, environmental health, lead and school-health programs, animal care, food safety, emergency preparedness and community health.
The main Department of Health office is at 1520 Market Street, Room 4051, with phone 314-612-5100. If you live in St. Louis County rather than the City of St. Louis, you need the separate St. Louis County Department of Public Health.
What does the City of St. Louis Department of Health do?
The City of St. Louis Department of Health protects public health inside St. Louis City. The department focuses on population health rather than operating like a general walk-in doctor’s office.
The department investigates reportable diseases, coordinates outbreak response and provides HIV, STI, hepatitis and related public-health services.
Programs include lead prevention, school health, maternal-child health, asthma support, health equity and breast/cervical health navigation.
City programs cover restaurants, food permits, community sanitation, air pollution control, animal care, rodents, mosquitoes and other health hazards.
St. Louis Health Department phone, address and hours
The current City of St. Louis directory places the Department of Health at 1520 Market Street. Different programs use separate rooms, phone numbers and extensions inside the same building.
| Need | Contact | What it handles |
|---|---|---|
| Main Health Department | 314-612-5100 | General health-department routing and program questions. |
| Address | 1520 Market St., Room 4051, St. Louis, MO 63103 | Main Department of Health administrative location. |
| Hours | Monday-Friday, 8:00 AM-5:00 PM | Specific clinics or record pickup times can differ. |
| Communicable Disease | 314-612-5289 | Communicable-disease control and related public-health routing. |
| Health Stop testing | 314-657-1584 | HIV, hepatitis C and STI testing/referral. |
| Medical records | 314-657-1548 | Immunization, lead, TB, hepatitis and applicable department medical records. |
| Environmental Health | 314-657-1539 | Food control and environmental-health program questions. |
| Public-health complaint | 314-622-4800 | Food establishments, animals/rodents, sanitation, no water, smoking and commercial-waste concerns. |
St. Louis Department of Health services in 2026
The city’s Department of Health is organized around public-health prevention, disease control, environmental enforcement and community programs rather than general hospital-style care.
Monitors reportable diseases, coordinates investigations, handles outbreak response and supports HIV/STI and hepatitis-related programs.
Provides confidential testing and referral for HIV, hepatitis C, gonorrhea, chlamydia and syphilis at no cost.
Coordinates childhood lead screening, education and prevention for eligible children living in St. Louis City.
Supports students through nursing, screenings, education, referrals and care planning across participating city schools.
Works with community partners to support higher-risk families and connect them with preventive and social-health resources.
Oversees restaurant and food safety, sanitation, vectors, animal care, air pollution and related city health regulations.
Provides copies of certain immunization, hepatitis, lead and TB records held by the Department of Health.
Coordinates public-health preparedness, severe-weather planning and community resiliency functions.
Publishes local public-health reports, influenza surveillance, restaurant inspections and other city health data.
Free HIV, hepatitis C and STI testing in St. Louis
The Health Stop Testing and Referral Center operates on the first floor of 1520 Market Street. The City says its testing services are confidential and available at no cost.
Testing may use a finger-prick or blood draw. Free self-HIV test kits are also available through the program.
Health Stop offers hepatitis C testing by finger prick and can help with referral or linkage to care.
Testing includes gonorrhea, chlamydia and syphilis using urine, swab or blood-based methods as appropriate.
Use 314-657-1584 or the official Health Stop appointment system.
The City currently accepts appointments and walk-ins, but walk-in testing depends on capacity.
Some rapid tests can return results in about 15 minutes, while other STI results may take 5-7 business days.
Health Stop can help with referrals and connection to care when a test result requires follow-up.
Vaccine help and immunization records in St. Louis City
The city provides vaccine guidance and record access but does not function as a universal everyday vaccination clinic for every vaccine. St. Louis City residents may be directed to a healthcare provider, federally qualified health center or another approved vaccination site depending on the vaccine.
The current city vaccine guidance tells St. Louis City residents to call 314-657-1475 for applicable appointment-based vaccine services.
Department-held vaccination records can be requested through Medical Records at 314-657-1548.
City ordinance requires covered food-establishment employees involved in food preparation, display or service to have hepatitis A immunization documentation within the applicable employment period.
How to get Department of Health medical records
The City Department of Health maintains some immunization, hepatitis, lead-screening and tuberculosis records. These are different from hospital charts and different from legal birth or death certificates.
| Records detail | Current City information |
|---|---|
| Records phone | 314-657-1548 |
| Records covered | Immunization, lead screening, tuberculosis, hepatitis and certain closed City hospital records. |
| Fee | $10 per record. |
| Payment | Cash only; exact change requested. |
| Service hours | Monday-Friday, 8:30 AM-5:00 PM; closed on City holidays. |
| Pickup | 1520 Market Street, 4th Floor, after staff confirms the record is available. |
Tell Medical Records what type of record you need and provide your name and date of birth.
Staff will determine whether the Department of Health actually holds the requested record.
If the record is available, staff will give you a time to retrieve it from 1520 Market Street.
The current published fee is $10 per record and the city page says cash only with exact change.
Birth and death certificates are handled by the City Recorder
The City of St. Louis Department of Health does not handle birth certificates as part of its medical-record service. Birth and death certificates are managed by the City of St. Louis Recorder of Deeds and Vital Records Registrar at City Hall.
| Vital-record item | Current detail | Where to go |
|---|---|---|
| Vital Records phone | 314-613-3018 | 1200 Market St., City Hall, Room 127/128. |
| Birth certificate | $15 non-refundable search/copy fee | City Recorder or approved online ordering route. |
| Identification | Valid government photo ID required for in-person requests | Recorder/Vital Records office. |
| Long-form original copy | Available only through Missouri Bureau of Vital Records | Missouri Department of Health and Senior Services. |
Child lead screening and lead-program help
The City Department of Health operates lead-prevention services for St. Louis City families. Current city guidance says lead screening is available at no cost for children age six and younger who live in the City of St. Louis.
Current city guidance directs families to a primary care provider or local federally qualified health center for a lead-testing appointment.
The Family, Community and School Health division lists the Lead Program at 314-657-1515 for program-specific questions.
Food inspections, sanitation, animals, rodents and air pollution
St. Louis Environmental Health handles a broad range of city issues. Food safety, neighborhood sanitation, animal control, air pollution and disease vectors such as rats and mosquitoes are all routed through Health Department programs.
Inspects and permits restaurants, taverns, temporary food booths and other businesses that prepare or serve food.
Investigates health hazards such as sanitation problems and other conditions that violate city or state public-health rules.
Responds to rats, mosquitoes and other potential disease vectors. The current vector-control phone is 314-657-1500.
Enforces pet-related ordinances, responds to animal concerns and promotes public and animal safety.
Handles permitting and compliance related to asbestos abatement, demolition, occupancy and city air-quality requirements.
For food establishments, animals/rodents, smoking, commercial waste or no-water concerns, the City directs residents to the Citizens’ Service Bureau.
St. Louis City Health Department vs St. Louis County Health Department
St. Louis City and St. Louis County are separate local governments with separate health departments. A St. Louis mailing address alone does not tell you which agency serves you.
If your residence is inside the independent City of St. Louis, the agency on this page is the correct city public-health department. Main address: 1520 Market Street.
If you live in a county municipality such as Clayton, Florissant, Kirkwood, Chesterfield or another St. Louis County community, use the separate St. Louis County Department of Public Health.
What to bring or prepare before contacting St. Louis Health Department
Different programs use different documentation. Calling the right program first can prevent a second downtown trip.
Map to the City of St. Louis Department of Health
The Department of Health is at 1520 Market Street downtown, near City Hall and Civic Center transit connections. Health Stop is located on the first floor, while department administrative offices and some records functions use upper-floor rooms.
Official St. Louis public-health links
Use these official city and Missouri resources for current appointment rules, fees, testing schedules and record requirements.
St. Louis Health Department FAQs
What is the St. Louis Health Department phone number?
The main City of St. Louis Department of Health phone number is 314-612-5100.
Where is the City of St. Louis Health Department?
The main department is at 1520 Market Street, Room 4051, St. Louis, Missouri 63103.
What are the St. Louis Health Department hours?
The main office lists Monday through Friday, 8:00 AM to 5:00 PM. Individual clinics and record services may use narrower schedules.
Is St. Louis City Health Department the same as St. Louis County Health Department?
No. St. Louis City and St. Louis County have separate local governments and separate health departments. This page covers the City of St. Louis Department of Health.
Where can I get free HIV or STI testing in St. Louis City?
The Health Stop Testing and Referral Center at 1520 Market Street provides no-cost HIV, hepatitis C, gonorrhea, chlamydia and syphilis testing. Call 314-657-1584 for appointments and current walk-in availability.
How do I get my St. Louis Health Department immunization record?
Call Medical Records at 314-657-1548. The department maintains some immunization, hepatitis, lead and tuberculosis records and will confirm whether the requested record is available.
How much does a Department of Health medical record cost?
The current City medical-records page lists a $10 fee per record and says payment is cash only with exact change.
Can I get a birth certificate from the St. Louis Health Department?
Not through Department of Health Medical Records. Birth and death certificates are handled by the City of St. Louis Recorder of Deeds and Vital Records Registrar at City Hall.
Who handles restaurant or rodent complaints in St. Louis City?
Environmental Health handles food safety, sanitation and vector-control programs. The City directs public complaints about food establishments, animals or rodents, sanitation, no water, smoking and commercial waste to the Citizens’ Service Bureau at 314-622-4800.
Does the St. Louis Health Department provide lead testing?
The City provides lead-program support and no-cost child lead-screening services for eligible St. Louis City residents. Current guidance directs families to a primary-care provider or federally qualified health center to schedule testing.