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It depends on where the car is registered and often on which county. Some states test everywhere, some only around the larger cities, and some do not test private cars at all. Newer vehicles are frequently exempt for the first few years, and very old ones are sometimes exempt as well. Your renewal notice is the reliable answer, since it tells you what the state expects before it will renew.
On most vehicles the technician plugs a reader into the diagnostic port under the dash, confirms the emissions monitors have completed their self-checks, and reads whether the check-engine light is commanded on. Older cars in some programs also get a probe in the tailpipe and a run on rollers. A visual check for missing or tampered emissions equipment is normal too.
Almost always readiness monitors. When the battery is disconnected or codes are cleared, the car forgets its self-test results, and until it has completed a mix of city and highway driving the station has nothing to read. Clearing the light the morning of the test is the classic own goal. Drive the car normally for several days first, then go.
You get a printout listing why, and the car needs repair before it can pass. Many stations include a free retest if you come back inside their window, so ask before you leave. Some states will grant relief when you can show real repair spending on a fault that still will not clear, and some allow a short extension to keep you legal while the work happens.
In many states yes, and some places are test-only by design. A test-only station has nothing to gain from finding a fault, which some drivers prefer. A station that also repairs is more convenient and can fix the problem the same day. Either way, a failure report is a starting point for a diagnosis, not a parts list to buy.
Well before the renewal deadline, not the week of it. If the car fails you need time to repair it, drive it enough for the monitors to reset and get it retested, and that easily runs past a weekend. Testing early also means a quieter station, because the queue builds at the end of every month.