Invoice: 10058
Voucher Codes:
3E8N
Q395
AV9K
QW44
KCJD
NYCQ
8TEO
M23K
LKEA
3E8N
Q395
AV9K
QW44
KCJD
NYCQ
8TEO
M23K
LKEA
Invoice: 10058
Invoice Date: January 31, 2026
Service Dates: 1/1/2026 – 1/31/2026
TO:
Wyoming Department of Health
Communicable Disease Unit
122 West 25th Street, 3rd Floor West
Cheyenne, Wy, 82002
Phone (307) 777-3562 | Fax 307-777-8547
FROM:
Fremont County Treasurer - Public Health - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 9 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $404.00 | ||