Invoice: 10887
Voucher Codes:
RUCB
TTLI
LUAB
P02K
932T
CT2D
TU0Z
QVU7
RUCB
TTLI
LUAB
P02K
932T
CT2D
TU0Z
QVU7
Invoice: 10887
Invoice Date: March 31, 2026
Service Dates: 3/1/2026 – 3/31/2026
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:
Northwest Wyoming Family Planning
P.O. Box 941Cody, wyoming 82414
Total Vouchers: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 7 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $316.00 | ||