Invoice: 11755
Voucher Codes:
OBQW
QSCK
W1CO
1BGZ
7MER
LNZ9
TRPJ
TZ53
4FJ0
XTDG
T20I
HJ5B
U90E
XXEQ
SNNV
OBQW
QSCK
W1CO
1BGZ
7MER
LNZ9
TRPJ
TZ53
4FJ0
XTDG
T20I
HJ5B
U90E
XXEQ
SNNV
Invoice: 11755
Invoice Date: April 30, 2026
Service Dates: 4/1/2026 – 4/30/2026
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 15
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 10 | Rapid HIV test provided by CDU | $15.00 | $150.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 9 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 1 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $332.00 | ||