Invoice: 7071

Voucher Codes:
O3LH
FARX
2NE1
8P9J
AYTJ
RZI2
7N4M
GWNY
YTGB
HP31
FMRB

Invoice: 7071

Invoice Date: September 30, 2025
Service Dates: 9/1/2025 – 9/30/2025
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:
Converse County Treasurer
107 N. 5th Street
Douglas, wyoming 82633
Total Vouchers: 11
Vouchers Test Name Test Price Total
3Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM)$45.00$135.00
8Rapid Hepatitis C test provided by CDU$0.00$0.00
11Rapid HIV test provided by CDU$15.00$165.00
10Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$140.00
6Urine specimen – Chlamydia and Gonorrhea$14.00$84.00
9Syphilis blood draw$0.00$0.00
4Vaginal specimen – Chlamydia and Gonorrhea$14.00$56.00
3Rectal specimen – Chlamydia and Gonorrhea$14.00$42.00
Invoice Total $622.00