Invoice: 8791

Voucher Codes:
GES9
QSMN
HPM9
W3PX
OCC0
LHIB

Invoice: 8791

Invoice Date: October 31, 2025
Service Dates: 10/1/2025 – 10/31/2025
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:
Reproductive Healthcare of the Big Horns
128 S. Thurmond Ave.
Sheridan, Wyoming 82801
Total Vouchers: 6
Vouchers Test Name Test Price Total
2Urine specimen – Chlamydia and Gonorrhea$14.00$28.00
4Vaginal specimen – Chlamydia and Gonorrhea$14.00$56.00
3Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$42.00
Invoice Total $126.00