Invoice: 9608
Voucher Codes:
TJ5R
KRJZ
HDEB
GB0A
3071
AN16
MJ14
ZIM1
SES0
FO8D
6XIZ
IZQE
VGAJ
8G03
J7FP
LJ7Z
654Q
6V19
POT2
9Q6K
TJ5R
KRJZ
HDEB
GB0A
3071
AN16
MJ14
ZIM1
SES0
FO8D
6XIZ
IZQE
VGAJ
8G03
J7FP
LJ7Z
654Q
6V19
POT2
9Q6K
Invoice: 9608
Invoice Date: December 31, 2025
Service Dates: 12/1/2025 – 12/31/2025
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:
Western Wyoming Family Health - Rock Springs
333 Broadway StSuite 120
Rock Springs, Wyoming 82901
Total Vouchers: 20
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 15 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $210.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $370.00 | ||