Invoice: 11754

Voucher Codes:
FMEA
VV90
EJYF
ZE9B
26Z5
V2MT

Invoice: 11754

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:
Campbell County Treasurer - Public Health
2301 S. 4-J Road
Gillette, wyoming 82718
Total Vouchers: 6
Vouchers Test Name Test Price Total
4Syphilis blood draw$0.00$0.00
6Urine specimen – Chlamydia and Gonorrhea$14.00$84.00
1Rectal specimen – Chlamydia and Gonorrhea$14.00$14.00
6Rapid HIV test provided by CDU$15.00$90.00
4Rapid Hepatitis C test provided by CDU$0.00$0.00
4Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$56.00
Invoice Total $244.00