Invoice: 7061
Voucher Codes:
8K9C
3JXY
BVOZ
RA20
3DDJ
6QNS
0R4G
5UFQ
8K9C
3JXY
BVOZ
RA20
3DDJ
6QNS
0R4G
5UFQ
Invoice: 7061
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:
Carbon County Public Health
P.O. Box 1013Rawlins, wyoming 82301
Total Vouchers: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 7 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| 7 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $475.00 | ||