Invoice: 8795
Voucher Codes:
1HZS
HR5A
6MC6
9UCJ
1HZS
HR5A
6MC6
9UCJ
Invoice: 8795
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:
Carbon County Public Health
P.O. Box 1013Rawlins, wyoming 82301
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $172.00 | ||