Invoice: 9611
Voucher Codes:
QUNJ
RQJ7
U76W
39TM
KDXP
5RBH
QUNJ
RQJ7
U76W
39TM
KDXP
5RBH
Invoice: 9611
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:
Carbon County Public Health
P.O. Box 1013Rawlins, wyoming 82301
Total Vouchers: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 6 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $300.00 | ||