Invoice: 10901
Voucher Codes:
PCIC
S0F5
88KC
ICGU
DQKQ
82GA
NORY
UJM3
ESNA
FV1U
8FTY
PCIC
S0F5
88KC
ICGU
DQKQ
82GA
NORY
UJM3
ESNA
FV1U
8FTY
Invoice: 10901
Invoice Date: March 31, 2026
Service Dates: 3/1/2026 – 3/31/2026
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:
Carbon County Public Health
P.O. Box 1013Rawlins, wyoming 82301
Total Vouchers: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
| 11 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 11 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 11 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| Invoice Total | $546.00 | ||