Invoice: 10421

Voucher Codes:
Z6II

Invoice: 10421

Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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:
Community Health Center of Central Wyoming Inc. - Riverton
8185 Highway 789
Lander, wyoming 82520
Total Vouchers: 1
Vouchers Test Name Test Price Total
1Urine specimen – Chlamydia and Gonorrhea$14.00$14.00
1Rapid HIV test provided by CDU$15.00$15.00
1Rapid Hepatitis C test provided by CDU$0.00$0.00
Invoice Total $29.00