Invoice: 9181
Voucher Codes:
2PFI
0WLN
4OPT
UOU8
Y0WZ
W18U
G915
2ZQN
6N19
9XNP
ZWNK
HT4B
2ZCU
6X1T
XXDP
2OLS
EQ87
2PFI
0WLN
4OPT
UOU8
Y0WZ
W18U
G915
2ZQN
6N19
9XNP
ZWNK
HT4B
2ZCU
6X1T
XXDP
2OLS
EQ87
Invoice: 9181
Invoice Date: November 30, 2025
Service Dates: 11/1/2025 – 11/30/2025
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:
Converse County Treasurer
107 N. 5th StreetDouglas, wyoming 82633
Total Vouchers: 17
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 17 | Syphilis blood draw | $0.00 | $0.00 |
| 11 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 14 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $196.00 |
| 2 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $90.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 14 | Rapid HIV test provided by CDU | $15.00 | $210.00 |
| 11 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 6 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $270.00 |
| 7 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| 1 | Hepatitis C CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $20.00 | $20.00 |
| Invoice Total | $1,139.00 | ||