Invoice: 10441
Voucher Codes:
G103
XZSZ
2HGK
BHXQ
FERS
A8E9
W05K
TWUV
G103
XZSZ
2HGK
BHXQ
FERS
A8E9
W05K
TWUV
Invoice: 10441
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:
Converse County Treasurer
107 N. 5th StreetDouglas, wyoming 82633
Total Vouchers: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $225.00 |
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 8 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 7 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $583.00 | ||