Invoice: 10911

Voucher Codes:
5YN8
V4A0
RNH9
NKFC
W4YF
U7S8
BBPB
4WQS
Q4RK
V93P
F43S
QBY2

Invoice: 10911

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:
Converse County Treasurer
107 N. 5th Street
Douglas, wyoming 82633
Total Vouchers: 12
Vouchers Test Name Test Price Total
9Rapid HIV test provided by CDU$15.00$135.00
12Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$168.00
3Rectal specimen – Chlamydia and Gonorrhea$14.00$42.00
6Urine specimen – Chlamydia and Gonorrhea$14.00$84.00
11Syphilis blood draw$0.00$0.00
5Vaginal specimen – Chlamydia and Gonorrhea$14.00$70.00
5Rapid Hepatitis C test provided by CDU$0.00$0.00
1Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM)$45.00$45.00
Invoice Total $544.00