Invoice: 9617

Voucher Codes:
J6V4
2QWV
MJCA
8PUU
H7L6
SSUP
JYOY

Invoice: 9617

Invoice Date: December 31, 2025
Service Dates: 12/1/2025 – 12/31/2025
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:
Fremont County Treasurer - Public Health - Lander
450 N. 2nd
Lander, wyoming 82520
Total Vouchers: 7
Vouchers Test Name Test Price Total
1HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS$45.00$45.00
6Rapid HIV test provided by CDU$15.00$90.00
5Rapid Hepatitis C test provided by CDU$0.00$0.00
5Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$70.00
2Rectal specimen – Chlamydia and Gonorrhea$14.00$28.00
3Vaginal specimen – Chlamydia and Gonorrhea$14.00$42.00
5Syphilis blood draw$0.00$0.00
3Urine specimen – Chlamydia and Gonorrhea$14.00$42.00
Invoice Total $317.00