Invoice: 7060
Voucher Codes:
4Q63
ZDZ7
MDJO
0BL9
4Q63
ZDZ7
MDJO
0BL9
Invoice: 7060
Invoice Date: September 30, 2025
Service Dates: 9/1/2025 – 9/30/2025
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:
Fremont County Treasurer - Public Health - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $115.00 | ||