Invoice: 9170
Voucher Codes:
OG1D
XN2X
TCVA
0V08
A09C
OG1D
XN2X
TCVA
0V08
A09C
Invoice: 9170
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:
Fremont County Treasurer - Public Health - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $213.00 | ||