Invoice: 9610
Voucher Codes:
ZQ1G
0NFX
7A6Y
E5TR
GV5K
9P9S
ZQ1G
0NFX
7A6Y
E5TR
GV5K
9P9S
Invoice: 9610
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 - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 5 | Rapid HIV test provided by CDU | $15.00 | $75.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $257.00 | ||