Invoice: 10430
Voucher Codes:
EIXV
3EQK
4VT3
GHOG
EIXV
3EQK
4VT3
GHOG
Invoice: 10430
Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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:
Fremont County Treasurer - Public Health - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $158.00 | ||