Invoice: 11745
Voucher Codes:
97W9
PQV0
18VW
BZ62
R0ZA
1E9G
EI0A
PNIT
D8FA
RT8A
97W9
PQV0
18VW
BZ62
R0ZA
1E9G
EI0A
PNIT
D8FA
RT8A
Invoice: 11745
Invoice Date: April 30, 2026
Service Dates: 4/1/2026 – 4/30/2026
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: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $344.00 | ||