Invoice: 8802
Voucher Codes:
NPL4
F729
0U3H
18YI
3ZLM
F1UJ
8F85
ZI5P
N0DQ
LWFY
D7YV
KEJN
4W0O
NPL4
F729
0U3H
18YI
3ZLM
F1UJ
8F85
ZI5P
N0DQ
LWFY
D7YV
KEJN
4W0O
Invoice: 8802
Invoice Date: October 31, 2025
Service Dates: 10/1/2025 – 10/31/2025
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 13
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 12 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $415.00 | ||