Invoice: 9179
Voucher Codes:
WW9G
47N4
N8R1
XI6S
3Y7O
VO0T
YAZX
G9DO
ESN2
YN8J
GRZ1
7YLU
OIUC
G6AQ
WW9G
47N4
N8R1
XI6S
3Y7O
VO0T
YAZX
G9DO
ESN2
YN8J
GRZ1
7YLU
OIUC
G6AQ
Invoice: 9179
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 14
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 10 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| Invoice Total | $372.00 | ||