Invoice: 9621
Voucher Codes:
AVOQ
O4HF
QYF9
U1P6
8ZAG
WOE8
BRJ7
FP6H
3823
12DN
FOUP
AVOQ
O4HF
QYF9
U1P6
8ZAG
WOE8
BRJ7
FP6H
3823
12DN
FOUP
Invoice: 9621
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 6 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $259.00 | ||