Invoice: 10068

Voucher Codes:
Q7T1
O3OY
254H
53HO
UJLB
NFWS
NCMF
OGVN
R5YE
7EUW

Invoice: 10068

Invoice Date: January 31, 2026
Service Dates: 1/1/2026 – 1/31/2026
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:
Gillette Reproductive Health
P.O. Box 2915
Gillette, wyoming 82717
Total Vouchers: 10
Vouchers Test Name Test Price Total
8Vaginal specimen – Chlamydia and Gonorrhea$14.00$112.00
6Rapid HIV test provided by CDU$15.00$90.00
2Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$28.00
Invoice Total $230.00