Invoice: 10439

Voucher Codes:
3U6I
L1IK
WZ54
UDQ7
QUZ8
OTSM
Z0K6
PRQT
G94H
UMLG
PNVU

Invoice: 10439

Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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: 11
Vouchers Test Name Test Price Total
3Urine specimen – Chlamydia and Gonorrhea$14.00$42.00
5Rapid HIV test provided by CDU$15.00$75.00
5Vaginal specimen – Chlamydia and Gonorrhea$14.00$70.00
1Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$14.00
Invoice Total $201.00