Invoice: 10909

Voucher Codes:
1BVU
IJQP
9ZSO
S9SL
S4B7
O93N
73SB
49QR
3324
UW05
B55Y

Invoice: 10909

Invoice Date: March 31, 2026
Service Dates: 3/1/2026 – 3/31/2026
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: 11
Vouchers Test Name Test Price Total
7Rapid HIV test provided by CDU$15.00$105.00
6Vaginal specimen – Chlamydia and Gonorrhea$14.00$84.00
1Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$14.00
Invoice Total $203.00