Invoice: 8442
Voucher Codes:
VVVJ
CFQR
LZPS
TYMB
UVLA
IYZH
RFBP
PCQA
VVVJ
CFQR
LZPS
TYMB
UVLA
IYZH
RFBP
PCQA
Invoice: 8442
Invoice Date: August 31, 2025
Service Dates: 8/1/2025 – 8/31/2025
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: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $199.00 | ||