Invoice: 9604
Voucher Codes:
U1U2
NN7O
BHK7
U1U2
NN7O
BHK7
Invoice: 9604
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:
Goshen County Treasurer - Public Health
P.O. Box 878Torrington, wyoming 82240
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $131.00 | ||