Invoice: 10052

Voucher Codes:
ZIIL
T6PF
5KO0

Invoice: 10052

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:
Goshen County Treasurer - Public Health
P.O. Box 878
Torrington, wyoming 82240
Total Vouchers: 3
Vouchers Test Name Test Price Total
3Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$42.00
2Rectal specimen – Chlamydia and Gonorrhea$14.00$28.00
2Vaginal specimen – Chlamydia and Gonorrhea$14.00$28.00
2Rapid Hepatitis C test provided by CDU$0.00$0.00
2Rapid HIV test provided by CDU$15.00$30.00
2Syphilis blood draw$0.00$0.00
1Urine specimen – Chlamydia and Gonorrhea$14.00$14.00
Invoice Total $142.00