Invoice: 9161
Voucher Codes:
7RA0
A4V9
X4V6
7RA0
A4V9
X4V6
Invoice: 9161
Invoice Date: November 30, 2025
Service Dates: 11/1/2025 – 11/30/2025
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:
HealthWorks
2508 E. Fox Farm RdSuite A
Cheyenne, Wyoming 82007
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 2 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| Invoice Total | $118.00 | ||