Invoice: 9601

Voucher Codes:
0CQU
JED3
ZM33

Invoice: 9601

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:
HealthWorks
2508 E. Fox Farm Rd
Suite A
Cheyenne, Wyoming 82007
Total Vouchers: 3
Vouchers Test Name Test Price Total
3Rapid HIV test provided by CDU$15.00$45.00
2Rapid Hepatitis C test provided by CDU$0.00$0.00
2Urine specimen – Chlamydia and Gonorrhea$14.00$28.00
2Syphilis blood draw$0.00$0.00
Invoice Total $73.00