Invoice: 10425

Voucher Codes:
HQ2C
C8LN
S8AQ
VDMS
TCZL

Invoice: 10425

Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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:
HealthWorks
2508 E. Fox Farm Rd
Suite A
Cheyenne, Wyoming 82007
Total Vouchers: 5
Vouchers Test Name Test Price Total
3Rapid Hepatitis C test provided by CDU$0.00$0.00
4Rapid HIV test provided by CDU$15.00$60.00
5Urine specimen – Chlamydia and Gonorrhea$14.00$70.00
3Syphilis blood draw$0.00$0.00
Invoice Total $130.00