Invoice: 6558

Voucher Codes:
OX2T
HM7Z
UPK4
4RJK

Invoice: 6558

Invoice Date: August 31, 2025
Service Dates: 8/1/2025 – 8/31/2025
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:
Johnson County Public Health
P.O. Box 100
Buffalo, wyoming 82834
Total Vouchers: 4
Vouchers Test Name Test Price Total
4Rapid Hepatitis C test provided by CDU$0.00$0.00
4Rapid HIV test provided by CDU$15.00$60.00
2Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$28.00
2Rectal specimen – Chlamydia and Gonorrhea$14.00$28.00
3Urine specimen – Chlamydia and Gonorrhea$14.00$42.00
4Syphilis blood draw$0.00$0.00
Invoice Total $158.00