Invoice: 6559
Voucher Codes:
U3KA
LTGF
OR3S
ZS6A
T53Y
KTH9
ANK1
WFME
8RQY
0A12
U3KA
LTGF
OR3S
ZS6A
T53Y
KTH9
ANK1
WFME
8RQY
0A12
Invoice: 6559
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:
Lincoln County Public Health - Afton
421 Jefferson Street Suite #401
Afton, Wyoming 83110
Total Vouchers: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 7 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| Invoice Total | $478.00 | ||