Invoice: 8807
Voucher Codes:
9I12
BY0H
9201
3UUK
3R8I
EEV6
B525
LQO1
NJSV
KMDN
82X2
9I12
BY0H
9201
3UUK
3R8I
EEV6
B525
LQO1
NJSV
KMDN
82X2
Invoice: 8807
Invoice Date: October 31, 2025
Service Dates: 10/1/2025 – 10/31/2025
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: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $180.00 |
| 7 | 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 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 8 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $523.00 | ||