Invoice: 10074
Voucher Codes:
FAN7
RT2A
O7ZM
FAN7
RT2A
O7ZM
Invoice: 10074
Invoice Date: January 31, 2026
Service Dates: 1/1/2026 – 1/31/2026
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:
Lincoln County Public Health - Afton
421 Jefferson Street Suite #401
Afton, Wyoming 83110
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $278.00 | ||