Invoice: 10444
Voucher Codes:
368I
ASF8
S2HQ
8ZH2
ZDCE
368I
ASF8
S2HQ
8ZH2
ZDCE
Invoice: 10444
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:
Lincoln County Public Health - Afton
421 Jefferson Street Suite #401
Afton, Wyoming 83110
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 5 | Rapid HIV test provided by CDU | $15.00 | $75.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $90.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $20.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $325.00 | ||