Invoice: 9173

Voucher Codes:
HU95

Invoice: 9173

Invoice Date: November 30, 2025
Service Dates: 11/1/2025 – 11/30/2025
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:
Niobrara County Treasurer - Public Health
P.O. Box 90
Lusk, wyoming 82225
Total Vouchers: 1
Vouchers Test Name Test Price Total
1Syphilis blood draw$0.00$0.00
1Rapid HIV test provided by CDU$15.00$15.00
Invoice Total $15.00