Invoice: 11749
Voucher Codes:
3Q1B
PXF4
3Q1B
PXF4
Invoice: 11749
Invoice Date: April 30, 2026
Service Dates: 4/1/2026 – 4/30/2026
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:
Niobrara County Treasurer - Public Health
P.O. Box 90Lusk, wyoming 82225
Total Vouchers: 2
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $100.00 | ||