Invoice: 6556
Voucher Codes:
NX7C
HDIP
OBR0
BGJR
VVIH
8FFN
6BT1
USDC
2WJZ
KP62
N2M4
PEEO
5UC6
0WID
FS7I
NX7C
HDIP
OBR0
BGJR
VVIH
8FFN
6BT1
USDC
2WJZ
KP62
N2M4
PEEO
5UC6
0WID
FS7I
Invoice: 6556
Invoice Date: August 31, 2025
Service Dates: 8/1/2025 – 8/31/2025
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:
Northwest Wyoming Family Planning
P.O. Box 941Cody, wyoming 82414
Total Vouchers: 15
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 12 | Rapid HIV test provided by CDU | $15.00 | $180.00 |
| 13 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 7 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| Invoice Total | $533.00 | ||