Invoice: 8805
Voucher Codes:
W7D9
MX34
X1IL
9KO4
HVF7
I1TM
PVKP
KAD4
GM38
W7D9
MX34
X1IL
9KO4
HVF7
I1TM
PVKP
KAD4
GM38
Invoice: 8805
Invoice Date: October 31, 2025
Service Dates: 10/1/2025 – 10/31/2025
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: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $244.00 | ||