Invoice: 10072
Voucher Codes:
0G2B
582I
FHZI
HK5H
IQT8
JPV6
RY63
PYJ8
CR1Q
S8R7
LT1W
0G2B
582I
FHZI
HK5H
IQT8
JPV6
RY63
PYJ8
CR1Q
S8R7
LT1W
Invoice: 10072
Invoice Date: January 31, 2026
Service Dates: 1/1/2026 – 1/31/2026
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:
Northwest Wyoming Family Planning
P.O. Box 941Cody, wyoming 82414
Total Vouchers: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 7 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 6 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| Invoice Total | $372.00 | ||