Invoice: 10442
Voucher Codes:
G00G
X93U
SMDJ
CDVK
CS7Q
T3P6
LW14
EJ83
C63L
JHNK
TI0U
CGA0
XFQR
TC2C
Z2UC
6MC2
G00G
X93U
SMDJ
CDVK
CS7Q
T3P6
LW14
EJ83
C63L
JHNK
TI0U
CGA0
XFQR
TC2C
Z2UC
6MC2
Invoice: 10442
Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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: 16
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 7 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 12 | Rapid HIV test provided by CDU | $15.00 | $180.00 |
| 12 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| Invoice Total | $516.00 | ||