Invoice: 11758

Voucher Codes:
B3WG

Invoice: 11758

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:
Park County Public Health - Cody
1002 Sheridan Ave
Suite 2
Cody, Wyoming 82414
Total Vouchers: 1
Vouchers Test Name Test Price Total
1Rapid Hepatitis C test provided by CDU$0.00$0.00
1Rapid HIV test provided by CDU$15.00$15.00
1Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$14.00
1Vaginal specimen – Chlamydia and Gonorrhea$14.00$14.00
1Syphilis blood draw$0.00$0.00
Invoice Total $43.00