Invoice: 7056
Voucher Codes:
75F4
CFVD
Z7D1
08BW
XTZA
9SBR
81QZ
O260
CODD
D899
FF4S
75F4
CFVD
Z7D1
08BW
XTZA
9SBR
81QZ
O260
CODD
D899
FF4S
Invoice: 7056
Invoice Date: September 30, 2025
Service Dates: 9/1/2025 – 9/30/2025
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:
Reproductive Healthcare of the Big Horns
128 S. Thurmond Ave.Sheridan, Wyoming 82801
Total Vouchers: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 9 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $294.00 | ||