Invoice: 9606
Voucher Codes:
PH8L
X1ZT
PH8L
X1ZT
Invoice: 9606
Invoice Date: December 31, 2025
Service Dates: 12/1/2025 – 12/31/2025
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:
Reproductive Healthcare of the Big Horns
128 S. Thurmond Ave.Sheridan, Wyoming 82801
Total Vouchers: 2
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $70.00 | ||