Invoice: 9167
Voucher Codes:
XTOI
HMH2
TJZT
8AE8
6NQS
EURJ
UXSX
HA2F
N8VX
XTOI
HMH2
TJZT
8AE8
6NQS
EURJ
UXSX
HA2F
N8VX
Invoice: 9167
Invoice Date: November 30, 2025
Service Dates: 11/1/2025 – 11/30/2025
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:
Sheridan County Public Health
297 S. Main StSheridan, Wyoming 82801
Total Vouchers: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 7 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 8 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $20.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $438.00 | ||