Invoice: 10047
Voucher Codes:
VV68
4EJ2
59BQ
LQ4V
AEXK
979F
DK1Q
N8EM
AZQF
VV68
4EJ2
59BQ
LQ4V
AEXK
979F
DK1Q
N8EM
AZQF
Invoice: 10047
Invoice Date: January 31, 2026
Service Dates: 1/1/2026 – 1/31/2026
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:
Southwest Counseling Service
2300 Foothill BlvdRock Springs, wyoming 82901
Total Vouchers: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $405.00 |
| 9 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $180.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 9 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| Invoice Total | $846.00 | ||