Invoice: 10423
Voucher Codes:
OZUT
OKKK
3A38
ODSJ
6TG8
3GZV
OZUT
OKKK
3A38
ODSJ
6TG8
3GZV
Invoice: 10423
Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $270.00 |
| 6 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $120.00 |
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| Invoice Total | $564.00 | ||