Invoice: 10891
Voucher Codes:
M8O3
GY0L
GUVO
EB67
US4R
6BHY
3D9U
3HXR
FLOO
XHKF
R6HM
V24W
M8O3
GY0L
GUVO
EB67
US4R
6BHY
3D9U
3HXR
FLOO
XHKF
R6HM
V24W
Invoice: 10891
Invoice Date: March 31, 2026
Service Dates: 3/1/2026 – 3/31/2026
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: 12
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 12 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $540.00 |
| 12 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $240.00 |
| 12 | Rapid HIV test provided by CDU | $15.00 | $180.00 |
| 12 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| 12 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $1,128.00 | ||