Invoice: 11735
Voucher Codes:
0XDY
98YI
2KF3
0XDY
98YI
2KF3
Invoice: 11735
Invoice Date: April 30, 2026
Service Dates: 4/1/2026 – 4/30/2026
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: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| 3 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $60.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $282.00 | ||