Invoice: 5096
Voucher Codes:
P94J
X66W
TY12
M2Q2
U7FJ
4AL6
JYS2
7UON
46YI
ZQK0
697L
6LT9
H1Z6
187S
0XEU
1S9M
YI7J
2ATM
3XDC
0TL6
P94J
X66W
TY12
M2Q2
U7FJ
4AL6
JYS2
7UON
46YI
ZQK0
697L
6LT9
H1Z6
187S
0XEU
1S9M
YI7J
2ATM
3XDC
0TL6
Invoice: 5096
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
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:
Southwest Counseling Service
2300 Foothill BlvdRock Springs, wyoming 82901
Total Vouchers: 20
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 20 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $900.00 |
| 20 | Rapid HIV test provided by CDU | $15.00 | $300.00 |
| 20 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $280.00 |
| 20 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $400.00 |
| Invoice Total | $1,880.00 | ||