Invoice: 6529
Voucher Codes:
Z5SV
EKLA
7GH0
AZF1
4C65
LAHY
LBHL
0TYY
J5IO
Z5SV
EKLA
7GH0
AZF1
4C65
LAHY
LBHL
0TYY
J5IO
Invoice: 6529
Invoice Date: August 31, 2025
Service Dates: 8/1/2025 – 8/31/2025
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: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $405.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 9 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| Invoice Total | $666.00 | ||