Invoice: 7050
Voucher Codes:
ZW5M
HON7
1OOM
Z8KV
WNYB
QP0V
6UHV
923Y
3IOL
MDP4
IR3L
7OEA
ZW5M
HON7
1OOM
Z8KV
WNYB
QP0V
6UHV
923Y
3IOL
MDP4
IR3L
7OEA
Invoice: 7050
Invoice Date: September 30, 2025
Service Dates: 9/1/2025 – 9/30/2025
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: 12
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 12 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $540.00 |
| 11 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $220.00 |
| 12 | Rapid HIV test provided by CDU | $15.00 | $180.00 |
| 11 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 1 | Hepatitis C CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $20.00 | $20.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $1,128.00 | ||