Invoice: 8784
Voucher Codes:
6J92
D3FG
CXIT
A7LE
DO75
BIRE
A4LT
ZRXA
OSY8
VLP6
CYKR
ROD7
8SNR
3GKN
N1D6
4R86
6J92
D3FG
CXIT
A7LE
DO75
BIRE
A4LT
ZRXA
OSY8
VLP6
CYKR
ROD7
8SNR
3GKN
N1D6
4R86
Invoice: 8784
Invoice Date: October 31, 2025
Service Dates: 10/1/2025 – 10/31/2025
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: 16
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 16 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $720.00 |
| 14 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $280.00 |
| 16 | Rapid HIV test provided by CDU | $15.00 | $240.00 |
| 16 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $224.00 |
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| Invoice Total | $1,464.00 | ||