Invoice: 9159
Voucher Codes:
IR49
EAYP
WD2P
HA1F
8C8I
N4IJ
3UUW
IR49
EAYP
WD2P
HA1F
8C8I
N4IJ
3UUW
Invoice: 9159
Invoice Date: November 30, 2025
Service Dates: 11/1/2025 – 11/30/2025
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: 7
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $315.00 |
| 7 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $140.00 |
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 7 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $688.00 | ||