Invoice: 9599
Voucher Codes:
KXDA
BAUE
UFHY
F1IE
YPJG
S324
DYGC
URKI
Z61R
KQ32
FBOH
KXDA
BAUE
UFHY
F1IE
YPJG
S324
DYGC
URKI
Z61R
KQ32
FBOH
Invoice: 9599
Invoice Date: December 31, 2025
Service Dates: 12/1/2025 – 12/31/2025
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: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 11 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $495.00 |
| 8 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $160.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 11 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 2 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $90.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| Invoice Total | $1,079.00 | ||