Invoice: 5493
Invoice: 5493
Invoice Date: May 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: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 8 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $360.00 |
| 8 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $160.00 |
| Invoice Total | $752.00 | ||