Invoice: 7062
Voucher Codes:
J69K
J69K
Invoice: 7062
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:
Sublette County Treasurer
P.O. Box 250Pinedale, wyoming 82941
Total Vouchers: 1
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Rapid HIV test provided by CDU | $15.00 | $15.00 |
| Invoice Total | $43.00 | ||