Invoice: 6540
Voucher Codes:
K0NT
E4K0
U0KZ
M7YR
2BH0
O3HT
XF3T
K0NT
E4K0
U0KZ
M7YR
2BH0
O3HT
XF3T
Invoice: 6540
Invoice Date: August 31, 2025
Service Dates: 8/1/2025 – 8/31/2025
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:
Sweetwater Community Nursing - Rock Springs
333 BroadwaySuite 110
Rock Springs, Wyoming 82901
Total Vouchers: 7
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 6 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $357.00 | ||