Invoice: 9169
Voucher Codes:
K966
2SHJ
H4WB
12OS
R9TP
CX1T
RTSM
MJTV
Y6P4
GUPL
K966
2SHJ
H4WB
12OS
R9TP
CX1T
RTSM
MJTV
Y6P4
GUPL
Invoice: 9169
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:
Sweetwater Community Nursing - Rock Springs
333 BroadwaySuite 110
Rock Springs, Wyoming 82901
Total Vouchers: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 10 | Rapid HIV test provided by CDU | $15.00 | $150.00 |
| 9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 9 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 9 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| Invoice Total | $528.00 | ||