Invoice: 10057

Voucher Codes:
H8IS
1GIA
R32K
LZAT
EJC7
FBLG
5H8Z
DM9X
NVXC

Invoice: 10057

Invoice Date: January 31, 2026
Service Dates: 1/1/2026 – 1/31/2026
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 County Public Health
333 Broadway
Suite 110
Rock Springs, Wyoming 82901
Total Vouchers: 9
Vouchers Test Name Test Price Total
8Rapid Hepatitis C test provided by CDU$0.00$0.00
9Rapid HIV test provided by CDU$15.00$135.00
9Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$126.00
9Rectal specimen – Chlamydia and Gonorrhea$14.00$126.00
5Vaginal specimen – Chlamydia and Gonorrhea$14.00$70.00
9Syphilis blood draw$0.00$0.00
4Urine specimen – Chlamydia and Gonorrhea$14.00$56.00
Invoice Total $513.00