Invoice: 9596
Voucher Codes:
XHHV
BRLC
6FF7
PAFJ
958W
JNAS
1QB9
DN6S
21X2
YM9Q
A17Z
Q67E
S5V8
5X2O
VF9N
O5BN
CZ9B
RCE0
8PVY
F3S2
LIES
XHHV
BRLC
6FF7
PAFJ
958W
JNAS
1QB9
DN6S
21X2
YM9Q
A17Z
Q67E
S5V8
5X2O
VF9N
O5BN
CZ9B
RCE0
8PVY
F3S2
LIES
Invoice: 9596
Invoice Date: December 31, 2025
Service Dates: 12/1/2025 – 12/31/2025
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:
Teton County - Public Health FAMILY PLANNING
P.O. Box 1727Jackson, wyoming 83001
Total Vouchers: 21
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 18 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $252.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $454.00 | ||