Invoice: 10045
Voucher Codes:
JA30
TNI6
UAP2
RTYH
AN15
EXX7
C60T
8C5I
U9I9
SAQN
2L7P
TIAC
FMG1
BO0C
NOL6
HKMV
UN48
YH65
S7RQ
LN5I
ACXE
4BNT
ZR71
CR7T
PZUB
KYBO
Y421
C200
K3LH
JA30
TNI6
UAP2
RTYH
AN15
EXX7
C60T
8C5I
U9I9
SAQN
2L7P
TIAC
FMG1
BO0C
NOL6
HKMV
UN48
YH65
S7RQ
LN5I
ACXE
4BNT
ZR71
CR7T
PZUB
KYBO
Y421
C200
K3LH
Invoice: 10045
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:
Teton County - Public Health FAMILY PLANNING
P.O. Box 1727Jackson, wyoming 83001
Total Vouchers: 29
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 26 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $364.00 |
| 11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
| 11 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 6 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 9 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $781.00 | ||