Invoice: 10420
Voucher Codes:
60DA
LX9B
8QMS
KFSD
W1AK
PNER
TL0X
CH36
DDDH
37MX
2EF5
6GK9
C2M6
62GH
L883
44A4
H4AT
J0AC
XKPS
T3OO
R6AY
2VZF
OOLE
P70V
1SDV
4ZR8
USRB
1QTF
0M7A
XU4R
86TW
UGZO
60DA
LX9B
8QMS
KFSD
W1AK
PNER
TL0X
CH36
DDDH
37MX
2EF5
6GK9
C2M6
62GH
L883
44A4
H4AT
J0AC
XKPS
T3OO
R6AY
2VZF
OOLE
P70V
1SDV
4ZR8
USRB
1QTF
0M7A
XU4R
86TW
UGZO
Invoice: 10420
Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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: 32
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 31 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $434.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $609.00 | ||