Invoice: 10888

Voucher Codes:
QTPI
5B7E
ZKVL
INEK
4MFG
S4TY
7C9O
35EO
ZRDC
R5SG
1N6E
MTVO
5NA0
HP2N
ANFN
RAXM
5E7H
WLS9
QOZX
YMA3
JND9
P26S
87I5
UXDO
UMPT
JQZU
F6JC

Invoice: 10888

Invoice Date: March 31, 2026
Service Dates: 3/1/2026 – 3/31/2026
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 1727
Jackson, wyoming 83001
Total Vouchers: 27
Vouchers Test Name Test Price Total
3Rapid Hepatitis C test provided by CDU$0.00$0.00
6Rapid HIV test provided by CDU$15.00$90.00
2Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$28.00
1Rectal specimen – Chlamydia and Gonorrhea$14.00$14.00
24Vaginal specimen – Chlamydia and Gonorrhea$14.00$336.00
3Syphilis blood draw$0.00$0.00
Invoice Total $468.00