Invoice: 11732
Voucher Codes:
012Q
9OOP
591F
B3TX
S9FW
Z1RL
3FVE
GDOV
NB6D
S2KH
A3LN
UYWM
13O2
SWL5
7ASQ
UOKR
8GSQ
580D
YSM8
8OYX
OIOS
QGB4
PKFK
97QC
JKD7
R40E
TZ5V
ATOX
O6OZ
PE6Z
E5WJ
9JZC
36NF
5TPM
MQHK
9NZP
K1J8
P7DT
T4E0
XKQL
NFE6
JT4V
9ZHA
9AON
OL1Y
78MV
SOXB
882O
P8YE
39YC
2FCS
L2TK
012Q
9OOP
591F
B3TX
S9FW
Z1RL
3FVE
GDOV
NB6D
S2KH
A3LN
UYWM
13O2
SWL5
7ASQ
UOKR
8GSQ
580D
YSM8
8OYX
OIOS
QGB4
PKFK
97QC
JKD7
R40E
TZ5V
ATOX
O6OZ
PE6Z
E5WJ
9JZC
36NF
5TPM
MQHK
9NZP
K1J8
P7DT
T4E0
XKQL
NFE6
JT4V
9ZHA
9AON
OL1Y
78MV
SOXB
882O
P8YE
39YC
2FCS
L2TK
Invoice: 11732
Invoice Date: April 30, 2026
Service Dates: 4/1/2026 – 4/30/2026
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: 52
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 50 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $700.00 |
| 10 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
| 11 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $1,033.00 | ||