Invoice: 9157
Voucher Codes:
9Y0H
V63C
32DQ
FP2J
06J9
ALAR
FNE3
EVSN
T949
4RAK
E1CL
L03U
PLOI
FR0A
PGP7
6KXY
GXPZ
NIZK
Q8HW
S3R9
9Y0H
V63C
32DQ
FP2J
06J9
ALAR
FNE3
EVSN
T949
4RAK
E1CL
L03U
PLOI
FR0A
PGP7
6KXY
GXPZ
NIZK
Q8HW
S3R9
Invoice: 9157
Invoice Date: November 30, 2025
Service Dates: 11/1/2025 – 11/30/2025
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: 20
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 20 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $280.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $381.00 | ||