Invoice: 5545
Invoice: 5545
Invoice Date: June 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
P.O. Box 1727Jackson, wyoming 83001
Total Vouchers: 81
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 48 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 57 | Rapid HIV test provided by CDU | $15.00 | $855.00 |
| 52 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $728.00 |
| 11 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 35 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $490.00 |
| 55 | Syphilis blood draw | $0.00 | $0.00 |
| 43 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $602.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| 2 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $90.00 |
| 1 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $20.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $3,029.00 | ||