Invoice: 6549

Voucher Codes:
NQV3
1G10
2TLT
Q4X5
T3SL
PW76
KPPV
I59J
K904
4KZW
Q5S0
UKUW
8ZPQ
P6R5
2TAW
TMVA
W5GN
5FND
UJ5F
H1I7
EL5W
G5AT
R6E9
T8X5
PEKX
B4TI
RFK7
82VC
75K9
G0QZ
1GIM
K9X8
LY6G
RJ5V
J6YN
O5DD
6AKO
VDLL
7EIJ
BR6U
Q9OA
C054
DV2B
S9YT
I0HF
24E7
LKB6
SY2G
A8SW
9CLT
LJTZ
YDM8
BY34
AFU1
J9JI
G5SP
Y8Q0
T7KN
F46B
3REE
1F1S
AN3B
3V51
HO0E
EZO2
S7M0
H5GC
C97G

Invoice: 6549

Invoice Date: August 31, 2025
Service Dates: 8/1/2025 – 8/31/2025
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 1727
Jackson, wyoming 83001
Total Vouchers: 68
Vouchers Test Name Test Price Total
40Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$560.00
41Syphilis blood draw$0.00$0.00
18Rectal specimen – Chlamydia and Gonorrhea$14.00$252.00
42Rapid HIV test provided by CDU$15.00$630.00
33Rapid Hepatitis C test provided by CDU$0.00$0.00
20Urine specimen – Chlamydia and Gonorrhea$14.00$280.00
45Vaginal specimen – Chlamydia and Gonorrhea$14.00$630.00
5Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM)$45.00$225.00
5Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED$20.00$100.00
Invoice Total $2,677.00