Invoice: 8799
Voucher Codes:
SFP6
ESEY
PMDR
398Y
BCPM
Z9MO
TK7T
A4QU
KINB
3T0W
2G2O
NXZ4
7H2R
QYJZ
NXH2
KQUN
O3CY
ZLZY
2ZVS
AF6R
SJ1O
MACO
NUAY
8DQ7
FFYR
FHGL
NJ74
7CEM
1H94
Z77Q
S751
DTXV
G7KV
UNCQ
1383
FQH0
L47U
ZRJZ
3NJD
OAKP
HUTZ
K5KU
1S2Z
S546
KIX5
FIVP
OY3P
UYGV
THQS
15EU
GEBN
Q9MQ
0TCP
89E3
A1PH
W4EU
R0AN
JNMM
UFF9
ZJYE
KVVL
IRM0
CWXN
DX4W
R2L7
15O1
BOMX
FL1F
13QL
VCKR
UQN8
5PKF
4E3P
Q77L
TBL8
XSRE
05MN
7U7O
SFP6
ESEY
PMDR
398Y
BCPM
Z9MO
TK7T
A4QU
KINB
3T0W
2G2O
NXZ4
7H2R
QYJZ
NXH2
KQUN
O3CY
ZLZY
2ZVS
AF6R
SJ1O
MACO
NUAY
8DQ7
FFYR
FHGL
NJ74
7CEM
1H94
Z77Q
S751
DTXV
G7KV
UNCQ
1383
FQH0
L47U
ZRJZ
3NJD
OAKP
HUTZ
K5KU
1S2Z
S546
KIX5
FIVP
OY3P
UYGV
THQS
15EU
GEBN
Q9MQ
0TCP
89E3
A1PH
W4EU
R0AN
JNMM
UFF9
ZJYE
KVVL
IRM0
CWXN
DX4W
R2L7
15O1
BOMX
FL1F
13QL
VCKR
UQN8
5PKF
4E3P
Q77L
TBL8
XSRE
05MN
7U7O
Invoice: 8799
Invoice Date: October 31, 2025
Service Dates: 10/1/2025 – 10/31/2025
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 1727Jackson, wyoming 83001
Total Vouchers: 78
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 39 | Syphilis blood draw | $0.00 | $0.00 |
| 22 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $308.00 |
| 16 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $224.00 |
| 39 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $546.00 |
| 45 | Rapid HIV test provided by CDU | $15.00 | $675.00 |
| 31 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 53 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $742.00 |
| 4 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $180.00 |
| 3 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $60.00 |
| Invoice Total | $2,735.00 | ||