Invoice: 9177
Voucher Codes:
6VTG
YUDL
ILUT
V06I
PX9K
0RPJ
VI3Y
U9L3
OQC1
CN4O
E7Z1
P4FG
20XZ
82DD
KIRI
JZ15
Z23W
ZM2E
0TUJ
F41E
PLFR
Z0LE
3WMI
4ZAW
VARC
SOGN
BN9K
UQJ4
GU78
4BTD
1TJJ
YWY3
O0SR
DI6M
6VTG
YUDL
ILUT
V06I
PX9K
0RPJ
VI3Y
U9L3
OQC1
CN4O
E7Z1
P4FG
20XZ
82DD
KIRI
JZ15
Z23W
ZM2E
0TUJ
F41E
PLFR
Z0LE
3WMI
4ZAW
VARC
SOGN
BN9K
UQJ4
GU78
4BTD
1TJJ
YWY3
O0SR
DI6M
Invoice: 9177
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
P.O. Box 1727Jackson, wyoming 83001
Total Vouchers: 34
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 30 | Syphilis blood draw | $0.00 | $0.00 |
| 16 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $224.00 |
| 10 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 27 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $378.00 |
| 30 | Rapid HIV test provided by CDU | $15.00 | $450.00 |
| 22 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 18 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $252.00 |
| 2 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $90.00 |
| 4 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $180.00 |
| 4 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $80.00 |
| Invoice Total | $1,794.00 | ||