Invoice: 9618
Voucher Codes:
IHEP
657T
7JFW
Q4XF
ZWQ1
4CYO
3AJ0
JBWY
BQDT
Q6WD
PBXA
F8O2
V87K
W1LK
326U
TBRR
YUPV
627B
JDJA
RHGX
O54Y
YR43
HPYF
DLXD
9OFV
55TF
35EM
AQAN
SS3N
YZ50
95MH
IYJ8
JXS0
32CP
MNRX
K8DH
WCFL
8BBG
USL9
942S
RNFZ
LP96
Z056
9KD2
88U9
8YFD
8F6A
QWCR
85NB
ZV9Z
HFWN
6VOM
BWQC
IHEP
657T
7JFW
Q4XF
ZWQ1
4CYO
3AJ0
JBWY
BQDT
Q6WD
PBXA
F8O2
V87K
W1LK
326U
TBRR
YUPV
627B
JDJA
RHGX
O54Y
YR43
HPYF
DLXD
9OFV
55TF
35EM
AQAN
SS3N
YZ50
95MH
IYJ8
JXS0
32CP
MNRX
K8DH
WCFL
8BBG
USL9
942S
RNFZ
LP96
Z056
9KD2
88U9
8YFD
8F6A
QWCR
85NB
ZV9Z
HFWN
6VOM
BWQC
Invoice: 9618
Invoice Date: December 31, 2025
Service Dates: 12/1/2025 – 12/31/2025
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: 53
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 47 | Syphilis blood draw | $0.00 | $0.00 |
| 24 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $336.00 |
| 10 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 44 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $616.00 |
| 46 | Rapid HIV test provided by CDU | $15.00 | $690.00 |
| 2 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $90.00 |
| 40 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 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 |
| 27 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $378.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| Invoice Total | $2,555.00 | ||