Invoice: 10436
Voucher Codes:
S0DN
FVMZ
5FMW
OR2B
Q6KD
R9VA
S46H
OT2F
1SZL
9F7Z
GTOS
UOSH
5IG0
E8HC
504E
5HNI
POPO
ZIUD
CBTE
7YZX
TTX4
906Y
R6HR
F2U9
OCBW
E83B
5HMU
VKBG
M7EX
CZEK
3OGY
GRYU
CN44
JMC2
S0DN
FVMZ
5FMW
OR2B
Q6KD
R9VA
S46H
OT2F
1SZL
9F7Z
GTOS
UOSH
5IG0
E8HC
504E
5HNI
POPO
ZIUD
CBTE
7YZX
TTX4
906Y
R6HR
F2U9
OCBW
E83B
5HMU
VKBG
M7EX
CZEK
3OGY
GRYU
CN44
JMC2
Invoice: 10436
Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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 |
|---|---|---|---|
| 21 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 31 | Rapid HIV test provided by CDU | $15.00 | $465.00 |
| 28 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $392.00 |
| 19 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $266.00 |
| 30 | Syphilis blood draw | $0.00 | $0.00 |
| 13 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $182.00 |
| 7 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 3 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $60.00 |
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| Invoice Total | $1,598.00 | ||
