Invoice: 10907

Voucher Codes:
2560
K9QM
B6ED
MIC0
W4LM
WD1B
PRHX
W05R
2RUZ
BFBA
RK08
J470
KBAM
2P52
OP7Y
4MNP
J2XL
UEAM
U3D8
8MML
8AFF
J5VI
BXQM
CQHV
P5DO
L642
7VR0
1F7L
VKRA
YQGF
UQ6T
ZF5G
D0NV
NG84
2BEC
UCMH
YJOX
GI8T
R2B0
4AC6
XD3B
ZUO7
WFQS
3WGR
5JL9
4KG5
MTH7
8USM
Z0S3
XCX5
51B0
U4QF
0M23
NOHG
L2GW
WOK9

Invoice: 10907

Invoice Date: March 31, 2026
Service Dates: 3/1/2026 – 3/31/2026
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 1727
Jackson, wyoming 83001
Total Vouchers: 56
Vouchers Test Name Test Price Total
49Rapid HIV test provided by CDU$15.00$735.00
47Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$658.00
29Vaginal specimen – Chlamydia and Gonorrhea$14.00$406.00
51Syphilis blood draw$0.00$0.00
8Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED$20.00$160.00
6Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM)$45.00$270.00
38Rapid Hepatitis C test provided by CDU$0.00$0.00
17Rectal specimen – Chlamydia and Gonorrhea$14.00$238.00
27Urine specimen – Chlamydia and Gonorrhea$14.00$378.00
1HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED$45.00$45.00
Invoice Total $2,890.00