Invoice: 11752
Voucher Codes:
A0B8
ERQT
17PJ
BEFO
ZAI8
S6Q4
GOSC
0JAU
9H2I
ZZOE
BQED
IQYB
4YQ3
OM8K
217S
2FD9
9OGM
0MQI
PT4I
QJAX
ZIK0
F6HV
6BBT
XF0Q
O93F
GMCE
TBHB
RWIF
0MGU
CON2
IE3Z
DPEA
11PF
BVEX
AS07
DZJ2
W2OQ
SWHV
U20O
M553
VRSH
QFHO
L7S0
9EGQ
TULJ
X6L7
0BU9
RUB2
B52M
2Y04
6XPS
KAY8
DNP0
S8E9
8W2X
A0B8
ERQT
17PJ
BEFO
ZAI8
S6Q4
GOSC
0JAU
9H2I
ZZOE
BQED
IQYB
4YQ3
OM8K
217S
2FD9
9OGM
0MQI
PT4I
QJAX
ZIK0
F6HV
6BBT
XF0Q
O93F
GMCE
TBHB
RWIF
0MGU
CON2
IE3Z
DPEA
11PF
BVEX
AS07
DZJ2
W2OQ
SWHV
U20O
M553
VRSH
QFHO
L7S0
9EGQ
TULJ
X6L7
0BU9
RUB2
B52M
2Y04
6XPS
KAY8
DNP0
S8E9
8W2X
Invoice: 11752
Invoice Date: April 30, 2026
Service Dates: 4/1/2026 – 4/30/2026
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: 55
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 50 | Syphilis blood draw | $0.00 | $0.00 |
| 29 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $406.00 |
| 48 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $672.00 |
| 52 | Rapid HIV test provided by CDU | $15.00 | $780.00 |
| 44 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 25 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $350.00 |
| 13 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $182.00 |
| 8 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $360.00 |
| 7 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $140.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $2,935.00 | ||