Invoice: 5111
Invoice: 5111
Invoice Date: May 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: 63
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 41 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $574.00 |
| 28 | Rapid HIV test provided by CDU | $15.00 | $420.00 |
| 21 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $294.00 |
| 26 | Syphilis blood draw | $0.00 | $0.00 |
| 24 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 27 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $378.00 |
| 14 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $196.00 |
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| 2 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $40.00 |
| Invoice Total | $2,037.00 | ||