Invoice: 6553

Voucher Codes:
USJV
1EKX
CXQS
S7SZ
5WIL
B9PE
F267
X9E1
BL2L
N55B

Invoice: 6553

Invoice Date: August 31, 2025
Service Dates: 8/1/2025 – 8/31/2025
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:
Uinta County Public Health - Evanston
350 City View Drive
Suite 101
Evanston, Wyoming 82930
Total Vouchers: 10
Vouchers Test Name Test Price Total
4Urine specimen – Chlamydia and Gonorrhea$14.00$56.00
5Rectal specimen – Chlamydia and Gonorrhea$14.00$70.00
8Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$112.00
10Rapid HIV test provided by CDU$15.00$150.00
4Rapid Hepatitis C test provided by CDU$0.00$0.00
7Syphilis blood draw$0.00$0.00
5Vaginal specimen – Chlamydia and Gonorrhea$14.00$70.00
Invoice Total $458.00