Invoice: 7070

Voucher Codes:
WKCL
SN17
HD33
ONFJ
ZF1D
IBSO

Invoice: 7070

Invoice Date: September 30, 2025
Service Dates: 9/1/2025 – 9/30/2025
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: 6
Vouchers Test Name Test Price Total
5Syphilis blood draw$0.00$0.00
5Rapid HIV test provided by CDU$15.00$75.00
5Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$70.00
4Rectal specimen – Chlamydia and Gonorrhea$14.00$56.00
4Vaginal specimen – Chlamydia and Gonorrhea$14.00$56.00
2Rapid Hepatitis C test provided by CDU$0.00$0.00
1Urine specimen – Chlamydia and Gonorrhea$14.00$14.00
Invoice Total $271.00