Invoice: 9180
Voucher Codes:
CSM7
UN2Z
SPGV
2BKZ
B1EU
AARW
J1S3
TYJL
NP8Y
CSM7
UN2Z
SPGV
2BKZ
B1EU
AARW
J1S3
TYJL
NP8Y
Invoice: 9180
Invoice Date: November 30, 2025
Service Dates: 11/1/2025 – 11/30/2025
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 DriveSuite 101
Evanston, Wyoming 82930
Total Vouchers: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 9 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $20.00 |
| Invoice Total | $421.00 | ||