Invoice: 10069
Voucher Codes:
LJJK
7I9L
0HJS
2D4Y
NKKM
0FZH
AEHI
QYGC
M9DP
IY6A
282O
PFXK
EYZ2
5G4R
LJJK
7I9L
0HJS
2D4Y
NKKM
0FZH
AEHI
QYGC
M9DP
IY6A
282O
PFXK
EYZ2
5G4R
Invoice: 10069
Invoice Date: January 31, 2026
Service Dates: 1/1/2026 – 1/31/2026
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:
Uinta County Public Health - Evanston
350 City View DriveSuite 101
Evanston, Wyoming 82930
Total Vouchers: 14
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 13 | Rapid HIV test provided by CDU | $15.00 | $195.00 |
| 13 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $182.00 |
| 13 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 7 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $90.00 |
| 1 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $20.00 |
| Invoice Total | $767.00 | ||