Invoice: 11756
Voucher Codes:
24JW
OEPW
T5MA
F8PT
REXI
GUSQ
0N08
XH0Q
6ZGL
G0QS
24JW
OEPW
T5MA
F8PT
REXI
GUSQ
0N08
XH0Q
6ZGL
G0QS
Invoice: 11756
Invoice Date: April 30, 2026
Service Dates: 4/1/2026 – 4/30/2026
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: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 7 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 7 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | Hepatitis C CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $20.00 | $20.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| Invoice Total | $564.00 | ||