Invoice: 10426

Voucher Codes:
EIKY
7FZZ

Invoice: 10426

Invoice Date: February 28, 2026
Service Dates: 2/1/2026 – 2/28/2026
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:
Washakie County Treasurer - Public Health and Family Planning
1001 Big Horn Avenue
Worland, wyoming 82401
Total Vouchers: 2
Vouchers Test Name Test Price Total
2Rapid HIV test provided by CDU$15.00$30.00
2Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$28.00
2Urine specimen – Chlamydia and Gonorrhea$14.00$28.00
1Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED$20.00$20.00
1Syphilis blood draw$0.00$0.00
Invoice Total $106.00