Invoice: 6017
Voucher Codes:
I5ZS
QO6W
I5ZS
QO6W
Invoice: 6017
Invoice Date: July 31, 2025
Service Dates: 7/1/2025 – 7/31/2025
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:
Washakie County Treasurer - Public Health and Family Planning
1001 Big Horn AvenueWorland, wyoming 82401
Total Vouchers: 2
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| 2 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $40.00 |
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $171.00 | ||