Invoice: 7058
Voucher Codes:
PQKV
PUPH
XZSX
SY8P
8MBG
20O6
EYDK
6WT6
MX35
2YY9
XWCF
3E9V
REWF
L3MJ
2RIK
833X
38WB
5IWO
YR7N
DZAZ
ELH3
CN16
N472
7L0Q
416G
PQKV
PUPH
XZSX
SY8P
8MBG
20O6
EYDK
6WT6
MX35
2YY9
XWCF
3E9V
REWF
L3MJ
2RIK
833X
38WB
5IWO
YR7N
DZAZ
ELH3
CN16
N472
7L0Q
416G
Invoice: 7058
Invoice Date: September 30, 2025
Service Dates: 9/1/2025 – 9/30/2025
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:
Western Wyoming Family Health - Rock Springs
333 Broadway StSuite 120
Rock Springs, Wyoming 82901
Total Vouchers: 25
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 11 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 18 | Rapid HIV test provided by CDU | $15.00 | $270.00 |
| 12 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| Invoice Total | $592.00 | ||