Invoice: 10056
Voucher Codes:
TBS5
HN5T
0QPR
68SC
6113
TBS5
HN5T
0QPR
68SC
6113
Invoice: 10056
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:
Western Wyoming Family Health - Rock Springs
333 Broadway StSuite 120
Rock Springs, Wyoming 82901
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Rapid HIV test provided by CDU | $15.00 | $15.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $85.00 | ||