Invoice: 1855
Voucher Codes:
MMFD
MMO1
ID:1685 (sin título)
PFM2
30SO
IUOY
VQ7A
FY3Z
XVGI
0KO3
P1S1
MMFD
MMO1
ID:1685 (sin título)
PFM2
30SO
IUOY
VQ7A
FY3Z
XVGI
0KO3
P1S1
Invoice: 1855
Invoice Date: October 31, 2024
Service Dates: 10/1/2024 – 10/31/2024
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: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 10 | Rapid HIV test provided by CDU | $15.00 | $150.00 |
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| Invoice Total | $430.00 | ||