Invoice: 2404
Voucher Codes:
8V17
B9OT
PAB9
WZ66
ID:2073 (sin título)
6NIW
9MEA
PT7O
LBE5
O93H
8V17
B9OT
PAB9
WZ66
ID:2073 (sin título)
6NIW
9MEA
PT7O
LBE5
O93H
Invoice: 2404
Invoice Date: November 30, 2024
Service Dates: 11/1/2024 – 11/30/2024
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:
Campbell County Treasurer - Public Health
500 S. Gillette AvenueSuite 1700
Gillette, wyoming 82716
Total Vouchers: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 10 | Rapid HIV test provided by CDU | $15.00 | $150.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 6 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $332.00 | ||