Invoice: 2826
Voucher Codes:
66H6
R8XM
ID:2792 (sin título)
ID:2648 (sin título)
MP8Z
VW9Q
B1BK
V8PX
PD3P
66H6
R8XM
ID:2792 (sin título)
ID:2648 (sin título)
MP8Z
VW9Q
B1BK
V8PX
PD3P
Invoice: 2826
Invoice Date: December 31, 2024
Service Dates: 12/1/2024 – 12/31/2024
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:
Northwest Wyoming Family Planning
P.O. Box 941Cody, wyoming 82414
Total Vouchers: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| Invoice Total | $288.00 | ||