Invoice: 3270
Voucher Codes:
J9TH
O7G7
XKYX
9K3X
QX5P
82CA
NLK0
CQ7Z
ZIDX
N95U
7SK8
E6Z6
NCJ0
4MON
ID:2896 (sin título)
ID:2880 (sin título)
J9TH
O7G7
XKYX
9K3X
QX5P
82CA
NLK0
CQ7Z
ZIDX
N95U
7SK8
E6Z6
NCJ0
4MON
ID:2896 (sin título)
ID:2880 (sin título)
Invoice: 3270
Invoice Date: January 31, 2025
Service Dates: 1/1/2025 – 1/31/2025
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 16
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 10 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 7 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $513.00 | ||