Invoice: 3680
Voucher Codes:
RM72
5FZP
RM72
5FZP
Invoice: 3680
Invoice Date: February 28, 2025
Service Dates: 2/1/2025 – 2/28/2025
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:
Washakie County Treasurer - Public Health and Family Planning
1001 Big Horn AvenueWorland, wyoming 82401
Total Vouchers: 2
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 1 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $72.00 | ||