Invoice: 3698
Voucher Codes:
06Y5
8T78
7CJG
0G4E
TL9K
TZC6
W0DK
SYX4
J1FX
0GH9
ID:3326 (sin título)
F0AH
ID:3322 (sin título)
R8CR
HCB7
06Y5
8T78
7CJG
0G4E
TL9K
TZC6
W0DK
SYX4
J1FX
0GH9
ID:3326 (sin título)
F0AH
ID:3322 (sin título)
R8CR
HCB7
Invoice: 3698
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 15
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 12 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $410.00 | ||