Invoice: 4682
Voucher Codes:
ND8S
U1YJ
O9RH
ND8S
U1YJ
O9RH
Invoice: 4682
Invoice Date: April 30, 2025
Service Dates: 4/1/2025 – 4/30/2025
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:
Sublette County Treasurer
P.O. Box 250Pinedale, wyoming 82941
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| Invoice Total | $142.00 | ||