Invoice: 5484
Voucher Codes:
ID:4762 (sin título)
ID:4763 (sin título)
2326
ID:4849 (sin título)
ID:5014 (sin título)
ID:4762 (sin título)
ID:4763 (sin título)
2326
ID:4849 (sin título)
ID:5014 (sin título)
Invoice: 5484
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
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:
Campbell County Treasurer - Public Health
500 S. Gillette AvenueSuite 1700
Gillette, wyoming 82716
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 5 | Rapid HIV test provided by CDU | $15.00 | $75.00 |
| 2 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $187.00 | ||