Invoice: 5668
Voucher Codes:
ID:1212 (sin título)
ID:927 (sin título)
ID:822 (sin título)
ID:1212 (sin título)
ID:927 (sin título)
ID:822 (sin título)
Invoice: 5668
Invoice Date: June 30, 2025
Service Dates: 6/1/2025 – 6/30/2025
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:
Carbon County Public Health
P.O. Box 1013Rawlins, wyoming 82301
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $143.00 | ||