Invoice: 5680
Voucher Codes:
ID:1150 (sin título)
ID:961 (sin título)
ID:955 (sin título)
ID:858 (sin título)
ID:1150 (sin título)
ID:961 (sin título)
ID:955 (sin título)
ID:858 (sin título)
Invoice: 5680
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $56.00 | ||