Invoice: 6034
Voucher Codes:
N5RD
B41Q
MQE9
ID:5913 (sin título)
8EQZ
AET8
5BBZ
4V47
ID:5899 (sin título)
L6SO
MY8C
KIAL
ID:5873 (sin título)
PD63
6FZN
WI1S
ZY18
ID:5608 (sin título)
K7ZM
N5RD
B41Q
MQE9
ID:5913 (sin título)
8EQZ
AET8
5BBZ
4V47
ID:5899 (sin título)
L6SO
MY8C
KIAL
ID:5873 (sin título)
PD63
6FZN
WI1S
ZY18
ID:5608 (sin título)
K7ZM
Invoice: 6034
Invoice Date: July 31, 2025
Service Dates: 7/1/2025 – 7/31/2025
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:
Uinta County Public Health - Evanston
350 City View DriveSuite 101
Evanston, Wyoming 82930
Total Vouchers: 19
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 15 | Syphilis blood draw | $0.00 | $0.00 |
| 9 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 9 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 19 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $266.00 |
| 16 | Rapid HIV test provided by CDU | $15.00 | $240.00 |
| 7 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| 2 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $40.00 |
| 10 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| Invoice Total | $1,073.00 | ||