Invoice: 4684
Voucher Codes:
QFZ3
3VPB
ID:4491 (sin título)
NEG4
ID:4221 (sin título)
ID:4168 (sin título)
QFZ3
3VPB
ID:4491 (sin título)
NEG4
ID:4221 (sin título)
ID:4168 (sin título)
Invoice: 4684
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:
Albany County Treasurer - Public Health
525 Grand Avenue Room 205Laramie, wyoming 82070
Total Vouchers: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 2 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $40.00 |
| 2 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $90.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $388.00 | ||