Invoice: 5663

Voucher Codes:
3WFG
ZK11
ZTK6
ID:5206 (sin título)
ID:1133 (sin título)
ID:1158 (sin título)

Invoice: 5663

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:
Albany County Treasurer - Public Health
525 Grand Avenue Room 205
Laramie, wyoming 82070
Total Vouchers: 6
Vouchers Test Name Test Price Total
5Syphilis blood draw$0.00$0.00
5Urine specimen – Chlamydia and Gonorrhea$14.00$70.00
3Rectal specimen – Chlamydia and Gonorrhea$14.00$42.00
5Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$70.00
6Rapid HIV test provided by CDU$15.00$90.00
2Vaginal specimen – Chlamydia and Gonorrhea$14.00$28.00
Invoice Total $300.00