Invoice: 2395
Voucher Codes:
76HW
I5TQ
1DW7
ID:2271 (sin título)
ID:2255 (sin título)
ID:2151 (sin título)
2LR3
N2GS
5WRK
76HW
I5TQ
1DW7
ID:2271 (sin título)
ID:2255 (sin título)
ID:2151 (sin título)
2LR3
N2GS
5WRK
Invoice: 2395
Invoice Date: November 30, 2024
Service Dates: 11/1/2024 – 11/30/2024
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: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 8 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| Invoice Total | $414.00 | ||