Invoice: 4129
Voucher Codes:
ID:4058 (sin título)
9J1Z
6739
4ELV
4CE6
ID:4058 (sin título)
9J1Z
6739
4ELV
4CE6
Invoice: 4129
Invoice Date: March 31, 2025
Service Dates: 3/1/2025 – 3/31/2025
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:
Carbon County Public Health
P.O. Box 1013Rawlins, wyoming 82301
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Rapid HIV test provided by CDU | $15.00 | $75.00 |
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $215.00 | ||