Invoice: 4681
Voucher Codes:
ID:4611 (sin título)
ZX4Z
257M
L286
7CM7
YYGX
W37L
HD9W
ID:4611 (sin título)
ZX4Z
257M
L286
7CM7
YYGX
W37L
HD9W
Invoice: 4681
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:
Carbon County Public Health
P.O. Box 1013Rawlins, wyoming 82301
Total Vouchers: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $372.00 | ||