Invoice: 1338
Invoice: 1338
Invoice Date: September 30, 2024
Service Dates: 9/1/2024 – 9/30/2024
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: 15
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 14 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 14 | Rapid HIV test provided by CDU | $15.00 | $210.00 |
| 12 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 9 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 13 | Syphilis blood draw | $0.00 | $0.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| Invoice Total | $630.00 | ||