Invoice: 1834
Voucher Codes:
4QUX
FLV6
R8MO
69XF
66HM
XP10
9WJG
Q0PG
H8K0
OJ6Y
I3N3
C35Z
W826
18B8
6GW8
Y2J7
L1QC
6V7M
M837
O7B0
ID:1482 (sin título)
2A6M
ID:1480 (sin título)
NQ3U
U17X
GGI3
52OQ
ID:1454 (sin título)
0DI8
ID:1401 (sin título)
1YIA
7RUV
ZSO6
ID:1379 (sin título)
4QUX
FLV6
R8MO
69XF
66HM
XP10
9WJG
Q0PG
H8K0
OJ6Y
I3N3
C35Z
W826
18B8
6GW8
Y2J7
L1QC
6V7M
M837
O7B0
ID:1482 (sin título)
2A6M
ID:1480 (sin título)
NQ3U
U17X
GGI3
52OQ
ID:1454 (sin título)
0DI8
ID:1401 (sin título)
1YIA
7RUV
ZSO6
ID:1379 (sin título)
Invoice: 1834
Invoice Date: October 31, 2024
Service Dates: 10/1/2024 – 10/31/2024
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:
Community Health Center of Central Wyoming Inc. - Casper
8185 HIGHWAY 789Lander, wyoming 82520
Total Vouchers: 34
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 18 | Rapid HIV test provided by CDU | $15.00 | $270.00 |
| 14 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 12 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| Invoice Total | $578.00 | ||