Invoice: 5095
Voucher Codes:
ID:5080 (sin título)
ID:5079 (sin título)
A9ZF
ID:5054 (sin título)
FJN2
A2I5
N4JO
U2HT
3DL8
10V9
Y35Z
N95R
YKI2
2GJD
IGG2
0BUV
5OHW
6D64
A31Y
8TRQ
FQ1X
HOI1
NQ64
90SN
V8MD
HC0B
27G2
0C9U
15QV
EH43
6J96
ID:5080 (sin título)
ID:5079 (sin título)
A9ZF
ID:5054 (sin título)
FJN2
A2I5
N4JO
U2HT
3DL8
10V9
Y35Z
N95R
YKI2
2GJD
IGG2
0BUV
5OHW
6D64
A31Y
8TRQ
FQ1X
HOI1
NQ64
90SN
V8MD
HC0B
27G2
0C9U
15QV
EH43
6J96
Invoice: 5095
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
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:
Community Health Center of Central Wyoming Inc. - Casper
8185 HIGHWAY 789Lander, wyoming 82520
Total Vouchers: 31
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 12 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| 9 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 14 | Rapid HIV test provided by CDU | $15.00 | $210.00 |
| Invoice Total | $476.00 | ||