Invoice: 1832

Invoice: 1832

Invoice Date: October 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-RIVERTON
8185 Highway 789
Lander, wyoming 82520
Total Vouchers: 5
Vouchers Test Name Test Price Total
4Syphilis blood draw$0.00$0.00
3Urine specimen – Chlamydia and Gonorrhea$14.00$42.00
5Rapid HIV test provided by CDU$15.00$75.00
5Rapid Hepatitis C test provided by CDU$0.00$0.00
1Vaginal specimen – Chlamydia and Gonorrhea$14.00$14.00
Invoice Total $131.00