Invoice: 4667
Voucher Codes:
Z87B
3PKJ
XKE3
ID:4333 (sin título)
Z87B
3PKJ
XKE3
ID:4333 (sin título)
Invoice: 4667
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:
Community Health Center of Central Wyoming Inc. - Riverton
8185 Highway 789Lander, wyoming 82520
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $102.00 | ||