Invoice: 1856
Invoice: 1856
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:
Converse County Public Health - Douglas
107 N. 5th StreetDouglas, wyoming 82633
Total Vouchers: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
| 9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 11 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $90.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| Invoice Total | $577.00 | ||