Invoice: 2825
Invoice: 2825
Invoice Date: December 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: 12
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 10 | Rapid HIV test provided by CDU | $15.00 | $150.00 |
| 10 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 9 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $517.00 | ||