Invoice: 3272
Voucher Codes:
GIN0
CI93
ID:3157 (sin título)
XH1F
ID:3108 (sin título)
2POP
ID:2992 (sin título)
PP1P
ID:2939 (sin título)
RIC7
ID:2895 (sin título)
G4PF
GIN0
CI93
ID:3157 (sin título)
XH1F
ID:3108 (sin título)
2POP
ID:2992 (sin título)
PP1P
ID:2939 (sin título)
RIC7
ID:2895 (sin título)
G4PF
Invoice: 3272
Invoice Date: January 31, 2025
Service Dates: 1/1/2025 – 1/31/2025
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:
Converse County Treasurer
107 N. 5th StreetDouglas, wyoming 82633
Total Vouchers: 12
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $90.00 |
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 12 | Rapid HIV test provided by CDU | $15.00 | $180.00 |
| 10 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 11 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $606.00 | ||