Invoice: 3700
Voucher Codes:
ID:3671 (sin título)
L7VI
R9NI
ID:3555 (sin título)
5XSH
ID:3530 (sin título)
05PU
V4NS
ID:3671 (sin título)
L7VI
R9NI
ID:3555 (sin título)
5XSH
ID:3530 (sin título)
05PU
V4NS
Invoice: 3700
Invoice Date: February 28, 2025
Service Dates: 2/1/2025 – 2/28/2025
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: 8
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 8 | Syphilis blood draw | $0.00 | $0.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 2 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 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 | $360.00 | ||