Invoice: 4691
Voucher Codes:
ID:4637 (sin título)
Y4LR
Q8CF
GDG9
73IX
EYU4
ZX2U
WK0M
ID:4390 (sin título)
B3RM
6JV3
ID:4210 (sin título)
ID:4186 (sin título)
ID:4637 (sin título)
Y4LR
Q8CF
GDG9
73IX
EYU4
ZX2U
WK0M
ID:4390 (sin título)
B3RM
6JV3
ID:4210 (sin título)
ID:4186 (sin título)
Invoice: 4691
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:
Converse County Treasurer
107 N. 5th StreetDouglas, wyoming 82633
Total Vouchers: 13
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
| 13 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $182.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 8 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 11 | Syphilis blood draw | $0.00 | $0.00 |
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| 1 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $20.00 |
| Invoice Total | $622.00 | ||