Invoice: 5115
Voucher Codes:
ID:5077 (sin título)
I4XJ
Z2YM
5B9M
JE3O
LEM4
3DU0
NBB9
2IYP
DN5X
ID:5077 (sin título)
I4XJ
Z2YM
5B9M
JE3O
LEM4
3DU0
NBB9
2IYP
DN5X
Invoice: 5115
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
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: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 9 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $372.00 | ||