Invoice: 2812
Invoice: 2812
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:
Fremont County Public Health and Family Planning - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $172.00 | ||