Invoice: 3260
Voucher Codes:
H3HV
ID:3126 (sin título)
KN8G
PBO9
ID:2922 (sin título)
KB1D
H3HV
ID:3126 (sin título)
KN8G
PBO9
ID:2922 (sin título)
KB1D
Invoice: 3260
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:
Fremont County Treasurer - Public Health - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 6 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $326.00 | ||