Invoice: 4128
Voucher Codes:
96PJ
WRSR
C9VF
3O7M
ID:3954 (sin título)
T3SR
NDU3
58RX
ID:3901 (sin título)
QMW6
96PJ
WRSR
C9VF
3O7M
ID:3954 (sin título)
T3SR
NDU3
58RX
ID:3901 (sin título)
QMW6
Invoice: 4128
Invoice Date: March 31, 2025
Service Dates: 3/1/2025 – 3/31/2025
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: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 10 | Rapid HIV test provided by CDU | $15.00 | $150.00 |
| 7 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 4 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 9 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 7 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $579.00 | ||