Invoice: 4680
Voucher Codes:
JBE3
ID:4265 (sin título)
ID:4181 (sin título)
ID:4179 (sin título)
ZB7D
JBE3
ID:4265 (sin título)
ID:4181 (sin título)
ID:4179 (sin título)
ZB7D
Invoice: 4680
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:
Fremont County Treasurer - Public Health - Riverton
450 N 2ND STLander, wyoming 82520
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Rapid HIV test provided by CDU | $15.00 | $75.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $145.00 | ||