Invoice: 2405
Voucher Codes:
2B2M
L8WX
4I5P
S9IE
EYP1
9MYU
ID:2057 (sin título)
3E65
ID:2054 (sin título)
ID:1937 (sin título)
8XO8
48YZ
7KZH
2B2M
L8WX
4I5P
S9IE
EYP1
9MYU
ID:2057 (sin título)
3E65
ID:2054 (sin título)
ID:1937 (sin título)
8XO8
48YZ
7KZH
Invoice: 2405
Invoice Date: November 30, 2024
Service Dates: 11/1/2024 – 11/30/2024
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 13
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Rapid HIV test provided by CDU | $15.00 | $15.00 |
| 9 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $239.00 | ||