Invoice: 2823
Voucher Codes:
ID:2772 (sin título)
ID:2771 (sin título)
ID:2769 (sin título)
1IY3
ID:2652 (sin título)
1QBL
EEL8
7GGT
6SOS
ID:2448 (sin título)
O26Y
F6T2
4ZBX
ID:2772 (sin título)
ID:2771 (sin título)
ID:2769 (sin título)
1IY3
ID:2652 (sin título)
1QBL
EEL8
7GGT
6SOS
ID:2448 (sin título)
O26Y
F6T2
4ZBX
Invoice: 2823
Invoice Date: December 31, 2024
Service Dates: 12/1/2024 – 12/31/2024
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 13
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 9 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $381.00 | ||