Invoice: 4136
Voucher Codes:
O46O
H2Y0
ID:4088 (sin título)
0XUS
4DST
ID:4031 (sin título)
0GWA
ZCV8
ID:3895 (sin título)
ID:3890 (sin título)
C5C8
D3E3
XLF9
W82L
3PDK
ID:3744 (sin título)
CL8H
O46O
H2Y0
ID:4088 (sin título)
0XUS
4DST
ID:4031 (sin título)
0GWA
ZCV8
ID:3895 (sin título)
ID:3890 (sin título)
C5C8
D3E3
XLF9
W82L
3PDK
ID:3744 (sin título)
CL8H
Invoice: 4136
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 17
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 7 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 12 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $455.00 | ||