Invoice: 4689
Voucher Codes:
O95O
SYZ3
FU51
M087
ID:4593 (sin título)
ID:4488 (sin título)
EM5M
9PJB
ID:4400 (sin título)
565F
RE0Y
JG9K
71XK
PXH7
AGU0
A0SR
O95O
SYZ3
FU51
M087
ID:4593 (sin título)
ID:4488 (sin título)
EM5M
9PJB
ID:4400 (sin título)
565F
RE0Y
JG9K
71XK
PXH7
AGU0
A0SR
Invoice: 4689
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:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 16
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 10 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 12 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $168.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $483.00 | ||