Invoice: 1334
Voucher Codes:
04SF
95V9
C9NA
Q012
04SF
95V9
C9NA
Q012
Invoice: 1334
Invoice Date: September 30, 2024
Service Dates: 9/1/2024 – 9/30/2024
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:
Goshen County Treasurer - Public Health
P.O. Box 878Torrington, wyoming 82240
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $172.00 | ||