Invoice: 1334

Invoice: 1334

Invoice Date: September 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 Public Health
P.O. Box 878
Torrington, wyoming 82240
Total Vouchers: 4
Vouchers Test Name Test Price Total
4Rapid Hepatitis C test provided by CDU$0.00$0.00
4Rapid HIV test provided by CDU$15.00$60.00
3Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$42.00
4Urine specimen – Chlamydia and Gonorrhea$14.00$56.00
4Syphilis blood draw$0.00$0.00
1Rectal specimen – Chlamydia and Gonorrhea$14.00$14.00
Invoice Total $172.00