Invoice: 1837
Voucher Codes:
ID:1668 (sin título)
AQ55
DVL1
ID:1668 (sin título)
AQ55
DVL1
Invoice: 1837
Invoice Date: October 31, 2024
Service Dates: 10/1/2024 – 10/31/2024
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:
HealthWorks
2508 E. Fox Farm RdSuite A
Cheyenne, Wyoming 82007
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Rapid HIV test provided by CDU | $15.00 | $45.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 1 | HIV CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $45.00 | $45.00 |
| 1 | Hepatitis C CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $20.00 | $20.00 |
| Invoice Total | $152.00 | ||