Invoice: 3679
Voucher Codes:
D2FJ
ID:3628 (sin título)
POGR
37W4
O7NO
D2FJ
ID:3628 (sin título)
POGR
37W4
O7NO
Invoice: 3679
Invoice Date: February 28, 2025
Service Dates: 2/1/2025 – 2/28/2025
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:
HealthWorks
2508 E. Fox Farm RdSuite A
Cheyenne, Wyoming 82007
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Hepatitis C CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $20.00 | $20.00 |
| Invoice Total | $167.00 | ||