Invoice: 1861
Voucher Codes:
88O1
DW32
ID:1570 (sin título)
A40B
SGR9
3G9Y
ID:1499 (sin título)
1IWJ
ID:1445 (sin título)
88O1
DW32
ID:1570 (sin título)
A40B
SGR9
3G9Y
ID:1499 (sin título)
1IWJ
ID:1445 (sin título)
Invoice: 1861
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:
Lincoln County Public Health - Afton
421 Jefferson Street Suite #401
Afton, Wyoming 83110
Total Vouchers: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 8 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 6 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 7 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $90.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $448.00 | ||