Invoice: 3703
Voucher Codes:
ID:3669 (sin título)
7C0E
UA9U
ID:3669 (sin título)
7C0E
UA9U
Invoice: 3703
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:
Lincoln County Public Health - Afton
421 Jefferson Street Suite #401
Afton, Wyoming 83110
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 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $129.00 | ||