Invoice: 3273

Invoice: 3273

Invoice Date: January 31, 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:
Northwest Wyoming Family Planning
P.O. Box 941
Cody, wyoming 82414
Total Vouchers: 12
Vouchers Test Name Test Price Total
11Rapid Hepatitis C test provided by CDU$0.00$0.00
11Rapid HIV test provided by CDU$15.00$165.00
9Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$126.00
6Vaginal specimen – Chlamydia and Gonorrhea$14.00$84.00
6Urine specimen – Chlamydia and Gonorrhea$14.00$84.00
Invoice Total $459.00