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 941Cody, wyoming 82414
Total Vouchers: 12
Vouchers | Test Name | Test Price | Total |
---|---|---|---|
11 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
9 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
6 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
Invoice Total | $459.00 |