Invoice: 6036
Voucher Codes:
4H9E
49U3
ID:5645 (sin título)
4H9E
49U3
ID:5645 (sin título)
Invoice: 6036
Invoice Date: July 31, 2025
Service Dates: 7/1/2025 – 7/31/2025
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:
Park County Public Health - Cody
1002 Sheridan AveSuite 2
Cody, Wyoming 82414
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $40.00 |
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $241.00 | ||