Invoice: 2391
Voucher Codes:
2V2Q
NX0M
C9UH
6U97
2V2Q
NX0M
C9UH
6U97
Invoice: 2391
Invoice Date: November 30, 2024
Service Dates: 11/1/2024 – 11/30/2024
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:
Reproductive Healthcare of the Big Horns
128 S. Thurmond Ave.Sheridan, Wyoming 82801
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $84.00 | ||