Invoice: 4125
Voucher Codes:
V6ES
VWY5
ID:3844 (sin título)
OET6
31MZ
4WEH
RV4O
CKX1
6XC6
0IMT
0ETP
V6ES
VWY5
ID:3844 (sin título)
OET6
31MZ
4WEH
RV4O
CKX1
6XC6
0IMT
0ETP
Invoice: 4125
Invoice Date: March 31, 2025
Service Dates: 3/1/2025 – 3/31/2025
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:
Reproductive Healthcare of the Big Horns
128 S. Thurmond Ave.Sheridan, Wyoming 82801
Total Vouchers: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 9 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $126.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 7 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $266.00 | ||