Invoice: 4676
Voucher Codes:
33WF
HDU9
V3OO
ZK90
CBJ9
436P
VA8T
WSQC
U4TO
ID:4583 (sin título)
ID:4582 (sin título)
ZI3Y
12LP
FK41
ID:4577 (sin título)
33WF
HDU9
V3OO
ZK90
CBJ9
436P
VA8T
WSQC
U4TO
ID:4583 (sin título)
ID:4582 (sin título)
ZI3Y
12LP
FK41
ID:4577 (sin título)
Invoice: 4676
Invoice Date: April 30, 2025
Service Dates: 4/1/2025 – 4/30/2025
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: 15
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 11 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $294.00 | ||