Invoice: 5535
Voucher Codes:
GMO4
Y7RO
MO99
IYSQ
XKA7
2MKY
UM48
C9VY
Q9AY
14JC
ID:5222 (sin título)
Q4ZJ
C5QK
GMO4
Y7RO
MO99
IYSQ
XKA7
2MKY
UM48
C9VY
Q9AY
14JC
ID:5222 (sin título)
Q4ZJ
C5QK
Invoice: 5535
Invoice Date: June 30, 2025
Service Dates: 6/1/2025 – 6/30/2025
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: 13
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 10 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| Invoice Total | $266.00 | ||