Invoice: 3258
Voucher Codes:
ID:3079 (sin título)
1SXJ
MEK1
ID:2841 (sin título)
ID:3079 (sin título)
1SXJ
MEK1
ID:2841 (sin título)
Invoice: 3258
Invoice Date: January 31, 2025
Service Dates: 1/1/2025 – 1/31/2025
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:
Sheridan County Public Health
297 S. Main StSheridan, Wyoming 82801
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $158.00 | ||