Invoice: 3685
Voucher Codes:
BX90
H6RW
VE60
ID:3529 (sin título)
6BLJ
2JUK
BX90
H6RW
VE60
ID:3529 (sin título)
6BLJ
2JUK
Invoice: 3685
Invoice Date: February 28, 2025
Service Dates: 2/1/2025 – 2/28/2025
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: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 6 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $258.00 | ||