Invoice: 4126
Voucher Codes:
P8TM
12DG
VDR0
8QYN
K505
ID:3973 (sin título)
SAA4
ID:3743 (sin título)
L33S
P8TM
12DG
VDR0
8QYN
K505
ID:3973 (sin título)
SAA4
ID:3743 (sin título)
L33S
Invoice: 4126
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:
Sheridan County Public Health
297 S. Main StSheridan, Wyoming 82801
Total Vouchers: 9
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Hepatitis C CONFIRMATORY blood draw for REACTIVE RAPID TEST ONLY, must notify CDU Area DIS | $20.00 | $20.00 |
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 8 | Rapid HIV test provided by CDU | $15.00 | $120.00 |
| 7 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 7 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $308.00 | ||