Invoice: 6027
Voucher Codes:
U4SX
6REJ
SXL0
DU94
ID:5569 (sin título)
U4SX
6REJ
SXL0
DU94
ID:5569 (sin título)
Invoice: 6027
Invoice Date: July 31, 2025
Service Dates: 7/1/2025 – 7/31/2025
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:
Sublette County Treasurer
P.O. Box 250Pinedale, wyoming 82941
Total Vouchers: 5
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $45.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $259.00 | ||