Invoice: 3262

Invoice: 3262

Invoice Date: January 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 250
Pinedale, wyoming 82941
Total Vouchers: 2
Vouchers Test Name Test Price Total
1Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM)$45.00$45.00
2Rapid Hepatitis C test provided by CDU$0.00$0.00
2Rapid HIV test provided by CDU$15.00$30.00
2Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$28.00
2Rectal specimen – Chlamydia and Gonorrhea$14.00$28.00
1Vaginal specimen – Chlamydia and Gonorrhea$14.00$14.00
2Syphilis blood draw$0.00$0.00
1Urine specimen – Chlamydia and Gonorrhea$14.00$14.00
Invoice Total $159.00