Invoice: 3259
Voucher Codes:
R5LP
7CJM
ID:3199 (sin título)
ID:3128 (sin título)
31GM
4M2X
6MY5
1DGX
ID:2969 (sin título)
CHCA
V91F
R5LP
7CJM
ID:3199 (sin título)
ID:3128 (sin título)
31GM
4M2X
6MY5
1DGX
ID:2969 (sin título)
CHCA
V91F
Invoice: 3259
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:
Sweetwater County Public Health
333 BroadwaySuite 110
Rock Springs, Wyoming 82901
Total Vouchers: 11
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
| 10 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 8 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 7 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 11 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| Invoice Total | $571.00 | ||