Invoice: 4127

Voucher Codes:
AJ72
99XS
HBX5
B8I8
GQ3S
2WNY
ID:3773 (sin título)
ID:3758 (sin título)

Invoice: 4127

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:
Sweetwater County Public Health
333 Broadway
Suite 110
Rock Springs, Wyoming 82901
Total Vouchers: 8
Vouchers Test Name Test Price Total
7Syphilis blood draw$0.00$0.00
4Vaginal specimen – Chlamydia and Gonorrhea$14.00$56.00
7Rectal specimen – Chlamydia and Gonorrhea$14.00$98.00
8Pharyngeal specimen – Chlamydia and Gonorrhea$14.00$112.00
7Rapid HIV test provided by CDU$15.00$105.00
6Rapid Hepatitis C test provided by CDU$0.00$0.00
4Urine specimen – Chlamydia and Gonorrhea$14.00$56.00
Invoice Total $427.00