Invoice: 4679
Voucher Codes:
00FH
ID:4578 (sin título)
3WR4
ID:4410 (sin título)
0DNB
Q31B
ST80
D759
KE7O
DXK3
00FH
ID:4578 (sin título)
3WR4
ID:4410 (sin título)
0DNB
Q31B
ST80
D759
KE7O
DXK3
Invoice: 4679
Invoice Date: April 30, 2025
Service Dates: 4/1/2025 – 4/30/2025
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: 10
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 8 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 8 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $112.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 7 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 6 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| Invoice Total | $471.00 | ||