Invoice: 5700
Voucher Codes:
ID:896 (sin título)
ID:896 (sin título)
Invoice: 5700
Invoice Date: June 30, 2025
Service Dates: 6/1/2025 – 6/30/2025
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 Community Nursing - Rock Springs
333 BroadwaySuite 110
Rock Springs, Wyoming 82901
Total Vouchers: 1
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Rapid HIV test provided by CDU | $15.00 | $15.00 |
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| Invoice Total | $57.00 | ||