Invoice: 2403
Invoice: 2403
Invoice Date: November 30, 2024
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:
Teton County Public Health
P.O. Box 1727Jackson, wyoming 83001
Total Vouchers: 65
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 29 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $406.00 |
| 29 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 42 | Rapid HIV test provided by CDU | $15.00 | $630.00 |
| 38 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $532.00 |
| 33 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $462.00 |
| 41 | Syphilis blood draw | $0.00 | $0.00 |
| 15 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $210.00 |
| 5 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $225.00 |
| 3 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $60.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $2,570.00 | ||