Invoice: 2403

Voucher Codes:
F8QG
ID:2338 (sin título)
XRO3
HLB2
H2BA
4FVC
PH8S
1IJJ
95HK
OSL3
XG3S
9GHY
PNIR
ZVUA
9R8P
08CM
ID:2223 (sin título)
ID:2222 (sin título)
2F6X
ID:2181 (sin título)
1HOF
ED4O
Q4T2
ID:2177 (sin título)
WB71
0QWC
JNQI
SWAN
QX69
11KW
ID:2167 (sin título)
44MU
4GAU
9IH4
UCCJ
ID:2125 (sin título)
ID:2084 (sin título)
GC3E
U5OG
ID:2044 (sin título)
V0J6
YN5H
R1AJ
ID:2002 (sin título)
2P94
J13M
ID:1928 (sin título)
YYK5
LZJ3
52JF
ID:1912 (sin título)
JNSH
58M0
62F2
Z3XF
B9YN
UU59
TM0E
DB9W
XL69
VS6A
2B24
3ZDV
4IRO
Y593

Invoice: 2403

Invoice Date: November 30, 2024

Service Dates: 11/1/2024 – 11/30/2024

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 1727
Jackson, 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

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