Invoice: 2821
Invoice: 2821
Invoice Date: December 31, 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: 73
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 5 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $225.00 |
| 5 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $100.00 |
| 44 | Rapid HIV test provided by CDU | $15.00 | $660.00 |
| 44 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $616.00 |
| 50 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $700.00 |
| 42 | Syphilis blood draw | $0.00 | $0.00 |
| 33 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 13 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $182.00 |
| 21 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $294.00 |
| 1 | HIV antibody/antigen blood draw, NO RAPID DONE OR CONTROLS FAILED | $45.00 | $45.00 |
| Invoice Total | $2,822.00 | ||