Invoice: 5111
Voucher Codes:
WP9P
ID:5091 (sin título)
E4AB
3OUU
ID:5082 (sin título)
05AG
ID:5070 (sin título)
ID:5066 (sin título)
8QHX
ID:5051 (sin título)
VTD2
H3RW
93WR
YJYG
61OR
ID:5031 (sin título)
LUX2
NUI5
FIB3
19AQ
IJK4
2W2L
P62H
BRY8
L2S4
2Y0I
A9JC
PU9L
DHP3
S4YC
2CSH
47EI
MK1H
1CWO
YV8N
G36B
3ZOQ
G3V7
I1D9
OV2O
91TY
BX3E
WQA8
JP1Z
IQB5
20XQ
A96F
0Z0R
H5EE
80I2
A662
41UH
V85M
HR0J
QXQ6
YI7T
K2MR
2VEO
EZR1
9A2U
B4LW
9I5P
D2P2
WP9P
ID:5091 (sin título)
E4AB
3OUU
ID:5082 (sin título)
05AG
ID:5070 (sin título)
ID:5066 (sin título)
8QHX
ID:5051 (sin título)
VTD2
H3RW
93WR
YJYG
61OR
ID:5031 (sin título)
LUX2
NUI5
FIB3
19AQ
IJK4
2W2L
P62H
BRY8
L2S4
2Y0I
A9JC
PU9L
DHP3
S4YC
2CSH
47EI
MK1H
1CWO
YV8N
G36B
3ZOQ
G3V7
I1D9
OV2O
91TY
BX3E
WQA8
JP1Z
IQB5
20XQ
A96F
0Z0R
H5EE
80I2
A662
41UH
V85M
HR0J
QXQ6
YI7T
K2MR
2VEO
EZR1
9A2U
B4LW
9I5P
D2P2
Invoice: 5111
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
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:
Teton County - Public Health
P.O. Box 1727Jackson, wyoming 83001
Total Vouchers: 63
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 41 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $574.00 |
| 28 | Rapid HIV test provided by CDU | $15.00 | $420.00 |
| 21 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $294.00 |
| 26 | Syphilis blood draw | $0.00 | $0.00 |
| 24 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 27 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $378.00 |
| 14 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $196.00 |
| 3 | Hepatitis B panel (hepatitis B surface antibody, surface antigen, core IgM) | $45.00 | $135.00 |
| 2 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $40.00 |
| Invoice Total | $2,037.00 | ||