Invoice: 2406
Voucher Codes:
QY4P
B9M3
CO2L
W6PV
QY4P
B9M3
CO2L
W6PV
Invoice: 2406
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:
Uinta County Public Health - Evanston
350 City View DriveSuite 101
Evanston, Wyoming 82930
Total Vouchers: 4
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 4 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $172.00 | ||