Invoice: 2824
Voucher Codes:
L1AP
8PGI
LYB3
ID:2637 (sin título)
ID:2577 (sin título)
ID:2512 (sin título)
L1AP
8PGI
LYB3
ID:2637 (sin título)
ID:2577 (sin título)
ID:2512 (sin título)
Invoice: 2824
Invoice Date: December 31, 2024
Service Dates: 12/1/2024 – 12/31/2024
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:
Uinta County Public Health - Evanston
350 City View DriveSuite 101
Evanston, Wyoming 82930
Total Vouchers: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Rapid HIV test provided by CDU | $15.00 | $90.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 4 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 4 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| Invoice Total | $300.00 | ||