Invoice: 4690
Voucher Codes:
8D2E
77RD
38EZ
PJ20
RJ3V
ILG8
JFI9
2J62
ID:4347 (sin título)
3WFW
C834
ID:4233 (sin título)
C8FH
8D2E
77RD
38EZ
PJ20
RJ3V
ILG8
JFI9
2J62
ID:4347 (sin título)
3WFW
C834
ID:4233 (sin título)
C8FH
Invoice: 4690
Invoice Date: April 30, 2025
Service Dates: 4/1/2025 – 4/30/2025
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:
Uinta County Public Health - Evanston
350 City View DriveSuite 101
Evanston, Wyoming 82930
Total Vouchers: 13
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 11 | Rapid HIV test provided by CDU | $15.00 | $165.00 |
| 11 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 5 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 11 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $154.00 |
| 11 | Syphilis blood draw | $0.00 | $0.00 |
| 6 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| 2 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| Invoice Total | $571.00 | ||