Invoice: 5114
Voucher Codes:
ID:5043 (sin título)
3K1X
M8DQ
1LGG
VW7D
0ZAC
7OSV
ID:5043 (sin título)
3K1X
M8DQ
1LGG
VW7D
0ZAC
7OSV
Invoice: 5114
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:
Uinta County Public Health - Evanston
350 City View DriveSuite 101
Evanston, Wyoming 82930
Total Vouchers: 7
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Rapid HIV test provided by CDU | $15.00 | $105.00 |
| 6 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 1 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| Invoice Total | $329.00 | ||