Invoice: 1348
Voucher Codes:
BGCW
5YJH
WUX8
ID:1166 (sin título)
ID:1165 (sin título)
2KG7
RW4H
I0CL
ID:1034 (sin título)
P6M3
E01X
RF3Z
BGCW
5YJH
WUX8
ID:1166 (sin título)
ID:1165 (sin título)
2KG7
RW4H
I0CL
ID:1034 (sin título)
P6M3
E01X
RF3Z
Invoice: 1348
Invoice Date: September 30, 2024
Service Dates: 9/1/2024 – 9/30/2024
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: 12
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 1 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $20.00 |
| 9 | Rapid HIV test provided by CDU | $15.00 | $135.00 |
| 10 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $140.00 |
| 4 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $56.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 9 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| Invoice Total | $505.00 | ||