Invoice: 4678
Voucher Codes:
4UYV
4LW3
ID:4284 (sin título)
1SUT
1RS9
V0B6
1O3D
ID:4279 (sin título)
4XW5
20IH
F2VF
ID:4274 (sin título)
CQ8J
GEQ3
5EA8
ZWRC
71MX
4UYV
4LW3
ID:4284 (sin título)
1SUT
1RS9
V0B6
1O3D
ID:4279 (sin título)
4XW5
20IH
F2VF
ID:4274 (sin título)
CQ8J
GEQ3
5EA8
ZWRC
71MX
Invoice: 4678
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:
Western Wyoming Family Health - Rock Springs
333 Broadway StSuite 120
Rock Springs, Wyoming 82901
Total Vouchers: 17
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 16 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $224.00 |
| 10 | Syphilis blood draw | $0.00 | $0.00 |
| 12 | Rapid HIV test provided by CDU | $15.00 | $180.00 |
| Invoice Total | $404.00 | ||