Invoice: 5537
Voucher Codes:
ID:5439 (sin título)
E1DX
NEP5
H251
0ZGF
A66O
MZ9N
ID:5439 (sin título)
E1DX
NEP5
H251
0ZGF
A66O
MZ9N
Invoice: 5537
Invoice Date: June 30, 2025
Service Dates: 6/1/2025 – 6/30/2025
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: 7
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 6 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $84.00 |
| 5 | Rapid HIV test provided by CDU | $15.00 | $75.00 |
| 5 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $173.00 | ||