Invoice: 1843
Voucher Codes:
NU77
ZO1G
ID:1772 (sin título)
K7Z2
TFXP
A0QU
ID:1551 (sin título)
NU77
ZO1G
ID:1772 (sin título)
K7Z2
TFXP
A0QU
ID:1551 (sin título)
Invoice: 1843
Invoice Date: October 31, 2024
Service Dates: 10/1/2024 – 10/31/2024
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:
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 |
| 1 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| 1 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $112.00 | ||