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    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Sickle Cell Screen (Hemoglobin Solubility)
    1 X $107.00 = $107.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Complement C4
    1 X $32.50 = $32.50
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Subtotal $356.00
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