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    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Electrolyte Panel
    2 X $18.00 = $36.00
    Tri-iodothyronine Free T3
    2 X $30.00 = $60.00
    ANA Screen
    1 X $34.00 = $34.00
    Copper
    1 X $41.00 = $41.00
    Thyroglobulin Abs
    1 X $35.00 = $35.00
    Tissue Transglutaminase IgA
    1 X $41.50 = $41.50
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Testosterone, Total
    1 X $30.00 = $30.00
    Malaria Smear (Blood Parasite)
    1 X $50.00 = $50.00
    Subtotal $452.50
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