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    Triglycerides
    2 X $19.00 = $38.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Urea Nitrogen, (BUN) Serum
    2 X $18.50 = $37.00
    Lipid Panel
    1 X $24.00 = $24.00
    Varicella Zoster Virus Ab., IgG
    2 X $40.00 = $80.00
    Lipoprotein(a)
    1 X $37.00 = $37.00
    Vitamin B12
    2 X $23.00 = $46.00
    Glucose
    1 X $20.00 = $20.00
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    ABO Group & RH Type
    1 X $30.00 = $30.00
    Hep A Ab Total w/Reflex to IgM
    1 X $44.00 = $44.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Subtotal $451.50
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