MedtechSourcebook

Guide, Surgical, Instrument (FZX) contract manufacturers

136 US facilities list FDA product code FZX as a contract manufacturer (114) or contract sterilizer (22).

FDA-registered (openFDA, export of Oct 21, 2026)

FDA device name
Guide, Surgical, Instrument
Product code
FZX (FDA product classification database)
Device class
Class I
Regulation
21 CFR 878.4800
Classification panel
General and plastic surgery

Where they are

Indiana 27 · Tennessee 10 · Illinois 9 · Minnesota 7 · Texas 7 · California 6 · Florida 6 · Michigan 6 · Ohio 6 · Alabama 5 · Massachusetts 5 · Mississippi 5 and 13 more states

All 136 facilities

CompanyFDA registrationEstablishment typeDevice categoriesCity and stateCertificationUpdated
3D MEDICAL MANUFACTURING, INC. (dba Tecomet)3001239363Contract manufacturerOrthopedic; Neurology; General and plastic surgery +2 moreRiviera Beach, FLNot verifiedOct 21, 2026
ACME-MONACO CORP.1293141Contract manufacturerDental; Cardiovascular; Gastroenterology and urology +1 moreNew Britain, CTNot verifiedOct 21, 2026
ARC PRECISION3011567699Contract manufacturerOrthopedic; General and plastic surgeryIsanti, MNNot verifiedOct 21, 2026
ARCH - Quakertown2531477Contract manufacturerOrthopedic; General and plastic surgery; NeurologyQuakertown, PANot verifiedOct 21, 2026
ARCH Medical Solutions - Elmhurst1424434Contract manufacturerOrthopedic; General and plastic surgery; NeurologyElmhurst, ILNot verifiedOct 21, 2026
ARCH Medical Solutions - Memphis3009973505Contract manufacturerOrthopedic; General and plastic surgery; Neurology +5 moreBartlett, TNNot verifiedOct 21, 2026
ARCH Medical Solutions - Memphis3016438694Contract manufacturerOrthopedic; General and plastic surgery; Neurology +5 moreLexington, TNNot verifiedOct 21, 2026
ARCH Medical Solutions - Olive Branch3010123206Contract manufacturerOrthopedic; Neurology; General and plastic surgery +2 moreOlive Branch, MSNot verifiedOct 21, 2026
ARCH Medical Solutions - Seabrook1221763Contract manufacturerOrthopedic; General and plastic surgery; Neurology +4 moreSeabrook, NHNot verifiedOct 21, 2026
ARCH Medical Solutions - Warsaw3009971621Contract manufacturerOrthopedic; General and plastic surgery; NeurologyWarsaw, INNot verifiedOct 21, 2026
ARCH-MedTorque3005874553Contract manufacturerOrthopedic; General and plastic surgery; NeurologyKenosha, WINot verifiedOct 21, 2026
ARGON MEDICAL DEVICES INC.1625425Contract manufacturerGeneral and plastic surgery; Cardiovascular; Gastroenterology and urology +4 moreAthens, TXNot verifiedOct 21, 2026
Advanced Machine, Inc.3011061242Contract manufacturerOrthopedic; General and plastic surgeryWinchester, TNNot verifiedOct 21, 2026
Autocam Medical1057425Contract manufacturerOrthopedic; General and plastic surgery; Dental +1 moreMurfreesboro, TNNot verifiedOct 21, 2026
Avalign Instruments & Implants3006128100Contract manufacturerOrthopedic; General and plastic surgery; Neurology +5 moreFort Wayne, INNot verifiedOct 21, 2026
B & J Medical LLC3009973699Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urology +1 moreKendallville, INNot verifiedOct 21, 2026
BANISTER TOOL, INC.1649379Contract manufacturerOrthopedic; General and plastic surgery; DentalPflugerville, TXNot verifiedOct 21, 2026
Bradshaw Medical Inc.3006846753Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreKenosha, WINot verifiedOct 21, 2026
C+A TOOL ENGINEERING, INC.1836357Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreChurubusco, INNot verifiedOct 21, 2026
C.R. BARD, INC.1018233Contract sterilizerGastroenterology and urology; Cardiovascular; General and plastic surgery +4 moreCovington, GANot verifiedOct 21, 2026
C.R. BARD, INC.3006082230Contract sterilizerGastroenterology and urology; Cardiovascular; General and plastic surgery +4 moreMadison, GANot verifiedOct 21, 2026
CENTEX MACHINING, INC.1645151Contract manufacturerOrthopedic; General and plastic surgeryRound Rock, TXNot verifiedOct 21, 2026
CHAPMAN LAKE INSTRUMENT3003724410Contract manufacturerGeneral and plastic surgery; OrthopedicBloomington, INNot verifiedOct 21, 2026
CLASSIC WIRE CUT COMPANY, INC.2031917Contract manufacturerOrthopedic; General and plastic surgery; Neurology +2 moreValencia, CANot verifiedOct 21, 2026
CULVER TOOL & ENGINEERING3010047454Contract manufacturerOrthopedic; General and plastic surgery; Neurology +4 morePlymouth, INNot verifiedOct 21, 2026
CURITEVA, INC.3012131184Contract manufacturerOrthopedic; General and plastic surgery; NeurologyTanner, ALNot verifiedOct 21, 2026
Complexus Medical3009887475Contract manufacturerOrthopedic; General and plastic surgery; Dental +3 moreMishawaka, INNot verifiedOct 21, 2026
Criterion Tool & Die Inc DBA Criterion Precision Machining1528668Contract manufacturerOrthopedic; General and plastic surgeryBrookpark, OHNot verifiedOct 21, 2026
DONSON MACHINE COMPANY3004153896Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreAlsip, ILNot verifiedOct 21, 2026
EPTAM PLASTICS, LTD3005144609Contract manufacturerOrthopedic; General and plastic surgeryNorthfield, NHNot verifiedOct 21, 2026
EPTAM WEST LLC3011302692Contract manufacturerOrthopedic; General and plastic surgery; DentalColorado Springs, CONot verifiedOct 21, 2026
Elite Medical, LLC3009882675Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreBartlett, TNNot verifiedOct 21, 2026
Elite Medical, LLC3017565094Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreFlorence, ALNot verifiedOct 21, 2026
Engineered Medical Systems, LLC3009973336Contract manufacturerOrthopedic; General and plastic surgery; Cardiovascular +7 moreBartlett, TNNot verifiedOct 21, 2026
FIVE STAR MANUFACTURING, INC.3004513872Contract manufacturerOrthopedic; General and plastic surgery; NeurologyNew Bedford, MANot verifiedOct 21, 2026
FORT WAYNE METALS RESEARCH PRODUCTS, LLC1824313Contract manufacturerOrthopedic; General and plastic surgery; OphthalmicFort Wayne, INNot verifiedOct 21, 2026
GAUTHIER BIOMEDICAL, INC.2134947Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreGrafton, WINot verifiedOct 21, 2026
GUIDEWIRE TECHNOLOGIES, INC.1221806Contract manufacturerCardiovascular; General and plastic surgerySalem, NHNot verifiedOct 21, 2026
HOLMED LLC1219518Contract manufacturerOrthopedic; General and plastic surgery; Dental +6 moreAttleboro, MANot verifiedOct 21, 2026
HURON TOOL & CUTTER GRINDING3004358587Contract manufacturerOrthopedic; General and plastic surgeryFarmingdale, NYNot verifiedOct 21, 2026
Haven Manufacturing1834179Contract manufacturerOrthopedic; General and plastic surgeryOssian, INNot verifiedOct 21, 2026
INCIPIO DEVICES3011015572Contract manufacturerOrthopedic; General and plastic surgery; NeurologyHuntington, INNot verifiedOct 21, 2026
INSTRU-MED TECHNOLOGIES1833920Contract manufacturerOrthopedic; General and plastic surgery; Neurology +4 moreWarsaw, INNot verifiedOct 21, 2026
INSTRUMENTAL MACHINE & DEVELOPMENT, INC.1835998Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urology +4 moreWarsaw, INNot verifiedOct 21, 2026
INTEGRITY SYSTEMS3010041420Contract manufacturerOrthopedic; General and plastic surgeryOlive Branch, MSNot verifiedOct 21, 2026
INTERNATIONAL STERILIZATION LABORATORY, LLC1061927Contract sterilizerOrthopedic; General and plastic surgery; Gastroenterology and urology +9 moreGroveland, FLNot verifiedOct 21, 2026
ISOMEDIX OPERATIONS INC1526711Contract sterilizerOrthopedic; General and plastic surgery; General hospital +10 moreGroveport, OHNot verifiedOct 21, 2026
Instrumed International Inc dba Avalign German Specialty Instruments1421101Contract manufacturerGeneral and plastic surgery; Ear, nose and throat; Orthopedic +9 moreSchaumburg, ILNot verifiedOct 21, 2026
Isomedix Operations, Inc.1424263Contract sterilizerOrthopedic; General and plastic surgery; Ophthalmic +13 moreLibertyville, ILNot verifiedOct 21, 2026
Isomedix Operations, Inc.1450662Contract sterilizerOrthopedic; General and plastic surgery; Cardiovascular +11 moreLibertyville, ILNot verifiedOct 21, 2026
Isomedix Operations, Inc.2183744Contract sterilizerCardiovascular; General and plastic surgery; Gastroenterology and urology +13 moreMinneapolis, MNNot verifiedOct 21, 2026
JATEX, INC.3010049501Contract manufacturerOrthopedic; Neurology; General and plastic surgeryNappanee, INNot verifiedOct 21, 2026
JMG MACHINE, INC.2031910Contract manufacturerOrthopedic; General and plastic surgery; NeurologyLa Mirada, CANot verifiedOct 21, 2026
Jabil Inc. (Brandywine)3015212339Contract manufacturerOrthopedic; General and plastic surgery; Dental +2 moreW Chester, PANot verifiedOct 21, 2026
Jabil Inc. (Elmira)3015440604Contract manufacturerOrthopedic; Dental; General and plastic surgery +2 moreHorseheads, NYNot verifiedOct 21, 2026
Jabil Inc. (Monument)3015399803Contract manufacturerOrthopedic; General and plastic surgery; Neurology +3 moreMonument, CONot verifiedOct 21, 2026
LH MEDICAL CORPORATION3010057495Contract manufacturerOrthopedic; General and plastic surgery; Ear, nose and throat +2 moreFort Wayne, INNot verifiedOct 21, 2026
LYNX Medical NJ2244478Contract sterilizerOrthopedic; General and plastic surgery; General hospital +9 moreFranklin, NJNot verifiedOct 21, 2026
Life Science Outsourcing1221051Contract manufacturerOrthopedic; General and plastic surgery; Dental +6 moreSomersworth, NHNot verifiedOct 21, 2026
Lincotek Medical LLC3010039400Contract manufacturerOrthopedic; Neurology; General and plastic surgeryVandalia, OHNot verifiedOct 21, 2026
MAITLAND ENGINEERING1835572Contract manufacturerOrthopedic; General and plastic surgery; NeurologySouth Bend, INNot verifiedOct 21, 2026
MANUFACTURING TECHNOLOGY AND SERVICES, LLC3010405304Contract manufacturerGeneral and plastic surgery; OrthopedicOxford, ALNot verifiedOct 21, 2026
MCMINNVILLE WORKHOLDING COMPANY Inc.3003765982Contract manufacturerGeneral and plastic surgeryMcMinnville, TNNot verifiedOct 21, 2026
MEDTECH LLC3010123256Contract manufacturerOrthopedic; General and plastic surgeryMillington, TNNot verifiedOct 21, 2026
MILLSTONE MEDICAL OUTSOURCING LLC.1226544Contract manufacturerOrthopedic; General and plastic surgery; Neurology +7 moreFall River, MANot verifiedOct 21, 2026
Medartis Inc.3009540749Contract manufacturerOrthopedic; General and plastic surgeryWarsaw, INNot verifiedOct 21, 2026
Mendell3009998573Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urology +1 moreLakeville, MNNot verifiedOct 21, 2026
Metal Craft Machine & Engineering, Inc.2133928Contract manufacturerOrthopedic; General and plastic surgery; Cardiovascular +3 moreElk River, MNNot verifiedOct 21, 2026
Millstone Medical Outsourcing LLC3010097171Contract manufacturerOrthopedic; General and plastic surgery; Cardiovascular +10 moreOlive Branch, MSNot verifiedOct 21, 2026
NGInstruments, Inc dba Avalign Cutting Instruments1835251Contract manufacturerOrthopedic; General and plastic surgery; Neurology +3 moreWarsaw, INNot verifiedOct 21, 2026
NORWOOD MEDICAL LLC1531174Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urology +1 moreDayton, OHNot verifiedOct 21, 2026
Nypro Healthcare Baja Inc. (Albuquerque)3015183635Contract sterilizerGeneral and plastic surgery; Orthopedic; Gastroenterology and urology +3 moreAlbuquerque, NMNot verifiedOct 21, 2026
OBERG MEDICAL PRODUCTS COMPANY3003639920Contract manufacturerOrthopedic; General and plastic surgery; NeurologySarver, PANot verifiedOct 21, 2026
ONYX MEDICAL LLC1043653Contract manufacturerOrthopedic; General and plastic surgery; Neurology +3 moreMemphis, TNNot verifiedOct 21, 2026
ORCHID UNIQUE1828288Contract manufacturerOrthopedic; General and plastic surgery; Dental +3 moreBridgeport, MINot verifiedOct 21, 2026
Oberg Medical - XL Division1422549Contract manufacturerOrthopedic; General and plastic surgeryChicago, ILNot verifiedOct 21, 2026
Olive Branch Distribution Center3016050940Contract manufacturerOrthopedic; General and plastic surgery; Neurology +4 moreOlive Branch, MSNot verifiedOct 21, 2026
Orchid Orthopedic Solutions Alabama LLC3009888740Contract manufacturerOrthopedic; General and plastic surgery; Neurology +4 moreArab, ALNot verifiedOct 21, 2026
PACIFIC INSTRUMENTS INC.3005641619Contract manufacturerOrthopedic; General and plastic surgery; Dental +5 moreHonolulu, HINot verifiedOct 21, 2026
PACKAGING COMPLIANCE MEDICAL, LLC3014967969Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urology +6 moreKentwood, MINot verifiedOct 21, 2026
PARAGON MEDICAL, INC.1834331Contract manufacturerOrthopedic; General and plastic surgery; Neurology +4 morePierceton, INNot verifiedOct 21, 2026
PERRYMAN COMPANY3009882462Contract manufacturerOrthopedic; Gastroenterology and urology; Neurology +1 moreHouston, PANot verifiedOct 21, 2026
PHOENIX INSTRUMENTS, INC.1421879Contract manufacturerGeneral and plastic surgery; Ear, nose and throat; Dental +9 moreLisle, ILNot verifiedOct 21, 2026
PMC SMART Solutions, LLC3010408671Contract manufacturerGeneral and plastic surgery; Neurology; Gastroenterology and urology +2 moreShelbyville, INNot verifiedOct 21, 2026
PRECISION EDGE SURGICAL PRODUCTS COMPANY1833986Contract manufacturerOrthopedic; General and plastic surgery; Neurology +2 moreSault Sainte Marie, MINot verifiedOct 21, 2026
PTI Engineered Plastics3007238674Contract manufacturerGastroenterology and urology; General hospital; General and plastic surgeryMacomb, MINot verifiedOct 21, 2026
Paragon Medical - Dayton1000200989Contract manufacturerOrthopedic; General and plastic surgery; Ear, nose and throat +1 moreDayton, OHNot verifiedOct 21, 2026
Paragon Medical Inc.1000517406Contract manufacturerOrthopedic; General and plastic surgery; NeurologySmithfield, UTNot verifiedOct 21, 2026
Phillips Precision Inc3003387384Contract manufacturerOrthopedic; General and plastic surgery; NeurologyElmwood Park, NJNot verifiedOct 21, 2026
Pioneer Surgical Technology, Inc.1833824Contract manufacturerOrthopedic; General and plastic surgery; NeurologyMarquette, MINot verifiedOct 21, 2026
Precision Medical Technologies- North Manchester Manufacturing Facility3015179588Contract manufacturerOrthopedic; General and plastic surgery; Anesthesiology +1 moreN Manchester, INNot verifiedOct 21, 2026
Primo Medical Group, INC1222928Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urology +6 moreStoughton, MANot verifiedOct 21, 2026
ProMed Concepts, LLC3010123303Contract manufacturerOrthopedic; General and plastic surgeryBrighton, TNNot verifiedOct 21, 2026
QUALITY TECH SERVICES, LLC3003477135Contract manufacturerOrthopedic; General and plastic surgery; Neurology +11 moreBloomington, MNNot verifiedOct 21, 2026
RAYCO STEEL PROCESS, INC.3010065126Contract manufacturerOrthopedic; General and plastic surgeryWarsaw, INNot verifiedOct 21, 2026
RED STAR CONTRACT MANUFACTURING INC.3009631939Contract manufacturerOrthopedic; General and plastic surgery; Ear, nose and throatLarwill, INNot verifiedOct 21, 2026
RIVERSIDE MACHINE & ENGINEERING, INC.2134285Contract manufacturerOrthopedic; General and plastic surgery; Cardiovascular +2 moreEau Claire, WINot verifiedOct 21, 2026
S.S. WHITE TECHNOLOGIES, INC. / DBA SHUKLA MEDICAL2249418Contract manufacturerOrthopedic; General and plastic surgerySt Petersburg, FLNot verifiedOct 21, 2026
SEAWAY PLASTICS ENGINEERING, LLC3027071765Contract manufacturerOrthopedic; General and plastic surgeryBrooksville, FLNot verifiedOct 21, 2026
SINGLE SOURCE MEDICAL LLC3010386387Contract manufacturerOrthopedic; General and plastic surgeryChurubusco, INNot verifiedOct 21, 2026
SPEC Engineering Co.2031913Contract manufacturerOrthopedic; General and plastic surgeryHawthorne, CANot verifiedOct 21, 2026
STERIPACK USA (LIMITED) LLC3009656988Contract manufacturerGeneral and plastic surgery; Orthopedic; Radiology +5 moreLakeland, FLNot verifiedOct 21, 2026
SUMMIT MFG. AND MACHINING, INC.3004504812Contract manufacturerOrthopedic; General and plastic surgeryBremen, INNot verifiedOct 21, 2026
SYMMETRY MEDICAL MANUFACTURING INC3005061536Contract manufacturerOrthopedic; General and plastic surgery; Dental +8 moreClaypool, INNot verifiedOct 21, 2026
SYMMETRY MEDICAL MANUFACTURING INC.1828464Contract manufacturerOrthopedic; General and plastic surgery; Dental +8 moreWarsaw, INNot verifiedOct 21, 2026
SYMMETRY MEDICAL, INC. - MANCHESTER1221053Contract manufacturerOrthopedic; General and plastic surgery; General hospital +2 moreManchester, NHNot verifiedOct 21, 2026
Sterigenics U.S. LLC1054811Contract sterilizerOrthopedic; General and plastic surgery; Ophthalmic +13 moreMulberry, FLNot verifiedOct 21, 2026
Sterigenics U.S. LLC2953359Contract sterilizerGeneral and plastic surgery; Orthopedic; Ophthalmic +11 moreHayward, CANot verifiedOct 21, 2026
Sterigenics U.S., LLC1018470Contract sterilizerGeneral and plastic surgery; Orthopedic; General hospital +12 moreAtlanta, GANot verifiedOct 21, 2026
Sterigenics U.S., LLC1061124Contract sterilizerGeneral and plastic surgery; Gastroenterology and urology; General hospital +15 moreCharlotte, NCNot verifiedOct 21, 2026
Sterigenics U.S., LLC1319639Contract sterilizerCardiovascular; General and plastic surgery; Gastroenterology and urology +14 moreQueensbury, NYNot verifiedOct 21, 2026
Sterigenics U.S., LLC1721676Contract sterilizerCardiovascular; Orthopedic; General and plastic surgery +12 moreSalt Lake City, UTNot verifiedOct 21, 2026
Sterigenics U.S., LLC2029275Contract sterilizerGeneral and plastic surgery; Orthopedic; Cardiovascular +16 moreCorona, CANot verifiedOct 21, 2026
Sterigenics US LLC1423662Contract sterilizerOrthopedic; General and plastic surgery; General hospital +14 moreGurnee, ILNot verifiedOct 21, 2026
Sterigenics US LLC1649518Contract sterilizerOrthopedic; General and plastic surgery; General hospital +13 moreFort Worth, TXNot verifiedOct 21, 2026
Sterigenics US LLC3002907620Contract sterilizerOrthopedic; General and plastic surgery; General hospital +12 moreWest Memphis, ARNot verifiedOct 21, 2026
Sterigenics US LLC3004111573Contract sterilizerGeneral and plastic surgery; Gastroenterology and urology; General hospital +15 moreGrand Prairie, TXNot verifiedOct 21, 2026
Sterigenics US, LLC1526534Contract sterilizerOrthopedic; General and plastic surgery; General hospital +14 moreLewis Center, OHNot verifiedOct 21, 2026
Structure Medical, LLC.3007993775Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreMooresville, NCNot verifiedOct 21, 2026
TECOMET, INC.2132732Contract manufacturerGeneral and plastic surgery; Orthopedic; Neurology +3 moreKenosha, WINot verifiedOct 21, 2026
THOMPSON SURGICAL INSTRUMENTS, INC.1450428Contract manufacturerGeneral and plastic surgeryTraverse City, MINot verifiedOct 21, 2026
TOMZ Corporation1224360Contract manufacturerOrthopedic; General and plastic surgery; DentalBerlin, CTNot verifiedOct 21, 2026
TRACER ORTHOPEDICS2249608Contract manufacturerOrthopedic; General and plastic surgery; Ear, nose and throatOakland, NJNot verifiedOct 21, 2026
TRIANGLE MANUFACTURING CO., INC.1000491390Contract manufacturerOrthopedic; General and plastic surgeryUpper Saddle River, NJNot verifiedOct 21, 2026
TRIGON AMERICA LLC3003596442Contract manufacturerOrthopedic; General and plastic surgery; Neurology +1 moreAurora, ILNot verifiedOct 21, 2026
TURNCO TOOL & INSTRUMENT, INC.3009241418Contract manufacturerOrthopedic; General and plastic surgery; Dental +1 moreGeorgetown, TXNot verifiedOct 21, 2026
TURNER MEDICAL INC.3005706667Contract manufacturerOrthopedic; General and plastic surgery; Neurology +5 moreAthens, ALNot verifiedOct 21, 2026
Tegra Medical3010041499Contract manufacturerOrthopedic; Neurology; General and plastic surgeryHernando, MSNot verifiedOct 21, 2026
Tegra Medical - Franklin, MA1226191Contract manufacturerOrthopedic; General and plastic surgeryFranklin, MANot verifiedOct 21, 2026
Terumo BCT STERILIZATION SERVICES, Inc.1724474Contract sterilizerCardiovascular; General and plastic surgery; Gastroenterology and urology +6 moreLakewood, CONot verifiedOct 21, 2026
The E F PRECISION GROUP2531195Contract manufacturerOrthopedic; Neurology; General and plastic surgeryWillow Grove, PANot verifiedOct 21, 2026
Trilliant Surgical LLC3007420745Contract manufacturerOrthopedic; General and plastic surgeryHouston, TXNot verifiedOct 21, 2026
UNITY TOOL, INC.2133687Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urologyOsseo, MNNot verifiedOct 21, 2026
Viant Medical, LLC3004976965Contract manufacturerOrthopedic; General and plastic surgery; General hospital +1 moreFort Wayne, INNot verifiedOct 21, 2026
Viant Upland, Inc2027487Contract manufacturerOrthopedic; General hospital; Neurology +1 moreUpland, CANot verifiedOct 21, 2026
rms Surgical3010009693Contract manufacturerOrthopedic; General and plastic surgery; Gastroenterology and urology +2 moreAnoka, MNNot verifiedOct 21, 2026

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