The government is seeking a small business contractor to provide Regulated Medical Waste services across all 50 states, Guam, and Puerto Rico. This is a combined synopsis/solicitation for commercial services, with offers requested directly and no separate written solicitation to follow. The acquisition is set aside for small business concerns and intends to make up to three single-award IDIQ firm-fixed-price contracts—one for each of the Western, Central, and Eastern regions. Performance locations span the entire United States, including Guam and Puerto Rico. No budget amounts or performance timelines are specified.