| 1 | Daiichi Sankyo Europe GMBH | Germany | München | Zielstattstr. 48 | München | 81379 | daiichi-sankyo.***** | 2008 | $2,625,270,589 | 2,715 | N/A | N/A | 80333B6262 |
| 2 | Mastercard Europe Services LIMITED | Unitedkingdom | Moorgate | 7th Floor | London | EC4R 3AB | vocalink.***** | 2014 | $2,268,564,047 | 4 | N/A | N/A | 09210818 |
| 3 | Cewe Stiftung & CO. Kgaa | Germany | Oldenburg (oldenburg) | Meerweg 30-32 | Oldenburg (oldenburg), Stadt | 26133 | cewe.***** | 1963 | $880,684,202 | 3,768 | N/A | N/A | 26135B208214 |
| 4 | Dekra Automobil GMBH | Germany | Stuttgart | Handwerkstr. 15 | Stuttgart | 70565 | dekra.***** | 1925 | $801,773,458 | 6,115 | N/A | N/A | 70190B21039 |
| 5 | Sirona Dental Systems GMBH | Germany | Bensheim | Fabrikstr. 31 | Bergstraße | 64625 | dentsplysirona.***** | 2025 | $773,917,758 | 1,095 | N/A | N/A | 64283B24948 |
| 6 | Icon Clinical (UK) LIMITED | Unitedkingdom | Southcote | 3rd Floor | Reading | RG2 6GP | logianalytics.***** | 1996 | $431,013,156 | 1,588 | N/A | N/A | 03247443 |
| 7 | Immunocore LIMITED | Unitedkingdom | Abingdon | 92 Park Drive | Oxfordshire | OX14 4RY | immunocore.***** | 2007 | $349,975,308 | 349 | N/A | N/A | 06456207 |
| 8 | Labcorp Early Development Laboratories LIMITED | Unitedkingdom | Fewston | Otley Road | North Yorkshire | HG3 1PY | labcorp.***** | 1974 | $327,798,694 | 3,016 | N/A | N/A | 01171833 |
| 9 | Rottendorf Pharma GMBH | Germany | Ennigerloh | Ostenfelder Str. 51-61 | Warendorf | 59320 | rottendorf-pharma.***** | 2009 | $317,119,473 | 1,218 | N/A | N/A | 48149B9746 |
| 10 | Tuv Sud Product Service GMBH | Germany | München | Ridlerstr. 65 | München | 80339 | tuev-sued.***** | 2019 | $296,183,668 | 1,375 | N/A | N/A | 80333B85742 |
| 11 | Fugro Gb (north) Marine LIMITED | Unitedkingdom | Denmore | Survey House | Aberdeen City | AB23 8JW | fugro.***** | 1979 | $264,888,492 | 727 | N/A | N/A | SC066833 |
| 12 | Idiada Automotive Technology S.A. | Italy | Settimo Torinese | Via della Cebrosa 108/b | Torino | 10036 | N/A | 2002 | $258,966,493 | 30 | N/A | N/A | IT10841420010 |
| 13 | Cerba | France | Frépillon | 10-12-zac Des Epinaux | Val-d'oise | 95740 | lab-cerba.***** | 1995 | $246,314,261 | 1,346 | N/A | N/A | 40292876600052 |
| 14 | Jimmy Choo Florence SRL | Italy | Firenze | Viale Antonio Gramsci 15 | Firenze | 50121 | N/A | 2012 | $211,408,221 | 98 | N/A | N/A | IT07771440968 |
| 15 | Ib Vogt GMBH | Germany | Berlin | Helmholtzstr. 2-9 | Berlin, Stadt | 10587 | ibvogt.***** | 2022 | $208,213,845 | 902 | N/A | N/A | 10623B86173B |
| 16 | Industrieanlagen-Betriebsgesellschaft Mit Beschränkter Haftung | Germany | Ottobrunn | Einsteinstr. 20 | München | 85521 | iabg.***** | 2010 | $205,773,419 | 1,119 | N/A | N/A | 80333B5499 |
| 17 | Gebr. Brasseler GMBH & CO. KG | Germany | Lemgo | Trophagener Weg 25 | Lippe | 32657 | brasseler.***** | 1923 | $202,630,395 | 1,537 | N/A | N/A | 32657A1156 |
| 18 | Ge Vernova International LLC Sucursal En España. | Spain | Madrid | Calle Osiris, 13 - 1 | Madrid | 28037 | N/A | 1972 | $201,753,273 | 100 | N/A | N/A | W4001041E |
| 19 | Sgs United Kingdom LIMITED | Unitedkingdom | Ellesmere Port | Inward Way | Cheshire West and Chester | CH65 3EN | sgs.***** | 1974 | $196,981,303 | 1,386 | N/A | N/A | 01193985 |
| 20 | Limsa Corpo SL | Spain | Esparreguera | Carretera Comarcal 1414 Esparraguera Olesa (km. 1,5), S/n | Barcelona | 08292 | N/A | 1987 | $195,183,568 | 30 | N/A | N/A | B58477886 |
| 21 | Biogroup Paris Ouest | France | Neuilly-sur-seine | 13 A 15 | Hauts-de-seine | 92200 | bioparisouest.***** | 1995 | $191,414,841 | 500 | N/A | N/A | 40309320600049 |
| 22 | Its Testing Services (UK) LIMITED | Unitedkingdom | Kelvedon Hatch | Academy Place | Essex | CM14 5NQ | intertech.***** | 1979 | $190,303,154 | 1,770 | N/A | N/A | 01408264 |
| 23 | Eurofins Biomnis | France | Lyon | 17-19 | Rhône | 69007 | eurofins-biomnis.***** | 2006 | $188,376,350 | 500 | N/A | N/A | 49351990400038 |
| 24 | Sgs Institut Fresenius GMBH | Germany | Taunusstein | Im Maisel 14 | Rheingau-taunus-kreis | 65232 | institut-fresenius.***** | 2017 | $187,119,458 | 1,674 | N/A | N/A | 65185B21543 |
| 25 | Inovie Labosud | France | Montpellier | 90 Rue Nicolas Chedeville | Hérault | 34070 | labosud.***** | 1984 | $185,291,983 | 1,382 | N/A | N/A | 32920877101171 |
| 26 | Bianalisi SPA | Italy | Lissone | Via San Rocco 42/44 | Monza E Brianza | 20851 | bianalisi.***** | 1968 | $184,786,687 | 1,346 | N/A | N/A | IT00731780961 |
| 27 | Bioscientia Institut Fur Medizinische Diagnostik GMBH | Germany | Ingelheim am Rhein | Konrad-adenauer-str. 17 | Mainz-bingen | 55218 | bioscientia.***** | 1969 | $172,555,425 | 1,008 | N/A | N/A | 55116B21166 |
| 28 | Rina Services SPA | Italy | Genova | Via Corsica 12 | Genova | 16128 | rina.***** | 1995 | $171,077,019 | 745 | N/A | N/A | IT03487840104 |
| 29 | Tuv Rheinland Kraftfahrt GMBH | Germany | Köln | Am Grauen Stein | Köln, Stadt | 51105 | tuv.***** | 2021 | $162,183,132 | 1,107 | N/A | N/A | 50670B27124 |
| 30 | Dkms Donor Center Ggmbh | Germany | Tübingen | Kreßbach 1 | Tübingen | 72072 | dkms.***** | 2023 | $150,766,951 | 492 | N/A | N/A | 70190B787844 |
| 31 | Chelab SRL | Italy | Resana | Via Fratta 25 | Treviso | 31023 | merieuxnutrisciences.***** | 1982 | $144,968,207 | 1,459 | N/A | N/A | IT01500900269 |
| 32 | Hyland UK Operations LIMITED | Unitedkingdom | Maidenhead | The Place | Windsor and Maidenhead | SL6 1AF | alfresco.***** | 2002 | $140,478,000 | 490 | N/A | N/A | 04429260 |
| 33 | Bureau Veritas Italia SPA | Italy | Milano | Viale Monza 347 | Milano | 20126 | bureauveritas.***** | 1995 | $140,167,856 | 724 | N/A | N/A | IT11498640157 |
| 34 | Cab | France | Colmar | 114 Route de Rouffach | Haut-rhin | 68000 | biogroup-lcd.***** | 2002 | $136,031,564 | 500 | N/A | N/A | 44354264200667 |
| 35 | Fsp-Fahrzeug- Sicherheitsprufung GMBH & CO KG | Germany | Schwielowsee | Zur Bergmeierei 1 | Potsdam-mittelmark | 14548 | fsp.***** | 2006 | $135,254,647 | 30 | N/A | N/A | 14467A3436P |
| 36 | Labkom Biochemische Dienstleistungen GMBH | Germany | Augsburg | August-wessels-str. 5 | Augsburg | 86154 | labor-augsburg-mvz.***** | 2018 | $133,464,125 | 523 | N/A | N/A | 86150B8670 |
| 37 | Verificaciones Industriales De Andalucia SA | Spain | Sevilla | Calle Albert Einstein, 2 - Edif. Veiasa Isla de la Cartuja | Sevilla | 41092 | veiasa.***** | 1990 | $130,384,830 | 1,673 | N/A | N/A | A41398645 |
| 38 | Intertek Testing Services Pacific LIMITED | Unitedkingdom | Marylebone | 25 Savile Row | London | W1S 2ES | N/A | 2008 | $126,908,558 | 3 | N/A | N/A | FC028088 |
| 39 | Biogroup Rhone-Alpes | France | Décines-charpieu | 6 Avenue Simone Veil | Rhône | 69150 | biogroup.***** | 1996 | $120,542,613 | 732 | N/A | N/A | 40839696800567 |
| 40 | Testo Industrial Services GMBH | Germany | Kirchzarten | Gewerbestr. 3 | Breisgau-hochschwarzwald | 79199 | testotis.***** | 2019 | $119,330,164 | 1,111 | N/A | N/A | 79098B320404 |
| 41 | Cerballiance Provence-Azur | France | Marseille | 6 Boulevard Gueidon | Bouches-du-rhône | 13013 | sante.***** | 2009 | $115,864,353 | 719 | N/A | N/A | 51876746200022 |
| 42 | Afc Claims GMBH | Germany | Hamburg | Valentinskamp 70 | Hamburg, Freie Und Hansestadt | 20355 | autofleetcontrol.***** | 2020 | $113,021,710 | 119 | N/A | N/A | 20355B69990 |
| 43 | Biogroup Lorraine | France | Metz | 1 Rue Des Verriers | Moselle | 57070 | biogroup-lcd.***** | 2002 | $112,966,506 | 757 | N/A | N/A | 44314855600543 |
| 44 | Biogroup Paris Est | France | Saint-denis | 70 Boulevard Anatole France | Seine-saint-denis | 93200 | biogroup.***** | 1997 | $106,636,475 | 530 | N/A | N/A | 41423006000207 |
| 45 | R-Biopharm AG | Germany | Darmstadt | An der Neuen Bergstr. 17 | Darmstadt, Wissenschaftsstadt | 64297 | r-biopharm.***** | 2018 | $104,818,610 | 376 | N/A | N/A | 64283B8321 |
| 46 | Cerballiance Paris Et Idf Est | France | Paris | 42 Bd Richard Lenoir | Paris | 75011 | laboratoires.***** | 1983 | $104,512,196 | 560 | N/A | N/A | 32838652900098 |
| 47 | Cerballiance Idf Sud | France | Lisses | 41 Rue Du Bois Chaland | Essonne | 91090 | sante.***** | 1993 | $104,346,252 | 544 | N/A | N/A | 39067550200566 |
| 48 | Applus Iteuve Technology SL | Spain | Sada | Carretera Nacional Vi, Est. de Inspeccion de Vehicu Km 582 | Navarra | 15160 | N/A | 1994 | $104,321,049 | 1,098 | N/A | N/A | B81041444 |
| 49 | Turner & Townsend Partners Llp | Unitedkingdom | Collingham | Low Hall | Leeds, West Yorkshire | LS18 4GH | turnerandtownsend.***** | 2015 | $103,140,944 | 134 | N/A | N/A | OC401797 |
| 50 | Ladr GMBH Medizinisches Versorgungszentrum DR. Kramer Und Kollegen | Germany | Geesthacht | Lauenburger Str. 67 | Herzogtum Lauenburg | 21502 | ladr.***** | 2025 | $98,391,738 | 477 | N/A | N/A | 23568B779GE |
| 51 | Tuv Austria GMBH Zweigniederlassung Filderstadt | Germany | Filderstadt | Kurze Str. 40 | Esslingen | 70794 | tuv-ad.***** | 2007 | $97,885,846 | 593 | N/A | N/A | 70190B725413 |
| 52 | Grupo Itevelesa SL | Spain | Valladolid | Calle Vazquez de Menchaca 2 | Valladolid | 47008 | itevelesa.***** | 2006 | $97,373,222 | 1,062 | N/A | N/A | B84751536 |
| 53 | Intertek Italia SPA | Italy | Cernusco Sul Naviglio | Via Guido Miglioli 2/a | Milano | 20063 | intertek.***** | 1990 | $94,139,087 | 461 | N/A | N/A | IT12431470157 |
| 54 | Ouilab - Espacebio | France | Metz | 18 Avenue Leclerc de Hauteclocque | Moselle | 57000 | sante.***** | 1980 | $93,064,414 | 609 | N/A | N/A | 77999875600018 |
| 55 | Tuv Nord Cert GMBH | Germany | Essen | Am Tuv 1 | Essen, Stadt | 45307 | tuev-nord.***** | 2017 | $89,504,161 | 513 | N/A | N/A | 45130B9976 |
| 56 | Sgs Italia SPA | Italy | Milano | Via Caldera 21 | Milano | 20153 | sgsgroup.***** | 1992 | $88,783,452 | 310 | N/A | N/A | IT11370520154 |
| 57 | Dnv Business Assurance Italy SRL | Italy | Vimercate | Via Energy Park 14 | Monza E Brianza | 20871 | dnv.***** | 1981 | $88,631,340 | 366 | N/A | N/A | IT00820340966 |
| 58 | Royal Society Of Chemistry (the) | Unitedkingdom | Marylebone | Royal Society of Chemistry | London | W1J 0BA | rsc.***** | 1841 | $88,319,891 | 735 | N/A | N/A | RC000524 |
| 59 | Mainsite GMBH & CO. KG | Germany | Erlenbach am Main | Glanzstoffstr. 1 | Miltenberg | 63906 | mainsite.***** | 2016 | $87,603,696 | 40 | N/A | N/A | 63739A3848 |
| 60 | Cerballiance Aquitaine Nord | France | Le Haillan | 75 Rue de la Morandiere | Gironde | 33185 | laboratoire.***** | 1989 | $85,870,272 | 492 | N/A | N/A | 32319110600158 |
| 61 | Biogroup Alpes Isere | France | Meylan | 42 Avenue de la Plaine Fleurie | Isère | 38240 | oriade-noviale.***** | 1993 | $85,449,840 | 544 | N/A | N/A | 39146601800010 |
| 62 | Labor Berlin - Charite Vivantes GMBH | Germany | Berlin | Sylter Str. 2 | Berlin, Stadt | 13353 | laborberlin.***** | 2010 | $84,052,811 | 402 | N/A | N/A | 10623B130660B |
| 63 | Inovie Gen-Bio | France | Clermont-ferrand | Parc Technologique Des Gravanches | Puy-de-dôme | 63100 | genbio.***** | 1971 | $82,281,973 | 583 | N/A | N/A | 87120031700174 |
| 64 | Labanalysis Environmental Science SRL | Italy | San Giovanni Teatino | Via Bolzano 6/p | Chieti | 66020 | labanalysis.***** | 1990 | $79,717,515 | 635 | N/A | N/A | IT01532600697 |
| 65 | Syneos Health Clinical Spain S.L. | Spain | Madrid | Calle Hernani, 59 - Planta 3 | Madrid | 28020 | inventivhealthclinical.***** | 1997 | $79,408,257 | 841 | N/A | N/A | B61389227 |
| 66 | Fujifilm Imaging Products & Solutions GMBH & CO. KG | Germany | Willich | Siemensring 1 | Viersen | 47877 | fujifilm-fotoprodukte.***** | 1997 | $77,438,581 | 213 | N/A | N/A | 47798A6695 |
| 67 | Medilys Laborges. Mbh | Germany | Hamburg | Paul-ehrlich-str. 1 | Hamburg, Freie Und Hansestadt | 22763 | medilys.***** | 2010 | $77,170,521 | 305 | N/A | N/A | 20355B110024 |
| 68 | British Engineering Services LIMITED | Unitedkingdom | Warrington | Unit 718 | Warrington | WA3 6BA | N/A | 2014 | $76,304,258 | 751 | N/A | N/A | 09299724 |
| 69 | Laborizon Bretagne | France | Noyal-châtillon-sur-seiche | Le Vallon | Ille-et-vilaine | 35230 | N/A | 2002 | $73,796,954 | 487 | N/A | N/A | 44271303800259 |
| 70 | Eurofins Forensic Services LIMITED | Unitedkingdom | Wolverhampton | I54 Valiant Way Business Park | Wolverhampton, West Midlands | WV9 5GB | eurofins.***** | 2017 | $72,545,638 | 707 | N/A | N/A | 10715102 |
| 71 | C.D.C. SPA | Italy | Torino | Via Cernaia 20 | Torino | 10122 | gruppocdc.***** | 1980 | $72,341,082 | 415 | N/A | N/A | IT03784000014 |
| 72 | Biogroup Centre Val De Loire | France | Chambray-lès-tours | 19 Avenue Du Professeur Alexandre Minkowski | Indre-et-loire | 37170 | N/A | 1969 | $71,751,304 | 350 | N/A | N/A | 69480136600196 |
| 73 | Guevalt | France | Paris | 31 Boulevard Henri Iv | Paris | 75004 | bioclinic.***** | 2007 | $71,063,637 | 411 | N/A | N/A | 49421512200149 |
| 74 | Inovie Cbm | France | Muret | 22 Avenue de Lattre de Tassigny | Haute-garonne | 31600 | cbm-laboratoires.***** | 1995 | $70,174,564 | 500 | N/A | N/A | 40366416200043 |
| 75 | Unione Sanitaria Internazionale SPA | Italy | Roma | Via Eschilo 191 | Roma | 00125 | usi.***** | 1975 | $70,056,996 | 1,346 | N/A | N/A | IT01066621002 |
| 76 | Cerballiance Auvergne Rhone Alpes | France | Bron | 14 Rue Edison | Rhône | 69500 | N/A | 2004 | $69,683,869 | 455 | N/A | N/A | 45363546800540 |
| 77 | Hpi LIMITED | Unitedkingdom | Leeds | 8a Platform | Leeds, West Yorkshire | LS1 4JB | N/A | 1938 | $68,651,290 | 372 | N/A | N/A | 04068979 |
| 78 | Inovie Labosud Provence | France | Marseille | Chemin de la Station | Bouches-du-rhône | 13014 | inovie.***** | 1999 | $68,213,717 | 589 | N/A | N/A | 42350146900682 |
| 79 | Cell Therapy Catapult LIMITED | Unitedkingdom | Rotherhithe | Guys Hospital | London | SE1 9RT | ct.***** | 2012 | $67,929,166 | 406 | N/A | N/A | 07964711 |
| 80 | Warringtonfire Testing And Certification LIMITED | Unitedkingdom | Marylebone | 3rd Floor | London | WC2E 7HA | N/A | 2018 | $67,870,870 | 400 | N/A | N/A | 11371436 |
| 81 | Tuv Sud Atisae Sau | Spain | Tres Cantos | Ronda de Poniente (pq. Empresarial Euronova) 4 | Madrid | 28760 | atisae.***** | 1964 | $67,709,532 | 1,090 | N/A | N/A | A28161396 |
| 82 | Synlab Sdn SRL | Italy | Napoli | Via Francesco Crispi 8 | Napoli | 80121 | doctolib.***** | 1976 | $67,459,756 | 286 | N/A | N/A | IT01288650631 |
| 83 | Biopath Hauts De France Nord | France | Coquelles | 360 Boulevard Du Parc | Pas-de-calais | 62231 | biopath.***** | 1991 | $67,373,542 | 574 | N/A | N/A | 38282455500066 |
| 84 | Ul International Italia SRL | Italy | Carugate | Via Delle Industrie 1 | Milano | 20061 | italy.***** | 1998 | $66,927,434 | 337 | N/A | N/A | IT01796660908 |
| 85 | Inovie Biomedilab | France | Cabestany | Av Ambroise Croizat | Pyrénées-orientales | 66330 | sante.***** | 1976 | $66,158,413 | 402 | N/A | N/A | 30449870200022 |
| 86 | Istituto Italiano Del Marchio Di Qualita' SPA | Italy | Milano | Via Marco Fabio Quintiliano 43 | Milano | 20138 | imq.***** | 1999 | $66,027,669 | 487 | N/A | N/A | IT12898410159 |
| 87 | Biogroup Alpes | France | Cluses | 509 Avenue Paul Bechet | Haute-savoie | 74300 | biogroup.***** | 1982 | $65,299,746 | 258 | N/A | N/A | 32394657400049 |
| 88 | Biogroup Cote D'azur | France | Mandelieu-la-napoule | 405 Avenue de Cannes | Alpes-maritimes | 06210 | bioesterel.***** | 1997 | $64,839,669 | 500 | N/A | N/A | 41296108800025 |
| 89 | Consorzio Per La Tutela Del Formaggio Grana Padano | Italy | Desenzano del Garda | Via Xxiv Giugno 8 | Brescia | 25015 | granapadano.***** | 1954 | $64,370,425 | 70 | N/A | N/A | IT01933250985 |
| 90 | Synlab Nouvelle Aquitaine | France | Mérignac | 4 Impasse Des Muriers | Gironde | 33700 | N/A | 1994 | $64,227,002 | 250 | N/A | N/A | 39393230600458 |
| 91 | Eurofins Laborbetriebsgesellschaft Gelsenkirchen GMBH | Germany | Gelsenkirchen | Rotthauser Str. 19 | Gelsenkirchen, Stadt | 45879 | gelamed.***** | 2017 | $63,888,564 | 468 | N/A | N/A | 45879B10791 |
| 92 | Csi SPA | Italy | Bollate | Viale Lombardia 20 | Milano | 20021 | csi-spa.***** | 1994 | $62,327,087 | 487 | N/A | N/A | IT11360160151 |
| 93 | Charles River Laboratories Germany GMBH | Germany | Erkrath | Max-planck-str. 15a-B | Mettmann | 40699 | criver.***** | 2022 | $62,280,070 | 410 | N/A | N/A | 42103B21480 |
| 94 | Synlab Provence | France | Marseille | 93 Avenue Des Caillols | Bouches-du-rhône | 13012 | synlab.***** | 1994 | $61,620,948 | 250 | N/A | N/A | 39447322700012 |
| 95 | Supervision Y Control SA | Spain | Sada | Carretera Nacional Vi (km 582 Est. de Inspeccion Tecnica) | Navarra | 15160 | sycitv.***** | 1987 | $61,463,862 | 639 | N/A | N/A | A15117609 |
| 96 | Labor DR. Wisplinghoff Gbr | Germany | Köln | Horbeller Str. 18-20 | Köln, Stadt | 50858 | wisplinghoff.***** | 1977 | $61,074,600 | 500 | N/A | N/A | DE286379159 |
| 97 | Biogroup Provence | France | Marseille | 23 Rue de Friedland | Bouches-du-rhône | 13006 | N/A | 1990 | $61,046,737 | 433 | N/A | N/A | 37871197200026 |
| 98 | Biopath Unilabs | France | Bry-sur-marne | 6 Avenue Des Freres Lumiere | Val-de-marne | 94360 | biopath-idf.***** | 1996 | $60,493,276 | 375 | N/A | N/A | 40391659600089 |
| 99 | Eurofins Biolab SRL | Italy | Vimodrone | Via Bruno Buozzi 2 | Milano | 20055 | biolab.***** | 1977 | $60,410,338 | 507 | N/A | N/A | IT00762140960 |
| 100 | Dpg - Deutsche Elektro Prufges. Mbh | Germany | Mannheim | Gottlieb-daimler-str. 12 | Mannheim | 68165 | dpg-gruppe.***** | 2023 | $60,119,367 | 629 | N/A | N/A | 68159B722345 |