| LCA CASE NUMBER | I-200-22262-479764 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-19 |
| DECISION DATE | 2022-09-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-01-02 |
| END DATE | 2026-01-01 |
| TOTAL WORKER POSITIONS | 23 |
| NEW EMPLOYMENT | 23 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Inova Health System |
| EMPLOYER ADDRESS1 | 8110 Gatehouse Road |
| EMPLOYER CITY | Falls Church |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18556946682 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Maybin |
| EMPLOYER POC FIRST NAME | Dawn |
| EMPLOYER POC JOB TITLE | Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 8110 Gatehouse Rd. |
| EMPLOYER POC CITY | Falls Church |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12028153313 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Harvey |
| AGENT ATTORNEY FIRST NAME | Tommy |
| AGENT ATTORNEY MIDDLE NAME | DeVone |
| AGENT ATTORNEY ADDRESS1 | 9101 Kings Parade Blvd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | Charlotte |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 28273 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17044969467 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | WorldWide HealthStaff Solutions Ltd. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | North Carolina Supreme Court |
| WORKSITE WORKERS | 3 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3600 Joseph Siewick Dr. |
| LCA CASE WORKLOC1 CITY | Fairfax |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22033 |
| LCA CASE WAGE RATE FROM | 24.77 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.77 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Harvey |
| PREPARER FIRST NAME | Tommy |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | WorldWide HealthStaff Solutions, Ltd. |
| PREPARER EMAIL | [email protected] |
