| LCA CASE NUMBER | I-200-23165-109362 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-14 |
| DECISION DATE | 2023-06-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Lab Technician |
| SOC CODE | 29-2012.00 |
| SOC TITLE | Medical and Clinical Laboratory Technicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-05 |
| END DATE | 2026-09-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Laboratory Sciences of Arizona, LLC |
| EMPLOYER ADDRESS1 | 424 South 56th Street |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85034 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16026855154 |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | Scroggins |
| EMPLOYER POC FIRST NAME | Perry |
| EMPLOYER POC JOB TITLE | Director of Talent Acquisition & HR Support |
| EMPLOYER POC ADDRESS1 | 424 South 56th Street |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85034 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16026855154 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 2929 N. Central Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 1700 |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85012 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16023851040 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Lewis Brisbois Bisgaard & Smith, LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | AZ Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Banner North Colorado Medical Center |
| WORKSITE ADDRESS1 | 1801 N. 16th St. |
| LCA CASE WORKLOC1 CITY | Greeley |
| WORKSITE COUNTY | WELD |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80631 |
| LCA CASE WAGE RATE FROM | 24.83 |
| LCA CASE WAGE RATE TO | 37.24 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.74 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Martinez |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | J. |
| PREPARER BUSINESS NAME | Lewis Brisbois Bisgaard & Smith, LLP |
| PREPARER EMAIL | [email protected] |
