| LCA CASE NUMBER | I-200-20036-299553 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-05 |
| DECISION DATE | 2020-02-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Lab Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-28 |
| END DATE | 2023-02-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Willits Hospital Inc. |
| TRADE NAME DBA | Adventist Health Howard Memorial Hospital |
| EMPLOYER ADDRESS1 | One Marcela Drive |
| EMPLOYER CITY | Willits |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95490 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17074563294 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ryan |
| EMPLOYER POC FIRST NAME | Rebecca |
| EMPLOYER POC JOB TITLE | HP Director |
| EMPLOYER POC ADDRESS1 | One Marcela Drive |
| EMPLOYER POC CITY | Willits |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95490 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17074563294 |
| EMPLOYER POC EMAIL | RyanRP@ah.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Gertler |
| AGENT ATTORNEY FIRST NAME | Cheryl |
| AGENT ATTORNEY ADDRESS1 | 600 Wilshire Blvd., Suite 1550 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12136234592.0 |
| AGENT ATTORNEY EMAIL ADDRESS | szhang@shusterman.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Carl Shusterman |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | One Marcela Drive |
| LCA CASE WORKLOC1 CITY | Willits |
| WORKSITE COUNTY | MENDOCINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95490 |
| LCA CASE WAGE RATE FROM | 39.0 |
| LCA CASE WAGE RATE TO | 59.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 26.47 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gertler |
| PREPARER FIRST NAME | Cheryl |
| PREPARER BUSINESS NAME | Law Offices of Carl Shusterman |
| PREPARER EMAIL | szhang@shusterman.com |
