| LCA CASE NUMBER | I-200-21357-784069 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-22 |
| DECISION DATE | 2021-12-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-18 |
| END DATE | 2025-03-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Willits Hospital Inc. |
| TRADE NAME DBA | Adventist Health Howard Memorial |
| EMPLOYER ADDRESS1 | One Marcela Drive |
| EMPLOYER CITY | Willits |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95490 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17074563101 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Logan |
| EMPLOYER POC FIRST NAME | Rachelle |
| EMPLOYER POC JOB TITLE | Senior Human Performance Advisor |
| 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 | 17074563101 |
| EMPLOYER POC EMAIL | loganr@ah.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tong |
| AGENT ATTORNEY FIRST NAME | Lorraine |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 1055 West Seventh Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2400 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12134175195 |
| AGENT ATTORNEY EMAIL ADDRESS | ltong@clarkhill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| 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 | 82784 |
| LCA CASE WAGE RATE TO | 124176 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63523 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tong |
| PREPARER FIRST NAME | Lorraine |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Clark Hill LLP |
| PREPARER EMAIL | ltong@clarkhill.com |
