| LCA CASE NUMBER | I-200-23095-907619 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-05 |
| DECISION DATE | 2023-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-05-29 |
| END DATE | 2026-05-28 |
| 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 | CENTRACARE CLINIC |
| EMPLOYER ADDRESS1 | 1200 SIXTH AVENUE NORTH |
| EMPLOYER CITY | ST. CLOUD |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56303-2736 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13202402155 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Mortenson |
| EMPLOYER POC FIRST NAME | Tami |
| EMPLOYER POC JOB TITLE | Clinical Partner Resources Liaison |
| EMPLOYER POC ADDRESS1 | 1200 Sixth Avenue North |
| EMPLOYER POC CITY | St. Cloud |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13202512700 |
| EMPLOYER POC EMAIL | Tami.Mortenson@centracare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hoel |
| AGENT ATTORNEY FIRST NAME | Kayla |
| AGENT ATTORNEY ADDRESS1 | 200 South 6th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 4000 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402-1425 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927450 |
| AGENT ATTORNEY EMAIL ADDRESS | khoel@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1555 Northway Drive |
| WORKSITE ADDRESS2 | Ste 100 |
| LCA CASE WORKLOC1 CITY | St. Cloud |
| WORKSITE COUNTY | STEARNS |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56303 |
| LCA CASE WAGE RATE FROM | 20.52 |
| LCA CASE WAGE RATE TO | 34.99 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.52 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
