| LCA CASE NUMBER | I-200-23221-251067 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-09 |
| DECISION DATE | 2023-08-16 |
| 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 | 2023-08-09 |
| END DATE | 2026-08-08 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 2 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Archbold Medical Center, Inc |
| EMPLOYER ADDRESS1 | Gordon Ave at Mimosa Dr |
| EMPLOYER CITY | Thomasville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31792 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12292275040 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Wheeler |
| EMPLOYER POC FIRST NAME | Zach |
| EMPLOYER POC JOB TITLE | Senior VP, Human Resources |
| EMPLOYER POC ADDRESS1 | Gordon Ave at Mimosa Dr |
| EMPLOYER POC CITY | Thomasville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31792 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12292275040 |
| EMPLOYER POC EMAIL | zwheeler@archbold.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Boult |
| AGENT ATTORNEY FIRST NAME | Gregory |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 9101 Kings Parade Blvd. |
| AGENT ATTORNEY ADDRESS2 | 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 | legal@healthstaff.org |
| LAWFIRM NAME BUSINESS NAME | WorldWide HealthStaff Solutions, LTD. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 90 East Stephens St. |
| LCA CASE WORKLOC1 CITY | Camilla |
| WORKSITE COUNTY | MITCHELL |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31730 |
| LCA CASE WAGE RATE FROM | 68328 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41683 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Bunch |
| PREPARER FIRST NAME | Nathan |
| PREPARER MIDDLE INITIAL | R. |
| PREPARER BUSINESS NAME | WorldWide HealthStaff Solutions, LTD. |
| PREPARER EMAIL | legal@healthstaff.org |
