| LCA CASE NUMBER | I-200-23248-319931 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-05 |
| DECISION DATE | 2023-09-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist II |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-25 |
| END DATE | 2026-09-24 |
| 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 | WellSpan Good Samaritan Hospital |
| EMPLOYER ADDRESS1 | 252 S. 4th Street |
| EMPLOYER ADDRESS2 | 4th and Walnut Streets |
| EMPLOYER CITY | Lebanon |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172707500 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Zinn |
| EMPLOYER POC FIRST NAME | Ashley |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 3350 Whiteford Road |
| EMPLOYER POC CITY | York |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17173374199 |
| EMPLOYER POC EMAIL | azinn@wellspan.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mahon |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 100 East Market Street |
| AGENT ATTORNEY CITY | York |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 17402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17178480041 |
| AGENT ATTORNEY EMAIL ADDRESS | amahon@barley.com |
| LAWFIRM NAME BUSINESS NAME | Barley Snyder LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | PENNSYLVANIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 252 South 4th Street |
| WORKSITE ADDRESS2 | 4th and Walnut Streets |
| LCA CASE WORKLOC1 CITY | Lebanon |
| WORKSITE COUNTY | LEBANON |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17402 |
| LCA CASE WAGE RATE FROM | 37.39 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 25.76 |
| PW UNIT OF PAY | Hour |
| 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 Business |
| PREPARER LAST NAME | Mahon |
| PREPARER FIRST NAME | Andrew |
| PREPARER BUSINESS NAME | Barley Snyder LLP |
| PREPARER EMAIL | amahon@barley.com |
