| LCA CASE NUMBER | I-200-23256-343413 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-13 |
| DECISION DATE | 2023-09-20 |
| 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 | 2023-12-04 |
| END DATE | 2026-12-03 |
| 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 | Community Memorial Hospital Association |
| EMPLOYER ADDRESS1 | 512 Skyline Boulevard |
| EMPLOYER CITY | Cloquet |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55720 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12188787674 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Van Dresar |
| EMPLOYER POC FIRST NAME | Duane |
| EMPLOYER POC MIDDLE NAME | Price |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 512 Skyline Boulevard |
| EMPLOYER POC CITY | Cloquet |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55720 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12188787674 |
| EMPLOYER POC EMAIL | dvandresar@cmhmn.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Johnson |
| AGENT ATTORNEY FIRST NAME | Alyssa |
| AGENT ATTORNEY MIDDLE NAME | Mae |
| AGENT ATTORNEY ADDRESS1 | 3950 IDS Center |
| AGENT ATTORNEY ADDRESS2 | 80 South 8th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123210082 |
| AGENT ATTORNEY EMAIL ADDRESS | ajohnson@borene.com |
| LAWFIRM NAME BUSINESS NAME | Borene Law Firm, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 512 Skyline Boulevard |
| LCA CASE WORKLOC1 CITY | Cloquet |
| WORKSITE COUNTY | CARLTON |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55720 |
| LCA CASE WAGE RATE FROM | 32.34 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 32.34 |
| PW UNIT OF PAY | Hour |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
