| LCA CASE NUMBER | I-200-21224-517873 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-12 |
| DECISION DATE | 2021-08-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | LEAD LABORATORY TECHNOLOGIST |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Clinical Lab Consulting, LLC |
| EMPLOYER ADDRESS1 | 485 Metro Place South |
| EMPLOYER ADDRESS2 | Ste. 101 |
| EMPLOYER CITY | Dublin |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43017 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18889161114 |
| NAICS CODE | 541618 |
| EMPLOYER POC LAST NAME | THORNTON |
| EMPLOYER POC FIRST NAME | TRACY |
| EMPLOYER POC JOB TITLE | HR ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 485 METRO PLACE SOUTH |
| EMPLOYER POC ADDRESS2 | STE. 101 |
| EMPLOYER POC CITY | DUBLIN |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43017 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16145960352 |
| EMPLOYER POC EMAIL | TRACYTHORNTON@CLINICALLABCONSULTING.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SHIHAB |
| AGENT ATTORNEY FIRST NAME | SAM |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 565 METRO PLACE SOUTH |
| AGENT ATTORNEY ADDRESS2 | STE. 100 |
| AGENT ATTORNEY CITY | DUBLIN |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16147910500 |
| AGENT ATTORNEY EMAIL ADDRESS | GOVNOTICE@SHIHABLAWOFFICE.COM |
| LAWFIRM NAME BUSINESS NAME | SAM SHIHAB & ASSOCIATES, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF OHIO |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2611 WAYNE AVE. |
| WORKSITE ADDRESS2 | Building 63 |
| LCA CASE WORKLOC1 CITY | DAYTON |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45420 |
| LCA CASE WAGE RATE FROM | 85000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59925 |
| 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 |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SHIHAB |
| PREPARER FIRST NAME | SAM |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | SAM SHIHAB & ASSOCIATES, LLC |
| PREPARER EMAIL | GOVNOTICE@SHIHABLAWOFFICE.COM |
