| LCA CASE NUMBER | I-200-21278-625636 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-05 |
| DECISION DATE | 2021-10-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist |
| SOC CODE | 19-1042.00 |
| SOC TITLE | Medical Scientists, Except Epidemiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-13 |
| END DATE | 2024-10-12 |
| 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 | Convergent Genomics, Inc. |
| EMPLOYER ADDRESS1 | 425 Eccles Ave |
| EMPLOYER ADDRESS2 | Floor 2 |
| EMPLOYER CITY | South San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94080 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14158390077 |
| NAICS CODE | 541714 |
| EMPLOYER POC LAST NAME | Haddadzadeh |
| EMPLOYER POC FIRST NAME | Iden |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 425 Eccles Ave |
| EMPLOYER POC CITY | South San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94080 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14158390077 |
| EMPLOYER POC EMAIL | idenh@convergentgenomics.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Butler |
| AGENT ATTORNEY FIRST NAME | Diane |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 920 Fifth Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12067578354 |
| AGENT ATTORNEY EMAIL ADDRESS | dianebutler@dwt.com |
| LAWFIRM NAME BUSINESS NAME | Davis Wright Tremaine LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 425 Eccles Ave |
| WORKSITE ADDRESS2 | Floor 2 |
| LCA CASE WORKLOC1 CITY | South San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94080 |
| LCA CASE WAGE RATE FROM | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109928 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Butler |
| PREPARER FIRST NAME | Diane |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Davis Wright Tremaine LLP |
| PREPARER EMAIL | dianebutler@dwt.com |
