| LCA CASE NUMBER | I-200-21354-777079 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-20 |
| DECISION DATE | 2021-12-28 |
| 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 | 2022-01-17 |
| END DATE | 2025-01-16 |
| 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 | Adair County Memorial Hospital |
| EMPLOYER ADDRESS1 | 609 SE Kent |
| EMPLOYER CITY | Greenfield |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50849 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16417437234 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hoffman |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Human Resources Assistant |
| EMPLOYER POC ADDRESS1 | 609 SE Kent |
| EMPLOYER POC CITY | Greenfield |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50849 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16417437209 |
| EMPLOYER POC EMAIL | jhoffman@adaircountyhealthsystem.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chesser |
| AGENT ATTORNEY FIRST NAME | Lori |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 215 10th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1300 |
| AGENT ATTORNEY CITY | Des Moines |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15152882500 |
| AGENT ATTORNEY EMAIL ADDRESS | lori.chesser@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Davis Brown PC |
| STATE OF HIGHEST COURT | IA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Iowa |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 609 SE Kent |
| LCA CASE WORKLOC1 CITY | Greenfield |
| WORKSITE COUNTY | ADAIR |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50849 |
| LCA CASE WAGE RATE FROM | 22.61 |
| LCA CASE WAGE RATE TO | 33.54 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.31 |
| PW UNIT OF PAY | Hour |
| 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 and Employment |
| PREPARER LAST NAME | Chesser |
| PREPARER FIRST NAME | Lori |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | Dentons Davis Brown PC |
| PREPARER EMAIL | emily.cox@dentons.com |
