| LCA CASE NUMBER | I-200-21357-785822 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-23 |
| DECISION DATE | 2022-01-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-02 |
| END DATE | 2025-06-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lutheran Hospital Association of the San Luis Valley |
| TRADE NAME DBA | San Luis Valley Health |
| EMPLOYER ADDRESS1 | 106 Blanca Avenue |
| EMPLOYER CITY | Alamosa |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 81101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17195892511 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Crockett |
| EMPLOYER POC FIRST NAME | Mandy |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 106 Blanca Avenue |
| EMPLOYER POC CITY | Alamosa |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 81101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17195871462 |
| EMPLOYER POC EMAIL | Mandy.Crockett@slvrmc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CAMPANARO |
| AGENT ATTORNEY FIRST NAME | JOCELYN |
| AGENT ATTORNEY ADDRESS1 | 1125 17TH ST |
| AGENT ATTORNEY ADDRESS2 | SUITE 2400 |
| AGENT ATTORNEY CITY | DENVER |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13032183650 |
| AGENT ATTORNEY EMAIL ADDRESS | jcampanaro@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | FISHER & PHILLIPS LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF COLORADO |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 106 Blanca Avenue |
| LCA CASE WORKLOC1 CITY | Alamosa |
| WORKSITE COUNTY | ALAMOSA |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 81101 |
| LCA CASE WAGE RATE FROM | 34.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 27.77 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Engh |
| PREPARER FIRST NAME | Phillip |
| PREPARER BUSINESS NAME | Fisher & Phillips LLP |
| PREPARER EMAIL | Pengh@fisherphillips.com |
