| LCA CASE NUMBER | I-200-24355-561708 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-12-20 |
| DECISION DATE | 2024-12-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CLINICAL LABORATORY SCIENTIST |
| SOC CODE | 29-2011 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-06-20 |
| END DATE | 2028-06-19 |
| 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 | BAYCARE HEALTH SYSTEM, INC. |
| EMPLOYER ADDRESS1 | 2995 DREW ST. |
| EMPLOYER CITY | CLEARWATER |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33759 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17277813145 |
| EMPLOYER FEIN | 59-2796965 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | DICKEY |
| EMPLOYER POC FIRST NAME | ANJANETTE |
| EMPLOYER POC JOB TITLE | MANAGER, TEAM MEMBER RELATIONS |
| EMPLOYER POC ADDRESS1 | 3503 EAST FRONTAGE RD. |
| EMPLOYER POC CITY | TAMPA |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17274627066 |
| EMPLOYER POC EMAIL | ANJANETTE.DICKEY@BAYCARE.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SAMARATUNGA |
| AGENT ATTORNEY FIRST NAME | PIYUMI |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 225 SOUTH 6TH ST. |
| AGENT ATTORNEY ADDRESS2 | STE. 1830 |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123516804 |
| AGENT ATTORNEY EMAIL ADDRESS | ABRANNON@CONSTANGY.COM |
| LAWFIRM NAME BUSINESS NAME | CONSTANGY, BROOKS, SMITH & PROPHETE, LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | MORTON PLANT HOSPITAL |
| WORKSITE ADDRESS2 | 300 PINELLAS ST. |
| LCA CASE WORKLOC1 CITY | CLEARWATER |
| WORKSITE COUNTY | PINELLAS |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33756 |
| LCA CASE WAGE RATE FROM | 32.7 |
| LCA CASE WAGE RATE TO | 38 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 32.7 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BRANNON |
| PREPARER FIRST NAME | AIMEE |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | CONSTANGY BROOKS SMITH & PROPHETE LLP |
| PREPARER EMAIL | ABRANNON@CONSTANGY.COM |