| LCA CASE NUMBER | I-200-24260-340888 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-09-16 |
| DECISION DATE | 2024-09-23 |
| 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 | 2024-09-30 |
| END DATE | 2026-10-01 |
| 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 | Kittson Memorial Hospital Association |
| TRADE NAME DBA | Kittson Healthcare |
| EMPLOYER ADDRESS1 | 1010 S Birch Ave |
| EMPLOYER CITY | Hallock |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56728 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12188433612 |
| EMPLOYER FEIN | 41-0724034 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lubarski |
| EMPLOYER POC FIRST NAME | Nicole |
| EMPLOYER POC MIDDLE NAME | Ann |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 1010 S Birch Ave |
| EMPLOYER POC CITY | Hallock |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56728 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12188433871 |
| EMPLOYER POC EMAIL | nicole.lubarski@kmhc.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schutte Wadzinski |
| AGENT ATTORNEY FIRST NAME | Erin |
| AGENT ATTORNEY ADDRESS1 | PO Box 104 |
| AGENT ATTORNEY CITY | Worthington |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 56187 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15072954858 |
| AGENT ATTORNEY EMAIL ADDRESS | erin@kivulaw.com |
| LAWFIRM NAME BUSINESS NAME | Kivu Immigration Law PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1010 S Birch Ave |
| LCA CASE WORKLOC1 CITY | Hallock |
| WORKSITE COUNTY | KITTSON |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56728 |
| LCA CASE WAGE RATE FROM | 29.75 |
| LCA CASE WAGE RATE TO | 30 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 27.38 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 Employment |