| CASE NUMBER | I-200-24339-516665 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/4/2024 |
| DECISION DATE | 12/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Lab Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/15/2025 |
| END DATE | 1/14/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Laboratory Sciences of Arizona, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 424 South 56th Street |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85034 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16026855000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | Scroggins |
| EMPLOYER POC FIRST NAME | Perry |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 424 South 56th Street |
| EMPLOYER POC ADDRESS2 | Suite 100 |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85012 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16026855000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Perry.Scroggins@sonoraquest.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 2929 N. Central Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 1700 |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85012 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16023851040 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | matthew.martinez@lewisbrisbois.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Brisbois Bisgaard & Smith, LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | AZ Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 10401 W Thunderbird Blvd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Sun City |
| WORKSITE COUNTY | MARICOPA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85351 |
| WAGE RATE OF PAY FROM | $78,122.72 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $75,234.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Martinez |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Lewis Brisbois Bisgaard & Smith, LLP |
| PREPARER EMAIL | matthew.martinez@lewisbrisbois.com |
| BEGIN DATE CONVERTED | 2025-01-15 |
