| LCA CASE NUMBER | I-200-16054-130087 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/23/16 |
| DECISION DATE | 2/29/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 5/2/16 |
| EMPLOYMENT END DATE | 5/1/19 |
| LCA CASE EMPLOYER NAME | DONALSONVILLE HOSPITAL, INC. |
| EMPLOYER ADDRESS | 102 HOSPITAL CIRCLE |
| EMPLOYER CITY | DONALSONVILLE |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 39845 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2295245217 |
| AGENT ATTORNEY NAME | TUNGOL, RENATO |
| AGENT ATTORNEY CITY | DARIEN |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 23.33 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 24.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | DONALSONVILLE |
| WORKSITE COUNTY | SEMINOLE |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 39845 |
