| LCA CASE NUMBER | I-200-16074-053640 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/14/16 |
| DECISION DATE | 3/18/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/13/16 |
| EMPLOYMENT END DATE | 9/12/19 |
| LCA CASE EMPLOYER NAME | CIBOLA GENERAL HOSPITAL, INC. |
| EMPLOYER ADDRESS | 1016 E. ROOSEVELT AVENUE |
| EMPLOYER CITY | GRANTS |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 87020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5052874446 |
| AGENT ATTORNEY NAME | BALAHADIA, MODESTO |
| AGENT ATTORNEY CITY | STATEN ISLAND |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 6221 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 19.78 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 22.01 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | GRANTS |
| WORKSITE COUNTY | NEW MEXICO |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 87020 |
