| LCA CASE NUMBER | I-200-19292-096877 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-18 |
| DECISION DATE | 2019-10-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Technologist I |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-02 |
| END DATE | 2022-11-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hendry County Hospital Authority |
| TRADE NAME DBA | Hendry Regional Medical Center |
| EMPLOYER ADDRESS1 | 524 West Sagamore Avenue |
| EMPLOYER CITY | Clewiston |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33440 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18639023079 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Raymond |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 524 West Sagamore Avenue |
| EMPLOYER POC CITY | Clewiston |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33440 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18639023079 |
| EMPLOYER POC EMAIL | aali@hrmc.us |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Chung |
| AGENT ATTORNEY FIRST NAME | Sui |
| AGENT ATTORNEY ADDRESS1 | 3250 Grand Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Miami |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13054444027.0 |
| AGENT ATTORNEY EMAIL ADDRESS | info@lawgroupusa.com |
| LAWFIRM NAME BUSINESS NAME | Immigration Law and Litigation Group |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 524 West Sagamore Avenue |
| LCA CASE WORKLOC1 CITY | Clewiston |
| WORKSITE COUNTY | HENDRY |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33440 |
| LCA CASE WAGE RATE FROM | 25.31 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.12 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Chung |
| PREPARER FIRST NAME | Sui |
| PREPARER BUSINESS NAME | Immigration Law and Litigation Group |
| PREPARER EMAIL | info@lawgroupusa.com |
