| LCA CASE NUMBER | I-200-21048-081094 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-16 |
| DECISION DATE | 2021-02-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2024-03-14 |
| 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 | Community Healthcare Partner Inc. |
| TRADE NAME DBA | Colorado River Medical Center |
| EMPLOYER ADDRESS1 | 1401 Bailey Ave. |
| EMPLOYER CITY | Needles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92363 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17603267100 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Papa |
| EMPLOYER POC FIRST NAME | Joy |
| EMPLOYER POC JOB TITLE | Chief Ancillary Officer |
| EMPLOYER POC ADDRESS 1 | 1401 Bailey Ave. |
| EMPLOYER POC CITY | Needles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92363 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17603267100 |
| EMPLOYER POC EMAIL | jpapa@crmccares.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wang |
| AGENT ATTORNEY FIRST NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 1108 S. Baldwin Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 218 |
| AGENT ATTORNEY CITY | Arcadia |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91007 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16264478300 |
| AGENT ATTORNEY EMAIL ADDRESS | awlawyer@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Alan Wang |
| STATE OF HIGHEST COURT | NM |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1401 Bailey Ave. |
| LCA CASE WORKLOC1 CITY | Needles |
| WORKSITE COUNTY | SAN BERNARDINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92363 |
| LCA CASE WAGE RATE FROM | 58239 |
| LCA CASE WAGE RATE TO | 58240 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 48506 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Wang |
| PREPARER FIRST NAME | Alan |
| PREPARER BUSINESS NAME | Law Office of Alan Wang |
| PREPARER EMAIL | awlawyer@gmail.com |
