| LCA CASE NUMBER | I-200-22292-539165 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-10-19 |
| DECISION DATE | 2022-10-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist II (CLS II) |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-01-12 |
| END DATE | 2026-01-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Prime Healthcare Services - San Dimas LLC |
| TRADE NAME DBA | San Dimas Community Hospital |
| EMPLOYER ADDRESS1 | 1350 W. Covina Blvd. |
| EMPLOYER CITY | San Dimas |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91773 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | CA |
| EMPLOYER PHONE | 19095996811 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Guevara |
| EMPLOYER POC FIRST NAME | Romulo |
| EMPLOYER POC MIDDLE NAME | E |
| EMPLOYER POC JOB TITLE | Assistant General Counsel- Immigration |
| EMPLOYER POC ADDRESS1 | 3480 E. Guasti Road |
| EMPLOYER POC CITY | Ontario |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19096380407 |
| EMPLOYER POC EMAIL | rguevara3@primehealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | IYER |
| AGENT ATTORNEY FIRST NAME | RAJKRISHNA |
| AGENT ATTORNEY MIDDLE NAME | Sriram |
| AGENT ATTORNEY ADDRESS1 | 21250 HAWTHORNE BLVD |
| AGENT ATTORNEY ADDRESS2 | STE. 160 E |
| AGENT ATTORNEY CITY | TORRANCE |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13103283322 |
| AGENT ATTORNEY EMAIL ADDRESS | raj@immigrationgc.com |
| LAWFIRM NAME BUSINESS NAME | Iyer Demirovic Chinchoy LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1350 W. Covina Boulevard |
| LCA CASE WORKLOC1 CITY | San Dimas |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91773 |
| LCA CASE WAGE RATE FROM | 39.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.74 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
