| LCA CASE NUMBER | I-200-16172-601680 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/21/16 |
| DECISION DATE | 6/27/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/16 |
| EMPLOYMENT END DATE | 9/30/19 |
| LCA CASE EMPLOYER NAME | PRIME HEALTHCARE SERVICES - SAN DIMAS LLC |
| EMPLOYER ADDRESS | 1350 W. COVINA BLVD. |
| EMPLOYER CITY | SAN DIMAS |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91773 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9095996811 |
| AGENT ATTORNEY NAME | SHUSTERMAN, CARL |
| AGENT ATTORNEY CITY | LOS ANGELES |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | CLINICAL LABORATORY SCIENTIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 52,000.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 52,436.80 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | SAN DIMAS |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91773 |
