| LCA CASE NUMBER | I-200-16358-879653 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 12/23/2016 |
| DECISION DATE | 12/30/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/9/2017 |
| EMPLOYMENT END DATE | 1/8/2020 |
| LCA CASE EMPLOYER NAME | GRANT COUNTY PUBLIC HOSPITAL DISTRICT 3 |
| EMPLOYER BUSINESS DBA | COLUMBIA BASIN HOSPITAL |
| EMPLOYER ADDRESS | 200 NAT WASHINGTON WAY |
| EMPLOYER CITY | EPHRATA |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98823 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5097544631 |
| AGENT REPRESENTING EMPLOYER | Y |
| 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 |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 25.64 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 26.12 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | EPHRATA |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98823 |
