| LCA CASE NUMBER | I-200-21057-105942 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-26 |
| DECISION DATE | 2021-03-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| 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 | Humboldt General Hospital |
| EMPLOYER ADDRESS1 | 118 E Haskell St |
| EMPLOYER CITY | Winnemucca |
| EMPLOYER STATE | NV |
| EMPLOYER POSTAL CODE | 89445 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17756235222 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Rabanes |
| EMPLOYER POC FIRST NAME | Crisanti |
| EMPLOYER POC JOB TITLE | Laboratory Director |
| EMPLOYER POC ADDRESS 1 | 118 E Haskell St |
| EMPLOYER POC CITY | Winnemucca |
| EMPLOYER POC STATE | NV |
| EMPLOYER POC POSTAL CODE | 89445 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17756235222 |
| EMPLOYER POC EMAIL | rabanesc@outlook.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Borja |
| AGENT ATTORNEY FIRST NAME | Carlo Franco |
| AGENT ATTORNEY ADDRESS1 | 20955 Pathfinder Rd. Ste. 100 |
| AGENT ATTORNEY CITY | Diamond Bar |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91765 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19093780318 |
| AGENT ATTORNEY EMAIL ADDRESS | info@cborjalaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Carlo Borja |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
|
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 118 E Haskell St |
| LCA CASE WORKLOC1 CITY | Winnemucca |
| WORKSITE COUNTY | HUMBOLDT |
| LCA CASE WORKLOC1 STATE | NV |
| WORKSITE POSTAL CODE | 89445 |
| LCA CASE WAGE RATE FROM | 34 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.53 |
| PW UNIT OF PAY | Hour |
| 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 Business and Employment |
