| LCA CASE NUMBER | I-200-22187-333855 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-06 |
| DECISION DATE | 2022-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Technologist I |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-29 |
| END DATE | 2025-07-28 |
| 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 | Hendry County Hospital Authority |
| TRADE NAME DBA | Hendry Regional Medical Center |
| EMPLOYER ADDRESS1 | 524 West Sagamore Avenue |
| EMPLOYER CITY | Clewiston |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33440 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18639023079 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Raymond |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 524 West Sagamore Avenue |
| EMPLOYER POC CITY | Clewiston |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33440 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18639023079 |
| EMPLOYER POC EMAIL | aali@hrmc.us |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chung |
| AGENT ATTORNEY FIRST NAME | Sui |
| AGENT ATTORNEY ADDRESS1 | 2666 Tigertail Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 108 |
| AGENT ATTORNEY CITY | Miami |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13054444027 |
| AGENT ATTORNEY EMAIL ADDRESS | schung@lawgroupusa.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Sui Chung, PA |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 524 West Sagamore Avenue |
| LCA CASE WORKLOC1 CITY | Clewiston |
| WORKSITE COUNTY | HENDRY |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33440 |
| LCA CASE WAGE RATE FROM | 30.38 |
| LCA CASE WAGE RATE TO | 31.58 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.38 |
| 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 |
| PREPARER LAST NAME | Chung |
| PREPARER FIRST NAME | Sui |
| PREPARER BUSINESS NAME | Law Office of Sui Chung, PA |
| PREPARER EMAIL | info@lawgroupusa.com |
