| LCA CASE NUMBER | I-200-16064-760041 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/4/16 |
| DECISION DATE | 3/10/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 3/15/16 |
| EMPLOYMENT END DATE | 3/14/19 |
| LCA CASE EMPLOYER NAME | ADAMS COUNTY PUBLIC HOSPITAL DISTRICT #3 |
| EMPLOYER ADDRESS | 315 N 14TH AVENUE |
| EMPLOYER CITY | OTHELLO |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 99344 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5093312602 |
| 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 |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 26.97 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 28.09 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | OTHELLO |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99344 |
