| LCA CASE NUMBER | I-200-16172-979523 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/20/16 |
| DECISION DATE | 6/24/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/20/16 |
| EMPLOYMENT END DATE | 12/19/19 |
| LCA CASE EMPLOYER NAME | PELLA REGIONAL HEALTH CENTER |
| EMPLOYER ADDRESS | 404 JEFFERSON STREET |
| EMPLOYER CITY | PELLA |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6416283150 |
| AGENT ATTORNEY NAME | COOK, KEVIN |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 621511 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 45,698.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 51,937.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | PELLA |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50219 |
