| LCA CASE NUMBER | I-200-17116-244445 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/27/2017 |
| DECISION DATE | 5/3/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/27/2017 |
| EMPLOYMENT END DATE | 9/24/2019 |
| LCA CASE EMPLOYER NAME | LAKE HEALTH SERVICES, INC. |
| EMPLOYER BUSINESS DBA | LAKE PHARMACY |
| EMPLOYER ADDRESS | 15230 LAKESHORE DRIVE |
| EMPLOYER CITY | CLEARLAKE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95422 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7079943141 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | LILADHAR-HATHI, INDU |
| AGENT ATTORNEY CITY | SAN JOSE |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | PHARMACY MANAGER |
| SOC CODE | 29-1051 |
| SOC NAME | PHARMACISTS |
| NAICS CODE | 446110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 136,219.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 149,760.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | CLEARLAKE |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95422 |
