| LCA CASE NUMBER | I-200-20198-718822 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-16 |
| DECISION DATE | 2020-07-23 |
| 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 | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-16 |
| END DATE | 2023-11-15 |
| 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 | CLAY COUNTY MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS1 | 310 W SOUTH ST |
| EMPLOYER CITY | HENRIETTA |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76365 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19405385621 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | HUSKEY |
| EMPLOYER POC FIRST NAME | JEFF |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | CEO/ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 310 W SOUTH ST |
| EMPLOYER POC CITY | HENRIETTA |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76365 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19405385621 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | JURISPRUDENCIA |
| AGENT ATTORNEY FIRST NAME | MELVYN |
| AGENT ATTORNEY MIDDLE NAME | SANTIBANEZ |
| AGENT ATTORNEY ADDRESS1 | PO BOX 683005 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77268 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17138994994.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | JURISPRUDENCIA LAW OFFICE |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 310 W SOUTH ST |
| LCA CASE WORKLOC1 CITY | HENRIETTA |
| WORKSITE COUNTY | CLAY |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76365 |
| LCA CASE WAGE RATE FROM | 22.59 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 17.18 |
| 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 | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
