| LCA CASE NUMBER | I-200-20358-977923 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-23 |
| DECISION DATE | 2021-01-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-12 |
| END DATE | 2024-01-11 |
| 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 | Prime Healthcare Services - San Dimas LLC |
| TRADE NAME DBA | San Dimas Community Hospital |
| EMPLOYER ADDRESS1 | 1350 W. Covina Blvd. |
| EMPLOYER CITY | San Dimas |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91773 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19095996811 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Desposito |
| EMPLOYER POC FIRST NAME | Andrew |
| EMPLOYER POC MIDDLE NAME | John |
| EMPLOYER POC JOB TITLE | Assistant General Counsel - Immigration |
| EMPLOYER POC ADDRESS 1 | 3480 E. Guasti Rd. |
| EMPLOYER POC CITY | Ontario |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19092354302 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Desposito |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | John |
| AGENT ATTORNEY ADDRESS1 | 3480 E. Guasti Rd. |
| AGENT ATTORNEY CITY | Ontario |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91761 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19092354302 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Prime Healthcare Management, Inc. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1350 W. Covina Blvd |
| LCA CASE WORKLOC1 CITY | San Dimas |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91773 |
| LCA CASE WAGE RATE FROM | 33.96 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 29.9 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
