Updated
PERM occupation, SOC 29-2011.00, #10 of 1,410 by filings
Medical and Clinical Laboratory Technologists
- Biggest sponsor
- Management Health Systems, LLC · 36% of its filings
- Busiest state
- VA · 7% of its filings
- Major group
- Healthcare practitioners · SOC 29
Weighing an offer for this job?
Where it falls among certified offers, and the four wage levels DOL sets for it by area.
Median wage
$56,576
all PERM $103,272
Filings
4,581
#10 of 1,410
Approval
99.5%
field 96.8%
Median days
478
1 slower than the field
What it pays
Where its median offer sits among every occupation, then the whole ladder of certified offers by year and by state.
Median offered wage
$56,576above 41%
Approval rate
99.5%ahead of 90%
Median days to decision
478 daysahead of 44%
Each bar counts occupations at that value. More
- 5th to 95th
- 25th to 75th
- Median
- 10th and 90th
FY2025
$55,000 median · 2,239 certified cases
FY2026
$56,576 median · 2,056 certified cases
- 10th
- $54,080
- +37.6% since FY2025
- Median
- $56,576
- +2.9% since FY2025
- 90th
- $77,334
- +8.5% since FY2025
- 95th
- $80,324
- +6.9% since FY2025
Each row is that fiscal year's certified filings, counted on their own. A percentile is over the year, so a year with far fewer cases behind it is a thinner measurement than one with more.
| Fiscal year | Cases | 5th | 10th | 25th | Median | 75th | 90th | 95th |
|---|---|---|---|---|---|---|---|---|
| FY2025 | 2,239 | $39,291 | $39,291 | $52,790 | $55,000 | $56,576 | $71,248 | $75,171 |
| FY2026 | 2,056 | $50,544 | $54,080 | $56,576 | $56,576 | $63,315 | $77,334 | $80,324 |
A median answers whether pay moved. More
Who files it
The sponsors and firms with the most PERM filings under this code, the places the work sits, and who the workers were.
Sponsors filing it
- Management Health Systems, LLC 1,654 filings · 100.0% approved
- Conexus MedStaff LLC 669 filings · 99.8% approved
- Health Carousel, LLC 245 filings · 100.0% approved
- Comtrix Solutions, Inc. 172 filings · 100.0% approved
- ARUP Laboratories 141 filings · 100.0% approved
- Cosmic Healthcare, LLC 126 filings · 100.0% approved
How this is counted
The employers with the most applications under this code. 3,007 of 4,581 filings, 66% of the total.
Firms filing it
- Musillo Unkenholt, LLC 2,574 filings · 100.0% approved
- University of Utah Office of General Counsel 141 filings · 100.0% approved
- Akerman LLP 128 filings · 100.0% approved
- Polsinelli 109 filings · 91.7% approved
- Klasko Immigration Law Partners, LLP 108 filings · 100.0% approved
- Bruner Law Group, PLLC 75 filings · 100.0% approved
How this is counted
The law firms named on the most applications under this code. 3,135 of 4,581 filings, 68% of the total.
Where the jobs are
- Virginia 336
- California 175
- Utah 148
- Florida 135
- Texas 108
- New York 107
How this is counted
The worksite state on the application, which is where the job is and not where the company is headquartered. Volume by state across everyone is on the state map. These 6 states cover 1,009 of 4,581 filings.
Where the work is
- Aldie, VA 298
- Salt Lake City, UT 139
- San Juan Capistrano, CA 82
- Lynchburg, VA 31
- Orlando, FL 28
- New Orleans, LA 26
How this is counted
The worksite city on the application, which is where the job is. These 6 cities cover 604 of 4,581 filings.
- Every sponsor that files it, by state, approval rate, offered wage and time to a decision
- Every filing for it, PERM, wage requests and H-1B, case by case
Newspapers it advertised in
- 1,655 cases
Sun-Sentinel
- 675 cases
Houston Chronicle
- 305 cases
The Washington Post
- 247 cases
Cincinnati Enquirer
- 148 cases
The Salt Lake Tribune
- 84 cases
The Orange County Register
How this is counted
The newspaper or professional journal named for each case's two print ads, one count per paper per case, however the filer spelled it.
Additional steps it used
- 4,473 cases
Job search websites
- 3,885 cases
The employer's website
- 3,321 cases
Local or ethnic newspapers
- 1,025 cases
Employee referral programs
- 500 cases
Campus placement offices
- 367 cases
Radio or TV ads
How this is counted
The steps a professional job needs beyond the job order and the ads, by the number of cases that name each.
How long before filing it began
- 0.0%
Under 30 days
- 0.1%
30 to 59 days
- 16%
60 to 89 days
- 25%
90 to 119 days
- 24%
120 to 149 days
- 34%
150 to 180 days
- 0.1%
Over 180 days
How this is counted
Days from the first recruitment step to the filing. 20 C.F.R. § 656.17(e) puts the job order and ads 30 to 180 days before filing.
Who filled these jobs, FY2016 to FY2023
From DOL's old form; the form in use since mid-2023 doesn't carry them. Top six of each.
Country of citizenship
- Philippines 14
- Canada 1
- Colombia 1
- Gambia 1
- Georgia 1
- India 1
Worker's education
- Bachelor's 19
- Associate's 1
- Master's 1
Visa held when filed
- H-1B 19
- F-1 2
Schools
- VELEZ COLLEGE 3
- CEBU DOCTORS UNIVERSITY 2
- FAR EASTERN UNIVERSITY NICANOR REYES MEDICAL FOUNDATION 2
- CENTRO ESCOLAR UNIVERSITY 1
- DMC COLLEGE FOUNDATION INC 1
- FAR EASTERN UNIVERSITYDR. NICANOR REYES MEDICAL FOUNDATION 1
Fields of study
- MEDICAL TECHNOLOGY 15
- BACHELOR OF SCIENCE IN CLINICAL LABORATORY SCIENCE 1
- BIOCHEMISTRY AND BIOTECHNOLOGY 1
- BIOTECHNOLOGY/BIOLOGY 1
- BOTANY 1
- CHEMICAL ENGINEERING 1
The job itself
What O*NET says the work is, what the market pays it by BLS's survey, its outlook, and DOL's wage levels year by year.
- Washington-Arlington-Alexandria, DC-VA-MD-WVAldie
- Salt Lake City-Murray, UTSalt Lake City
- Los Angeles-Long Beach-Anaheim, CASan Juan Capistrano
- Lynchburg, VALynchburg
- Orlando-Kissimmee-Sanford, FLOrlando
- middle half of pay (BLS)
- median
- 10th to 90th percentile
- DOL's Levels I to IV, left to right
| Area | BLS median | Level I | Level II | Level III | Level IV |
|---|---|---|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | — | $46,363 | $59,758 | $73,154 | $86,549 |
| Salt Lake City-Murray, UT | — | $38,938 | $47,507 | $56,077 | $64,646 |
| Los Angeles-Long Beach-Anaheim, CA | — | $48,069 | $61,734 | $75,400 | $89,066 |
| Lynchburg, VA | — | $41,808 | $48,526 | $55,266 | $61,984 |
| Orlando-Kissimmee-Sanford, FL | — | $38,979 | $50,731 | $62,504 | $74,256 |
How these figures fit together
BLS surveys employers on what they pay everyone in a job; DOL builds its four levels from the same survey a year later (the July 2026 wage year uses BLS's May 2025 estimates). DOL publishes levels by area, not nationally, so the United States line has none. Levels are hourly in DOL's tables; here they're shown a year at 2,080 hours, as DOL computes them. The metros are the ones holding the most of this job's PERM filings, placed by Census's county files.
The block is the middle half of what employers report paying everyone in this job, citizen or not; the ticks under it are DOL's four prevailing wage levels for that metro, the floors a PERM or H-1B offer is held to. More
DOL's levels for this job in Washington-Arlington-Alexandria, DC-VA-MD-WV, year by year
Each July DOL resets the four levels from BLS's newest survey. A determination keeps the figures of the year it was issued in.
| Wage year | Level I | Level II | Level III | Level IV |
|---|---|---|---|---|
| 2026-27 | $46,363 | $59,758 | $73,154 | $86,549 |
| 2025-26 | $46,842 | $59,675 | $72,509 | $85,342 |
| 2024-25 | $44,470 | $56,139 | $67,829 | $79,498 |
| 2023-24 | $41,662 | $52,832 | $64,002 | $75,171 |
| 2022-23 | $40,456 | $51,522 | $62,566 | $73,632 |
| 2021-22 | $40,581 | $51,646 | $62,712 | $73,778 |
What the job is
Perform complex medical laboratory tests for diagnosis, treatment, and prevention of disease. May train or supervise staff.
- Preparation
- Considerable Preparation Needed
- O*NET Job Zone 4
- DOL's education basis
- Bachelor's degree
- Wage year 2026-27, on DOL's Appendix A list
The work, most important first
- Analyze samples of biological material for chemical content or reaction.
- Analyze laboratory findings to check the accuracy of the results.
- Conduct chemical analysis of body fluids, including blood, urine, or spinal fluid, to determine presence of normal or abnormal components.
- Enter data from analysis of medical tests or clinical results into computer for storage.
- Collect and study blood samples to determine the number of cells, their morphology, or their blood group, blood type, or compatibility for transfusion purposes, using microscopic techniques.
- Set up, clean, and maintain laboratory equipment.
The education workers in it report
- 52%
Bachelor's Degree
- 14%
Post-Baccalaureate Certificate
Titles people use for it
Clinical Laboratory Scientist (CLS), Clinical Laboratory Technologist, Medical Lab Technologist (Medical Laboratory Technologist), Medical Technologist (MT), Clinical Chemist, Histologist Technologist, Lab Tech (Laboratory Technologist), Microbiology Technologist (MT).
O*NET also describes Cytogenetic Technologists, Cytotechnologists and Histotechnologists under this SOC code.
Related jobs: Medical and Clinical Laboratory Technicians, Histotechnologists, Cytogenetic Technologists, Histology Technicians, Cardiovascular Technologists and Technicians, Nuclear Medicine Technologists.
This section includes information from the O*NET 31.0 Database and O*NET OnLine by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. PERM Tracker has modified some of this information (the shares are rounded and only the top tasks are shown); what changed. USDOL/ETA has not approved, endorsed, or tested these modifications.
Against other jobs
Where this sits in the ranking
Ranked 10 of 1,410 by volume: 9 filed at least as many filings, and 1,400 filed no more.
- Just above
- Nursing Assistants 5,006 filings
- Just below
- Landscaping and Groundskeeping Workers 4,449 filings
Other healthcare practitioners roles
Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. More
Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. Wages inside a group still swing hard, because the group holds every seniority level and every metro.
- #41 General Internal Medicine Physicians 1,531 filings · 16 denied
- #58 N/A 1,135 filings · 11 denied
- #102 Dentists, General 518 filings · 4 denied
- #107 Physicians, All Other 502 filings · 7 denied
- #124 Family Medicine Physicians 413 filings · 2 denied
- #211 Pediatricians, General 202 filings · 1 denied
The same job on H-1B
14,053 certified H-1B labor condition applications for this occupation since FY2020, offering a median of $61,152 a year; the middle half ran $55,910 to $71,552. By state and year in the salary explorer.
Notes on these numbers
Reading the wage
A floor, not a salary survey: every level and metro mixed. DOL's four wage levels for this job, by area.
What the median is
The median wage employers committed to in federal filings for this occupation. It mixes every experience level and every metro, and it's a floor: the employer must offer at least the prevailing wage DOL determines for the occupation, level and county. Across all PERM filings the middle half of offered wages runs $45,178 to $141,357, so a figure inside that band is unremarkable whichever occupation it belongs to. The levels page reads DOL's OFLC wage search live.
What these numbers don't say
4 notes
- The code is the identity
- This one is SOC 29-2011.00. Two SOC codes can carry the same job title, so a title that looks duplicated on the ranking is two different occupations. Match on the code when you're checking a specific filing.
- A median isn’t an offer
- It's the middle of all 4,581 wages committed to for this occupation across the country, entry level and principal alike. The same role's medians swing hard by worksite, which the state map shows directly.
- Approval isn’t about the occupation
- The denial rate moves with what happened in the filing rather than with the job title, so nothing here is a property of Medical and Clinical Laboratory Technologists. The measured factors are on the denial risk page, published as separate rates.
- Nothing here is pending
- All 4,581 counted here carry a decision date, because every case in DOL's disclosure files does, so a case still waiting is in none of them. The largest filer of this occupation is Management Health Systems, LLC. Where the queue stands today is on the processing times page.
The window these figures cover: DOL's PERM disclosure files for fiscal years 2024 to 2026, through the third quarter of 2026, 373,939 decided cases. Nothing pending is counted here. How each figure is built
Weighing an offer?
Compare it against this median, then check the state map, where the same occupation's medians swing hard by worksite.
Setting one?
All 1,410 occupations sort together on the wages page, and denial rates show how outcome moves with the offered wage.
Filings newer than DOL's last published file can't be attributed to this occupation until DOL publishes them. The live list on the case search page carries them by employer.
Case data: DOL quarterly disclosure files (flag.dol.gov) · data through Jun 30, 2026 · quarterly
Employers and firms: Derived from the disclosure corpus · data through Aug 26, 2026 · rebuilt with each quarterly ingest
O*NET occupation data: O*NET Database, USDOL/ETA (onetcenter.org) · data through Aug 16, 2026 · twice a year
BLS market pay: BLS Occupational Employment and Wage Statistics (bls.gov) · data through May 31, 2025 · yearly, each spring
BLS employment projections: BLS Employment Projections (bls.gov) · data through Dec 31, 2025 · yearly, each autumn
DOL wage tables: DOL OFLC wage data downloads (flag.dol.gov) · data through Jul 1, 2026 · yearly, each july
What each source includes
Case data: Decided PERM cases only. A case still waiting isn't in here, so counts and durations describe finished cases.
Employers and firms: Employers, law firms and occupations ranked from decided cases only.
O*NET occupation data: What O*NET says each occupation is and takes: its description, tasks, Job Zone and the education workers report. A description of the job everywhere, not of any one employer's opening.
BLS market pay: What employers report paying everyone in each job, nationally, by state and by metro, from BLS's yearly survey (May of the year named). Citizens and immigrants alike; not PERM offers.
BLS employment projections: BLS's ten-year projection of each job's employment and yearly openings, and the entry education it calls typical. A projection, not a count.
DOL wage tables: The four prevailing wage levels DOL publishes for every job in every area, each wage year from 2021-22, as DOL's own tables print them. The floors an offer is held to, not what anyone was paid.
Cite this page
Waiting on a PERM case?
- When it'll likely be decided
- An email when DOL moves it