How much does it cost to open a med spa in Virginia?

$8,110 to $8,111 in state fees the agencies state, across 4 of the 8 licenses, permits and registrations; 3 are free; 1 are set by the city, the county or a provider. Rent, build-out and equipment come on top.

What the state publishes for a med spa in Virginia

Every row checked against its agency’s page; the latest on Oct 21, 2026.

Stated state fees
$8,110 to $8,111initial fees across 4 of 8 items
Free items
3no fee as the agency publishes it
Set elsewhere
1by the city, the county or a provider
Items in all
8in the order to get them

Initial fees as each agency states them, summed; renewals are not included. Where a fee depends on size or sales the range is the lowest to the highest stated. Members see each row’s fee, its renewal and the official page.

  1. Set up the business

    ItemAgencyFee
    Articles of organization (LLC) and the annual registration feeVirginia State Corporation CommissionPremium only
    Assumed or fictitious name certificateVirginia State Corporation CommissionPremium only
    Employer Identification Number (EIN)Internal Revenue ServiceFree
  2. Register for tax

    ItemAgencyFee
    Business registration: retail sales and use tax, employer withholdingVirginia Department of TaxationFree
    Business, professional and occupational license (BPOL)Your city or county Commissioner of the RevenuePremium only
  3. Approve the space

    ItemAgencyFee
    Zoning approval and certificate of occupancyYour city or county zoning and building departmentsPremium only
  4. Get the permits for your kind of business

    ItemAgencyFee
    Physician supervision of cosmetic medical proceduresVirginia Board of MedicineFree
  5. Before the first hire

    ItemAgencyFee
    Unemployment insurance account, new hire reporting and workers’ compensationVirginia Employment CommissionPremium only

What comes on top of the fees

The state publishes its fees; the space sets the rest. These work it out from your own numbers.

  • Rent the business can carryMonthly sales, or seats and average check, to the base rent that fits a healthy occupancy share.Rent-to-sales calculator
  • The real cost of a NNN leaseBase rent plus CAM, property taxes and insurance, each month.NNN lease calculator
  • The steps in orderThe same items as a walk-through you tick off, with progress saved to your account.How to open

Fees are shown to members as published. Create an account.

Sources and dates

State Corporation Commission LLC pages and fee schedule (Code of Virginia 13.1-1005); State Corporation Commission fictitious name pages (Code of Virginia 59.1-69); IRS EIN page; Department of Taxation business registration pages (form R-1); Code of Virginia 58.1-3700 and following; locality BPOL ordinances; Department of Housing and Community Development building code pages; locality ordinances; 18VAC85-20-91 (laser hair removal training and delegation); Board for Barbers and Cosmetology scope rules; Code of Virginia 54.1-2900; Virginia Employment Commission employer pages; Workers’ Compensation Commission employer information sheet. Fees are as published by each agency on the date checked; cities and counties add their own.

Questions about the cost.