The agencies state $9,655 in initial fees across 4 of the 8 items; 2 are free; 2 are set by the city, the county or a provider. Rent, build-out and equipment come on top and depend on the space.
How much does it cost to open a med spa in West Virginia?
$9,655 in state fees the agencies state, across 4 of the 8 licenses, permits and registrations; 2 are free; 2 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 West Virginia
Every row checked against its agency’s page; the latest on Oct 21, 2026.
- Stated state fees
- $9,655initial fees across 4 of 8 items
- Free items
- 2no fee as the agency publishes it
- Set elsewhere
- 2by 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.
Set up the business
Item Agency Fee Articles of organization (LLC) and the annual report West Virginia Secretary of State Premium only Trade name (DBA) registration West Virginia Secretary of State Premium only Employer Identification Number (EIN) Internal Revenue Service Free Register for tax
Item Agency Fee Business registration certificate: sales and use tax, withholding (the state business license) West Virginia Tax Division Premium only Municipal business and occupation (B&O) tax and city business license Your city’s finance office or collector Premium only Approve the space
Item Agency Fee Zoning approval and certificate of occupancy Your city or county planning and building departments Premium only Get the permits for your kind of business
Item Agency Fee Physician delegation of laser, light and injectable treatments West Virginia Board of Medicine Free Before the first hire
Item Agency Fee Unemployment compensation account, new hire reporting and workers’ compensation WorkForce West Virginia Premium 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
Secretary of State business formation and annual report pages; West Virginia One Stop Business Portal fee schedule; Secretary of State form NR-3 (revised September 2026) and form TN-1; IRS EIN page; Tax Division business registration questions and answers; West Virginia Code 11-12; West Virginia Code 8-13-4 and 8-13-5; City of Charleston B&O tax questions and answers; State Fire Marshal building code pages (87 CSR 4); municipal zoning and building ordinances; West Virginia Code 30-3-4 (practice of medicine and surgery, which includes lasers, pulsed light and radiofrequency devices); Board of Medicine public policy statement on laser, pulsed light and radiofrequency surgery; WorkForce West Virginia employer handbook and rate pages; West Virginia Code 48-18-125 (new hire reporting); Offices of the Insurance Commissioner employer coverage pages. Fees are as published by each agency on the date checked; cities and counties add their own.