Does a med spa have to register or hold a license in Arkansas?

Short answer
The cited rules do not settle this — no med spa facility license appears; office-based surgery rules bind the physician, not the site. A medical corporation does need a Medical Board certificate of registration, and a cosmetology establishment its own license.

⚠️ Arkansas reaches the room through its office-based surgery rule. Each office-based surgery must be within the physician’s scope of practice, of a duration and complexity that can be completed with the patient discharged during normal operational hours, and preceded by an evaluation the physician RECORDS — the patient’s condition, complicating morbidities, intrinsic risks and the invasiveness of what is planned. Separately, every physician must report any malpractice claim or lawsuit to the board within TEN DAYS of receipt or notification. Whether Arkansas separately registers a med spa as premises was not surveyed here. The cosmetology rules license the ESTABLISHMENT and price it: any person, firm or corporation conducting or operating a cosmetology establishment or mobile salon must obtain a current establishment license before operating, on an application to the Department of Health, with the proprietor responsible for compliance with the law and the State Board of Health’s rules; a new establishment or mobile salon is $100 one-time, renewal $50.00 annually, relocation $50.00, and renewal of a practitioner license $50.00 biennially, all nonrefundable. On compounded drugs the Board of Pharmacy’s compounding standard is direct: compounding a drug product that is commercially available, or that is essentially a copy of a commercially available FDA-approved product, is generally prohibited, with exceptions only for a slightly different product on a physician’s documented patient-specific medical need or where the product is not commercially available — unavailability documented before compounding — and pharmacies compounding or dispensing compounded products must comply with section 503A and the USP compounding chapters.