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

Facility · part of The Practice Perimeter

South Dakota licenses the PERSON for each practice and inspects the PLACE. No person may engage in the practice of cosmetology unless licensed by the commission, and no person may engage in the practice of esthetics unless licensed by the commission — esthetics being one of the practices that constitutes cosmetology. The chapter defines a “booth” as any part within a licensed salon that is rented or leased for the purpose of rendering licensed cosmetology services as a SEPARATE, INDEPENDENT SALON BUSINESS, and an “esthetician” as any person who, for compensation, engages in the practice of esthetics but not in other practices of cosmetology. The commission, any state or local board of health, or any officer or employee of them, may enter during business hours any salon or school licensed under the chapter AND ANY OTHER PLACE where the practice of cosmetology is followed, practiced or taught, for inspection and enforcement.

The rest of what South Dakota says on this

Every other rule we have verified under med-spa registration & licensing, each linked to its primary source.

  • ⛔ SOUTH DAKOTA WRITES ITS FEES IN WORDS RATHER THAN FIGURES, WHICH IS WHY A SEARCH FOR DOLLAR SIGNS FINDS NOTHING AND THE SCHEDULE LOOKS ABSENT. (12) Salon or booth initial license fee, seventy-five dollars ; (13) Salon or booth license renewal fee, fifty-five dollars Opening a salon or booth costs seventy-five dollars and renewing it fifty-five — the premises charge, separate from the practitioner’s own license.

    S.D. Admin. R. 20:42:03:03(12)-(13) (⛔ what it costs to open — the salon license, in the Commission’s own rule) · verified Sep 6, 2026

  • The practitioner half is charged separately and is the larger of the two at entry. (1) Examination and initial license fee , one hundred twenty dollars with renewal at forty-five dollars, so a single-operator salon pays both the premises fee and the practitioner fee to open.

    S.D. Admin. R. 20:42:03:03(1),(3) (the practitioner license a studio also pays) · verified Sep 6, 2026

  • And an operator can buy certainty before committing to premises. (17) Inspection fee for a prospective salon or booth at the request of the prospective applicant, seventy-five dollars for each inspection — a prospective applicant may have the site inspected before licensure, at the same seventy-five dollars as the license itself.

    S.D. Admin. R. 20:42:03:03(17) (⛔ a pre-opening inspection can be requested, and is charged) · verified Sep 6, 2026

  • ⛔ SOUTH DAKOTA ANSWERS THE COMPOUNDED-SEMAGLUTIDE QUESTION IN THE DEFINITION, AND THE SECOND LIMB RULES OUT THE COMMERCIAL ROUTE ON ITS FACE. "Compounding," the preparation, mixing, assembling, packaging, or labeling of a drug or drug device, as the result of a practitioner's prescription drug order or an initiative based on the pharmacist, patient, and practitioner relationship in the course of professional practice, or for the purpose of or as an incident to research, teaching, or chemical analysis, and not for sale or dispensing. A compounded preparation must answer a prescription drug order resting on the pharmacist-patient-practitioner relationship; the only alternative limb is research, and it excludes sale and dispensing.

    S.D. Codified Laws § 36-11-2(4) (⛔ definition of “Compounding” — and the limb that forbids sale) · verified Sep 6, 2026

  • Stock prepared ahead of the order is permitted, and what may justify it is fixed by the same paragraph. The term also includes the preparation of drug or drug devices in anticipation of prescription drug orders based on routine, regularly observed prescribing patterns — prescribing already observed, not demand expected.

    S.D. Codified Laws § 36-11-2(4) (anticipatory stock is allowed, bounded by observed prescribing) · verified Sep 6, 2026

  • Handing the vial over is defined, and the definition carries the order requirement with it. "Dispensing," the preparation and delivery of a drug to a patient or a patient's agent pursuant to a prescription drug order in a suitable container with appropriate labeling for subsequent administration to or use by a patient.

    S.D. Codified Laws § 36-11-2(6) (definition of “Dispensing” — it requires a prescription drug order) · verified Sep 6, 2026

  • And the place is defined by what happens there rather than by what it calls itself. "Pharmacy," any place of business within or outside this state where drugs are dispensed and pharmaceutical care is provided to residents of this state A clinic dispensing compounded semaglutide is doing the thing the definition names, which is why the pharmacy chapter reaches it at all.

    S.D. Codified Laws § 36-11-2(19) (⛔ a “Pharmacy” is ANY place where drugs are dispensed) · verified Sep 6, 2026

  • No person may engage in the practice of cosmetology unless the person is licensed by the commission. A person is engaged in the practice of cosmetology if that person, for compensation, a fee, or any valuable consideration, engages in any of the following practices with hands, chemicals, or any mechanical or electrical apparatus or appliance for beautifying or cosmetic purposes: hair care; nail technology; esthetics; or removal of superfluous hair by nonpermanent means.

    S.D. Codified Laws §36-15-2 · verified Sep 3, 2026

  • The commission, any state or local board of health, or any officer or employee thereof, may enter during the business hours, any salon or school licensed under the provisions of this chapter and any other place where the practice of cosmetology is followed, practiced, or taught for the purpose of inspection and enforcement of this chapter and the rules adopted pursuant to this chapter.

    S.D. Codified Laws §36-15-14 · verified Sep 3, 2026

  • "Booth," any part within a licensed salon that is rented or leased for the purpose of rendering licensed cosmetology services as a separate, independent salon business.

    S.D. Codified Laws §36-15-1(3) · verified Sep 3, 2026

  • "Esthetician," any person who, for compensation, engages in the practice of esthetics, but not in other practices of cosmetology.

    S.D. Codified Laws §36-15-1(8) · verified Sep 3, 2026

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← All South Dakota rules and changes · MedSpaRadar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).