What are the license fees to open a med spa in Washington?
Facility · part of The Practice Perimeter
Short answer
The cited rules do not settle total startup cost — they publish only licensing fees: esthetician or master esthetics $35 new, $60 reciprocity, $66 renewal; salon/shop premises $121 new or renewal; late renewal roughly doubles. There is no med-spa license fee.
💰 Washington’s licensing agency publishes its fees as a table, and the premises cost more than the person. Under “Professional license fees” the columns are Get a license / Reciprocity / Renew / Late renewal, and the rows read “Esthetician $35 $60 $66 $131” and “Master esthetics $35 $60 $66 $131” — identical for both tiers. The premises row is “Salon/Shop $121 N/A $121 $181”, with “Personal Service $121 N/A $121 $181” for work done at a client’s location. Late renewal roughly doubles each figure.
Washington State Department of Licensing — Fees: Cosmetologists (accessed 2 September 2026) · verified Sep 2, 2026 · regulatory monitoring, not legal advice
Related Washington rules
⚠️ reconstituting botox is not compounding in Washington, and the carve-out has a clock in it. “Compounding” means “the act of combining two or more ingredients in the preparation of a prescription” — but “reconstitution and mixing of (a) sterile products according to federal food and drug administration-approved labeling does not constitute compounding if prepared pursuant to a prescription and administered immediately or in accordance with package labeling”. Follow the label and inject; stray from it, or hold the vial beyond what the labeling allows, and the compounding regime attaches.
Wash. Rev. Code § 18.64.011 (“compounding”) · verified Sep 2, 2026
⚠️ and Washington expressly contemplates office stock, then binds it to usp. “Any medicinal products that are compounded for patient administration or distribution to a licensed practitioner for patient use or administration shall, at a minimum, meet the standards of the official united states pharmacopeia as it applies to nonsterile products and sterile administered products.” Distribution to a practitioner for office use is assumed lawful by the text; what the statute regulates is the standard it must meet.
Wash. Rev. Code § 18.64.270(2) · verified Sep 2, 2026
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← All Washington rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).