We signed the lease in March and were serving customers in June. LNB walked the space with our drawings before we committed and told us exactly what the landlord's work letter did not cover.
Marisol Vega
Owner · Independent Cafe
Services
Medical Office And Med Spa Build Out Contractor
A medical office build out contractor is building to plumbing, power and ventilation requirements ordinary office construction never touches, and to an inspection you cannot afford to fail twice.
- Licensed Texas General Contractor
- Bonded & Insured
- Workers’ Comp Carried
- BBB Accredited A+
- NARI Member
- On Site In All 50 States
- Escrow Services Available
Regulated Space, Built To Be Inspected
Medical space is regulated space. Exam and treatment rooms have plumbing, power and ventilation requirements that ordinary office construction does not touch, ADA compliance is scrutinised harder, and the finishes have to be cleanable to a standard.
LNB Construction builds medical offices, clinics, med spas and wellness practices, including Degree Wellness in Houston. We know what the inspector is going to look at.
The single most expensive thing on a medical project is finding out at plan review that your space is classified differently than you assumed. That gets checked first, not last.
- 20+
- Years In Business
- 250,000+
- Square Feet Built
- 50
- States On Site
- 17+
- Locations Delivered
The Regulated Scope
Nine items that ordinary commercial construction either does not include or does not do to this standard. Every one of them is inspected.
- Medical Gas
- Where oxygen, nitrous or medical air is used: certified installation, brazing to standard, and third-party verification and testing before use. Not a scope an ordinary plumber may perform.
- Ventilation
- Air change rates, pressure relationships and exhaust for procedure, soiled utility and sterilisation areas, per the applicable facility guidelines and mechanical code.
- Imaging Shielding
- Lead-lined partitions and glazing per a physicist’s shielding design, with structural support for ceiling-mounted equipment.
- Infection-Control Finishes
- Non-porous, cleanable, seamless where required. Coved base, sealed penetrations and scrubbable wall surfaces.
- Water, Waste And Hand Hygiene
- Dedicated equipment supplies, backflow prevention, autoclave and processor waste, floor drains in wet treatment areas, and hand sink placement and count per code and practice type.
- ADA
- Accessible route, door clearances, exam room turning space, accessible restroom, and counter and reception heights. Frequently inspected in medical space.
- Power And Data
- Dedicated circuits per the equipment schedule, emergency power where required, and network drops at every workstation and treatment position.
- Laser And Equipment Safety
- Interlocks, controlled-access signage, window treatments, and finishes appropriate to the wavelength in use.
- Occupancy Classification
- Whether the space is Business or Institutional occupancy changes egress, sprinkler and construction requirements. Determined at plan review, and it can change your budget.
What We Build
Four categories, with a different inspector’s attention on each.
Medical offices and clinics.
Exam rooms, procedure rooms, nurse stations, lab draw areas, clean and soiled utility, provider offices, reception and waiting.
Med spas.
Treatment rooms with plumbing and dedicated equipment power, laser rooms with the appropriate controls and signage, body contouring and injectables suites, hydrotherapy and wet rooms, retail front and consultation rooms.
Wellness and recovery.
IV therapy suites, cryotherapy, sauna and steam rooms with proper waterproofing and ventilation, float rooms and recovery lounges.
Specialty practices.
Dermatology, ophthalmology, physical therapy, chiropractic, podiatry and behavioural health.
Med Spas Get Judged As Both
Med spas sit between retail and medical, and they are held to both standards at once. We have built this exact hybrid five times.
The treatment side is medical.
Real medical plumbing and ventilation, laser room controls, and equipment power planned for devices that will be bought after the build rather than before it.
The front of house is luxury retail.
It has to look like the brand, because that is what the customer is paying for. Durable, beautiful and cleanable is a harder combination to hit than it sounds.
What we watch.
Treatment room acoustics, because thin walls will cost you clients. Lighting quality in consultation and treatment areas. Ventilation in body contouring and laser rooms.
Containment, if you are building next to a live practice.
Temporary containment, negative air with HEPA filtration, sealed pathways and daily clean-down, worked to the risk-assessment level your facility requires. Inside an occupied medical facility this is not optional.
What A Medical Build Out Costs
Higher per square foot than general office, and the premium is entirely in scope an ordinary build-out does not carry.
Plumbing and fixture count.
Treatment rooms, hand sinks, autoclave and processor waste, and floor drains in wet areas. Every one is a supply, a waste line and frequently a slab cut.
Ventilation and pressure.
Air change rates, pressure relationships and dedicated exhaust for procedure, soiled utility and sterilisation areas. This is mechanical engineering, not a diffuser layout.
Shielding and medical gas.
Lead-lined partitions to a physicist’s design, and certified med gas installation with third-party verification. Neither is scope an ordinary trade may perform.
Occupancy classification.
Business or Institutional changes egress, sprinkler and construction requirements for the whole space. It is determined at plan review and it can rewrite a budget.
Med spas sit at the higher end, because the treatment side is priced as medical and the front of house is priced as luxury retail.
From Empty Shell To Open Doors
Drag any handle. On the left, a space in the condition a landlord hands it over in. On the right, a finished interior a business can trade out of.
ShellFinished
ShellFinished
ShellFinishedHow A Medical Build Out Runs
Walkthrough And Scope
We walk it and settle the occupancy classification early, because Business versus Institutional changes egress, sprinkler and construction requirements and therefore the budget.
Budget And Bid
A line-item number with the regulated scope broken out. Med gas, ventilation, shielding and infection-control finishes are not lines an ordinary build-out carries at all.
Permits And Drawings
Drawings and permit, plus the physicist’s shielding design and the facility guidelines the ventilation has to meet. Determined at plan review rather than assumed at bid.
Construction
Rough-in, med gas by certified installers, shielding, then cleanable finishes. Containment and negative air throughout if you are building next to a live practice.
Punch List And Handover
Punch, third-party med gas verification and testing before use, and an ADA walk. Medical closeout is inspected harder than most, so it is scheduled rather than assumed.
What Owners Say Afterwards
The part that matters is not the bid. It is whether the space opened when they said it would.
Our lender wanted G702s and a schedule of values, not a lump sum. LNB billed the way the bank expected from the first draw, so nothing stalled in underwriting.
Dev Ramaswamy
Franchisee · Fitness Franchise
Four units in three states and every one of them looks like the prototype. That is the part I could never get from hiring a different contractor in each market.
Alicia Brenner
Director of Development · Multi-Site Retail Brand
One superintendent, one number to call, weekly progress against the schedule. We were paying rent on a dark store and they knew it.
Tomasz Kowal
Managing Partner · Retail Group
The permit run in our jurisdiction is where these projects usually die. They tracked it and told us where it sat every week instead of going quiet.
Renée Okafor
Practice Manager · Dental Practice
1 of 5
Related Work
Real square footage, real timelines, real brands.
Wellness & Fitness
Franchise delivered. On schedule.
Degree Wellness · Houston, TX
Studio + reception + recovery
Automotive
Franchise rolled out. National.
Tint World · National
Service bays + customer lounge + retail
1 of 3
Related Services
The same crews and the same schedule, on a different kind of space.
Medical Build Out FAQ
How much does a medical office build out cost?
Higher per square foot than general office, driven by plumbing count, ventilation, shielding and finish requirements. Med spas with heavy treatment-room plumbing sit at the higher end.
Do you install medical gas?
Yes, through certified installers, with the required third-party verification and testing before the system is put into use.
Do you build imaging rooms?
Yes. Lead-lined partitions and glazing per the shielding physicist’s design, with structural support and inspection coordination.
Can you work in an occupied medical building?
Yes, with containment and negative air appropriate to the facility’s infection-control risk assessment.
Do you handle med spa build-outs?
Yes, including Degree Wellness in Houston, plus other wellness and aesthetics work.
Do you do dental?
Yes, as its own specialty, because the operatory rough-in and the state board requirements make it a different job.
Next step
You Signed The Lease. Let's Get It Open.
Send us the space and the brand standards. You'll get a walkthrough scheduled inside 48 hours and a real number. Not a range, not a “starting at.”
No obligation. No pressure. If we're not the right builder for your project, we'll tell you on the call.
info@lnbconstruction.net
