Texas · TX
Texas clinic renewals, in one place.
Renewals and recurring paperwork for med spas, IV clinics and CLIA-waived labs in Texas, from official sources, with what we prepare for each.
Free · one page · reviewed by a person · in 3 business days
The short answer
A Texas med spa, IV clinic or CLIA-waived lab usually tracks two layers. The federal layer is the same everywhere: CLIA, OSHA bloodborne pathogens and, if you handle controlled substances, DEA. The Texas layer adds items such as the TDLR laser hair removal facility certificate ($750 to renew, every 2 years), DSHS laser device registration ($230 every 2 years), privacy training within 90 days of hire under HB 300, and, since Sep 1, 2025, Jenifer's Law for elective IV therapy. Texas has no state med spa registration; the Texas Medical Board's delegation rules set the paperwork instead. Which items apply depends on your services, and your medical director and attorney confirm them.
Checked November 2, 2026 against the official sources below. General information, not legal or medical advice; your medical director and attorney confirm what applies to your clinic.
The list
What’s on the calendar, with sources.
Which of these apply depends on your services, devices and ownership. We confirm the list with you before anything goes on your calendar.
| Requirement | When | Fee | Official source |
|---|---|---|---|
| Laser hair removal facility certificateFacilities offering laser hair removal (exemptions exist; confirmed per clinic) | Every 2 years | $750 renewal ($900 new) | TDLR |
| Laser device registration (Class 3B/4)Facilities with Class 3B or 4 lasers | Every 2 years | $230 / 2 yrs | DSHS Radiation Control |
| Delegation paperwork: written protocols or standing orders, postings, name tags, a BLS-trained person on siteMed spas where a physician delegates procedures (22 TAC 169, Subch. E) | Ongoing; we track signature and review dates | — | Texas Medical Board |
| Elective IV therapy rules (Jenifer's Law, HB 3749, Occ. Code ch. 172)Clinics offering elective IV therapy | In effect since Sep 1, 2025 | — | Texas Occupations Code ch. 172 |
| Privacy training (Texas Medical Records Privacy Act, HB 300)Covered entities under Texas law (broader than HIPAA) | Within 90 days of hire, and within 1 year of a material change in the law. Signed records kept 6 years. | — | Health & Safety Code ch. 181 |
| Consumer notice posting (HS 181.105)Covered entities under Texas law | Ongoing: on your website and at your facility | — | Health & Safety Code ch. 181 |
| Medical waste recordsSmall-quantity generators (50 lb or less per month) | Ongoing. No TCEQ registration needed at that size; packaging, an authorized transporter and records still apply. | No registration | TCEQ |
Federal items every clinic shares
| Requirement | When | Fee | Official source |
|---|---|---|---|
| CLIA Certificate of WaiverSites that run waived tests | Every 2 years. CMS mails a fee coupon before it expires; paying it renews. | $248 / 2 yrs | CMS fee schedule |
| CLIA change notice (Form CMS-116)CLIA certificate holders | When the director, address, ownership or test menu changes | — | CMS QSO-24-03 |
| OSHA bloodborne pathogens exposure control planEmployers whose staff have occupational exposure | Reviewed at least once a year | — | 29 CFR 1910.1030 |
| OSHA bloodborne pathogens trainingStaff with occupational exposure | At assignment, then every year. Training records kept 3 years. | Course seats at cost | 29 CFR 1910.1030 |
| Hepatitis B vaccine offerStaff with occupational exposure | Within 10 working days of assignment | — | 29 CFR 1910.1030 |
| DEA registration renewal (Form 224a)Each registrant or location that handles controlled substances | Every 3 years. DEA advises filing at least 45 days before expiry. | $888 / 3 yrs | DEA Diversion Control |
| HIPAA policies and risk analysisCovered entities only (providers that conduct standard electronic transactions) | Ongoing. You and your attorney decide whether HIPAA covers your clinic. | — | 45 CFR 160.103 |
Controlled substances: Texas ended its state controlled-substance registration on Sep 1, 2016, so DEA registration is the one to renew. Source: Texas Medical Board
Why dates matter
- TDLR laser hair removal violations up to $5,000 per violation TDLR sanctions
- OSHA serious violation up to $16,550; willful or repeated up to $165,514 OSHA 2025 penalty adjustment (unchanged for 2026)
Maximums set by the agency. Listed so you know what’s at stake, not as a prediction.
Free download
Free 2027 compliance calendar for Texas clinics.
What Texas med spas, IV clinics and CLIA-waived labs commonly renew, roughly when, and the official source for each. Three pages, PDF.
Email, state and clinic type. Instant download; follow-up emails only if you ask for them.
What we do
We prepare. You sign.
- Build your calendar from the official sources above, confirmed with you
- Fill in each renewal with your clinic’s details, ready to sign
- Remind you at 90, 60, 30 and 7 days before each deadline
- Keep your inspection binder current, with proof of each filing
- Send clinical questions to your medical director and legal ones to your attorney
5coming due in 12 months
2look missing
1for your medical director
- Looks missingBloodborne pathogens plan: no annual review on fileOSHA 29 CFR 1910.1030
- Looks missingPrivacy training roster: none found for this yearYour training records
- For your medical directorSupervision paperwork: confirm it matches your current servicesAsk before you sign
- Coming dueLaser hair removal facility certificate · Mar 14TDLR · $750 / 2 yrs
Does Texas require a med spa license?
Texas has no state med spa registration. The Texas Medical Board's delegation rules (22 TAC 169, Subchapter E) set the paperwork: written protocols or standing orders, posted physician names and a complaint notice, name tags, and a BLS-trained person on site. Separate laser items (TDLR, DSHS) apply if you offer laser services.
How often does a Texas laser hair removal facility certificate renew?
Every 2 years. TDLR lists the renewal fee as $750 ($900 for a new certificate). Some settings are exempt, so we confirm it with you.
What changed for Texas IV therapy in 2025?
Jenifer's Law (HB 3749, Occupations Code chapter 172) took effect on Sep 1, 2025. Elective IV therapy must be ordered by a physician, or by a PA or APRN under delegation, and given only by a PA, APRN or RN, with assessment and emergency-readiness requirements set in the statute. Your medical director owns the clinical side; we keep the paperwork checklist.
How soon must new Texas staff get privacy training?
Within 90 days of hire under the Texas Medical Records Privacy Act (HB 300), and again within a year of a material change in the law that affects their duties. Signed training statements are kept for 6 years.
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