Clinical & Medical-Adjacent Fit-Outs · Metro Vancouver

Vancouver Medical & Dental Clinic Contractor

Enduro builds and manages medical, dental and allied-health clinic fit-outs across Metro Vancouver, British Columbia — exam and treatment rooms, sterilization, specialty plumbing, medical-grade air and hygienic finishes — as your general contractor or your construction manager. Clinics and medical-adjacent spaces, not hospitals.


  • Licensed BC builder
  • WorkSafeBC registered
  • Bondable & insured
  • Metro Vancouver & Fraser Valley

Medical and dental clinic construction is the fit-out that turns a leased or existing space into a working clinical environment — exam and treatment rooms, sterilization, specialty plumbing, medical-grade air and hygienic finishes inside an existing building. Enduro builds clinics and medical-adjacent spaces across Metro Vancouver, BC as a general contractor (we hold the prime contract and manage the trades) or as a construction manager (we run it owner-side, open-book). We build clinics, not hospitals — but we are equipped for the clinical work that gets you open, permitted and seeing patients.

01What we're equipped for — clinics, honestly

Enduro is a commercial general contractor and construction manager with a real track record in clinical and medical-adjacent fit-outs — the specialty plumbing, medical-grade ventilation, infection control, accessibility and health-authority coordination a clinic demands. We have not built a hospital, and we don't claim to.

What we build: medical and dental clinics, allied-health and physiotherapy clinics, wellness and rehabilitation studios, medical office build-outs, sterilization and dental operatory rooms, clinical and health research labs, and health-training space.

What we don't: hospitals and acute-care facilities. Those are a different scale of project, and it isn't work we present as our own.

The capability transfers cleanly. On our clinical and health-adjacent projects we've built and coordinated the same systems a medical or dental clinic needs — controlled ventilation and air-change rates, negative-air containment, cleanable seamless finishes, specialty plumbing, lab-grade infrastructure, and the accessibility and life-safety a health facility is held to. A physiotherapy clinic, a clinical research lab and a nurse-practitioner training suite draw on exactly this discipline — see the related work below.

02What a clinic fit-out includes

Scope varies with the specialty and the space, but a Metro Vancouver clinic build usually pulls from the same set of trades. Enduro coordinates all of them under one contract and one schedule:

  • Reception, waiting & intake areas and patient flow
  • Exam & treatment rooms — partitions, casework and services
  • Dental operatories — chair services, utilities and cabinetry
  • Sterilization & CSR rooms — layout, plumbing and finishes
  • Specialty plumbing — scrub sinks, treatment sinks and fixtures
  • Medical-gas rough-in coordination — oxygen, vacuum, scavenging (where required)
  • Medical-grade HVAC & ventilation — air-change rates and pressure relationships
  • Infection control & negative-air — containment, isolation and filtration
  • Imaging shielding coordination — lead-lined walls and doors where specified
  • Millwork & casework — nurse stations, reception and built-ins
  • Hygienic wall & floor finishes — seamless sheet flooring, cleanable surfaces
  • Electrical & medical-grade power — distribution, lighting and controls
  • Data, low-voltage & nurse-call / AV integration
  • Fire protection & life-safety — sprinkler, alarm and exit systems
  • Accessibility upgrades to the BC Building Code
  • Permit & health-authority coordination with the City and consultants
  • Commissioning & testing of systems before handover
  • Closeout, warranty & O&M documentation

03General contractor or construction manager — which fits

Enduro delivers clinic builds two ways. The right one depends on how settled your design and equipment selections are, and how much of the process you want to hold yourself.

We build it

General Contracting

Enduro holds the prime contract and manages the subcontracted trades as your single point of contact — carrying the build from a priced estimate through demolition, rough-in and finishes to a verified, handed-over clinic.

Best when the design and equipment are settled and you want one firm accountable for budget, schedule and quality.

We manage it

Construction Management

Enduro works owner-side — validating the budget, testing buildability, running an open-book trade tender and controlling cost and schedule on your behalf while equipment and design are still moving. You keep control of the money and the decisions.

Best when design or medical-equipment selection is still moving and you want an early, open-book hand on cost.

Simply put: GC to build it, CM to steer it. Not sure which? Tell us where your clinic project stands and we'll give you a straight recommendation — see our plain-language CM-or-GC guide.

04How a Metro Vancouver clinic build runs, step by step

A clinic in Metro Vancouver lives and dies on its permits, its health-authority review and its equipment coordination — the construction itself is the straightforward part. Here is how Enduro runs one:

  1. Feasibility & budget

    We walk the space, test your clinical program against the base building and lease, and give you an early, honest number — so you know what fits before design and equipment get expensive.

  2. Design & equipment coordination

    We work alongside your architect, mechanical and medical-equipment consultants, cross-checking drawings for buildability and code — BC Building Code, accessibility, infection control, and the air, power and plumbing your equipment vendors require.

  3. Permits & health-authority approvals

    Most clinic build-outs need a City of Vancouver building permit, with trade permits usually rolled into it. Certain medical and dental facilities also need Vancouver Coastal Health or Fraser Health review or licensing. We coordinate both tracks in parallel, and before demolition arrange the WorkSafeBC-required hazardous-materials (asbestos) survey by a qualified person.

  4. Procurement & long-lead

    We lock trade and material commitments at agreed prices and place long-lead orders early — medical gas, specialty casework, imaging shielding and clinical equipment — so nothing stalls your opening date.

  5. Construction

    Subcontracted trades are sequenced and managed under one contract, with a super on site running trades, deliveries and safety day to day. We file the WorkSafeBC Notice of Project where the work requires it, hold infection-control measures on active sites, and check quality as it's installed.

  6. Commissioning, closeout & warranty

    We work the deficiency list to zero, prove HVAC, medical gas, electrical and life-safety systems, verify air-change and pressure relationships, and hand over the keys with as-builts, warranties and O&M manuals so your team can run the clinic.

05What a clinic fit-out costs in Vancouver BC

Clinical space costs more than general office — specialty plumbing, medical-grade air, hygienic finishes and infection control all add up. Cost is driven by the level of clinical fit and how much base-building and mechanical work the space needs.

What each level of work typically involves. Scope, not price — your number is confirmed in writing after a site visit.
Fit levelTypical scope
Light clinic refreshReuse existing rooms — finishes, minor plumbing, cosmetic upgrades
Standard clinic build-outNew medical or dental layout — exam/treatment rooms, sterilization, MEP, hygienic finishes, casework
Complex / specializedImaging shielding, medical gas, negative-air or isolation rooms, lab-grade or procedure space

these bands are a starting point for early planning, not a price for your project. Base-building condition, mechanical and electrical scope, imaging or medical-gas requirements, health-authority-driven upgrades and finish level move the real number in either direction — and clinical equipment is usually a separate budget line from the construction.

Enduro prices off real drawings when they exist and builds an open-book budget with you when they don't — then confirms the number in writing after a site visit. For where 2026 costs are heading, read our Vancouver fit-out outlook.

06How long it takes

Construction is often the shorter part of the calendar — design coordination, City of Vancouver permitting, health-authority review and equipment lead times usually drive the overall schedule. Typical planning ranges for a Metro Vancouver clinic fit-out:

Typical durations. Phases overlap — procurement, permitting and health-authority review often run alongside design. Your schedule is confirmed after scoping.
PhaseTypical durationNotes
Feasibility & pricing1–2 weeksSite walk, early budget, go / no-go
Design & coordination4–10 weeksDepends on clinical scope, equipment and consultant turnaround
Permit & health-authority4–12+ weeksCity of Vancouver building permit; add Vancouver Coastal Health / Fraser Health review where it applies
Procurement / long-lead3–12 weeksMedical gas, shielding, specialty casework and equipment; runs alongside design
Construction8–20+ weeksBy size, clinical complexity and MEP scope
Commissioning & closeout1–3 weeksDeficiencies, systems verification, handover documents

The most common cause of a slipped clinic schedule isn't the City's queue — it's incomplete drawings or a permit application going back for rework, or equipment that lands late. We front-load the survey, the drawings, the health-authority track and the long-lead orders to keep that from happening. See the Vancouver permit guide.

07Building while your clinic stays open

Many Metro Vancouver clinic builds happen in occupied space — a practice that's still seeing patients, a suite next to a running clinic, a facility that can't close. Enduro phases these builds so your operation keeps running and your patients stay protected:

How we build around a live clinic

  • After-hours & weekend scheduling for the loud, dusty and disruptive work
  • Phased construction — the space handed back to you zone by zone, on a plan agreed up front
  • Infection control & negative-air — ICRA-style hoarding, sealed work zones and filtration to protect patients, staff and equipment
  • Exits and life-safety kept live — egress, alarm and sprinkler coverage maintained throughout
  • Coordination with building management and neighbouring tenants on access, elevators and shutdowns

That's the difference between a build that shuts your clinic down and one that keeps you treating patients. We built inside a working UBC research lab around live growth chambers that couldn't be shut off — the same discipline protects an operating clinic.

08Related clinical & health-adjacent work

Enduro hasn't built a hospital — but we have delivered the clinical and health-adjacent fit-outs a medical or dental clinic draws on. A few Metro Vancouver and Fraser Valley projects:

See our healthcare portfolio →

09Clinic construction FAQ

How much does a medical or dental clinic fit-out cost in Vancouver BC?

A light clinic refresh is primarily finishes and like-for-like work; a complete medical or dental build-out adds specialty plumbing, ventilation and hygienic finishes; imaging, medical-gas and negative-air rooms add another layer of systems and coordination. The existing building, services and finish level determine the actual number, which Enduro confirms from drawings and a site visit. Clinical space costs more than general office because of specialty plumbing, medical-grade air, hygienic finishes and infection control. These are scope bands, not a quote — Enduro confirms your number in writing after a site visit.

Does Enduro build hospitals?

No — Enduro builds clinics and medical-adjacent spaces, not hospitals. Our clinical experience is in fit-outs: physiotherapy and wellness clinics, clinical and health research labs, and nurse-practitioner and nursing-simulation training space. That carries directly into medical and dental clinics, but we don't present ourselves as a hospital or acute-care builder.

What clinical spaces can Enduro build?

Medical and dental clinics, allied-health and physiotherapy clinics, wellness and rehabilitation studios, medical office build-outs, sterilization and CSR rooms, dental operatories, clinical and health research labs, and health-training space such as nurse-practitioner and nursing-simulation rooms.

Do clinic fit-outs need health-authority approval in Vancouver BC?

Often, yes. Alongside the City of Vancouver building permit, certain medical and dental facilities need review or licensing through Vancouver Coastal Health or Fraser Health, and some diagnostic and procedure spaces trigger accreditation requirements. Enduro coordinates the building permit and the health-authority process in parallel so the two tracks move together.

Can Enduro install medical gas?

Enduro coordinates medical-gas rough-in where a clinic requires it — oxygen, vacuum and scavenging — through certified installers working to the Canadian medical-gas standard (CSA Z7396.1), with the required verification. As the prime contractor we plan, sequence and manage that specialty trade; the certified install itself is done by the licensed specialty trade.

Can you build infection-control and negative-air rooms?

Yes. Clinical fit-outs routinely need infection-control measures during construction (hoarding, sealed zones, negative-air containment) and permanent measures in the finished space — negative-pressure or isolation rooms, medical-grade ventilation and air-change rates, and seamless, cleanable finishes. We build to the design your consultants specify and commission it before handover.

Can you build while our clinic stays open?

Yes. We schedule disruptive work after hours, hoard and seal the work area, run dust and negative-air control to protect patients and staff, keep exits and life-safety live, and phase the build so treatment can continue in the running part of the clinic.

Should I hire a GC or a construction manager for my clinic build?

Hire a general contractor when the design and equipment are settled and you want one firm to hold the contract and hand you a finished clinic. Hire a construction manager when you want to stay owner-side with an open-book budget while design or equipment selection is still moving. GC to build it, CM to steer it — Enduro offers both.

How long does a clinic fit-out take in Metro Vancouver?

A straightforward clinic fit-out often runs a few months end to end. Construction itself is typically 8–20+ weeks, but permitting, health-authority review, equipment lead times and design coordination usually drive the overall schedule.

Are you licensed and insured to work in BC?

Yes — Enduro is a licensed BC builder, bondable and insured, and WorkSafeBC registered. On commercial and clinical work we file the WorkSafeBC Notice of Project where required and coordinate any hazardous-materials survey the demolition scope calls for.

What areas do you serve?

Metro Vancouver, the Fraser Valley and Sea-to-Sky — including Vancouver, Burnaby, Richmond, Surrey, North and West Vancouver, the Tri-Cities, Pitt Meadows, Squamish and Chilliwack.

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