77411532.1-124Virginia Decodedhttps://vacode.org2016HealthRegulation Of Medical Care Facilities And ServicesHospital And Nursing Home Licensure And InspectionExemptionsCode 1950, § 32-298; 1964, c. 54; 1973, c. 477; 1979, c. 711; 1989, c. 618; 2009, cc. 813, 840. . . . United States v. Marc J. Blatstein, United States of America . . . 06-4210482 F.3d 7252007-04-12https://www.courtlistener.com/opinion/797383/united-states-v-marc-j-blatstein-united-states-of-america-v-marc-j/Court of Appeals for the Fourth CircuitUnited States v. Blatstein06-42102007-04-12https://www.courtlistener.com/opinion/2968447/united-states-v-blatstein/ . . . principally used for performing surgery. Va. Code Ann. § 32.1-124 . . . Court of Appeals for the Fourth Circuithttp://law.lis.virginia.gov/vacode/32.1-124/32.1-123Definitions/32.1-123/32.1-136Violation; penalties/32.1-136/32.1-137Certification of medical care facilities under Title XVIII of Social Security Act/32.1-137//32.1-124/32.1/5/1/32.1-12423-77.323.1-221232.1-12654.1-2982The provisions of §§ 32.1-123 through 32.1-136 shall not be applicable to: (i) a dispensary or first-aid facility maintained by any commercial or industrial plant, educational institution or convent; (ii) an institution licensed by the Department of Behavioral Health and Developmental Services; (iii) an institution or portion thereof licensed by the State Board of Social Services; (iv) a hospital or nursing home owned or operated by an agency of the United States government; (v) an office of one or more physicians or surgeons unless such office is used principally for performing surgery; and (vi) a hospital or nursing home, as defined in § 32.1-123, owned or operated by an agency of the Commonwealth unless such hospital or nursing home or portion thereof is certified as a nursing facility pursuant to § 32.1-137.section1