Licensing a clinic in Dubai Healthcare City or on the Dubai mainland
Guide

DHCC or Mainland: What Actually Differs When You License a Clinic in Dubai

The common assumption is that Dubai Healthcare City replaces the DHA with its own regulator. Law No. (16) of 2024 says otherwise. A healthcare operator inside DHCC needs DHA licences in addition to DHCA approvals, which makes the free zone an additional layer rather than an alternative one.

The misconception worth correcting first

Most commentary treats the choice as a swap: license with the Dubai Healthcare City Authority inside the free zone, or with the Dubai Health Authority on the mainland. That is not what the governing law provides.

Law No. (16) of 2024 Concerning the Dubai Healthcare City was issued on 4 September 2024 and supersedes Law No. (9) of 2011. Article 20 sets out licensing in two parts.

Under Article 20(a), no individual, establishment or company may conduct any commercial activity within the DHCC unless they have obtained the relevant licences and permits from the DHCA.

Under Article 20(b), no individual, establishment or company may conduct any healthcare activity within the health sector of the emirate, within the DHCC, unless they have obtained the relevant licences and permits from the DHA, in addition to any other permits or approvals to be issued by the DHCA.

A clinic inside DHCC is therefore subject to DHA healthcare licensing and DHCA free zone licensing. Not one or the other.

The law reinforces this in three further places

  • Article 5(b) requires the DHCA to exercise its functions subject to the powers and functions vested in the DHA and other competent entities under the legislation regulating the health sector.
  • Article 6 provides that the Law applies without prejudice to the powers and functions assigned to the DHA under health sector legislation, and without prejudice to the DHA's powers to record breaches and impose fines and administrative penalties.
  • Article 22 provides that the establishment, registration, accreditation, liquidation, control and supervision of DHCC Establishments, including their licensing conditions, requirements and fees, are subject to the health sector legislation applicable to the DHA and to the legislation applicable to the DHCA and other competent entities.

Read together, the free zone governs the commercial vehicle and the premises. The health sector regulator continues to govern the healthcare activity.

The practical position for a specific facility category should still be confirmed directly with both the DHCA and the DHA before commitments are made, since implementation detail is set by the rules and requirements each authority adopts.

The clause that decides how a DHCC facility changes hands

Article 25 is the provision acquirers most often miss.

No DHCC Establishment may assign the licences or permits issued to it by the DHCA, the DHA, or other competent entities in the emirate to any party or entity without first obtaining the written approval of the issuing entities.

The plural matters. Where a facility holds both a DHCA licence and a DHA licence, assignment requires written approval from each issuing authority, not one clearance covering both.

This runs alongside the mainland position under Executive Council Resolution No. (49) of 2024, where healthcare facilities and professionals cannot transfer their licences without prior DHA approval. Either way, regulatory approval sits on the critical path. Inside DHCC there are simply more approvals on that path.

Transaction structure and timetable should reflect that from the outset rather than at signing.

What the free zone does change

The commercial and fiscal framework is genuinely different, and it is set out in the Law rather than in marketing material.

  • Ownership. Under Article 21, DHCC Establishments may be established as any type of company except a public joint stock company, and may be owned by one or more natural or legal persons whether or not they are UAE nationals.
  • Tax. Under Article 15, and without prejudice to federal tax legislation, DHCC Establishments and their employees are subject to a zero tax rate for fifty years from the date operations commence, renewable for the same period by resolution of the Ruler. The zero rate covers taxes on operations within the DHCC and taxes on the transfer of assets, profits, salaries or wages outside the DHCC, and on profits generated from a merger, demerger or change of legal form.
  • Customs. Products and goods manufactured, developed, imported into or used within the DHCC are exempt from customs duties. Goods exported from the DHCC are treated as imported for the first time and attract applicable duties.
  • Municipal and economic regulation. Under Article 16(a), DHCC Establishments and their staff are not subject to the laws, regulations or powers of Dubai Municipality or the Department of Economy and Tourism in respect of their DHCC operations. That carve-out does not extend to legislation on public health and safety, food control, the environment or urban planning.
  • Disclosure. Under Article 23, a DHCC Establishment must state in all transactions, contracts, advertisements, invoices, correspondence and publications that it is a free zone establishment and specify its legal form. Failure makes the owner personally liable for the establishment's obligations.

A third layer is arriving for longevity concepts

Anyone weighing DHCC for a longevity, regenerative or advanced wellness concept should factor in Law No. (17) of 2026.

Under Article 7(a) of that Law, no person may conduct a longevity Activity in the emirate, including in Special Development Zones and free zones such as the Dubai International Financial Centre, without a Permit issued by the Dubai Longevity Authority.

The free zone is not an exemption. For that category of concept, the requirement stack inside DHCC is a DHCA licence, a DHA licence and a DLA Permit.

What is being built, and what shell-and-core means for your budget

On 27 April 2026, Dubai Healthcare City Authority broke ground on PIXEL DHCC and IBN SINA+, the first phase of a AED 1.3 billion development programme, both scheduled for completion by November 2027.

IBN SINA+ is the one clinical operators should look at. It is a purpose-built medical complex designed by DAR, delivered as shell-and-core, covering 5,800 square metres across five floors and providing multi-functional surgical, diagnostic, outpatient and medical office space. It extends the existing IBN SINA facility.

PIXEL DHCC is a LEED platinum-certified office building of 13,000 square metres across nine floors, with office units and ground-floor commercial space, and the first LEED platinum building in DHCC.

Shell-and-core means structure, envelope and primary services. It does not mean a licensable clinical environment. Medical gas, clinical drainage, radiation shielding where applicable, air handling to the standard your facility category requires and the full internal fit-out are the operator's scope and cost. For any category involving procedures, that gap is the largest single variable in a launch budget and it is routinely underestimated.

It is also sequence-sensitive. Design must follow regulatory pathway determination, not precede it, or the drawings are done twice.

How to run the decision

  • Define the facility category and service scope first. Everything downstream depends on it.
  • Map the full approval stack for that category under each option, and confirm it directly with the relevant authorities rather than relying on secondary summaries, including this one.
  • Model the shell-and-core to licensable-space cost as a separate capital line, not a fit-out contingency.
  • Model payer mix and catchment for the specific location. Emirate-level averages will not tell you what a district or a free zone community will support.
  • Plan the exit at entry. Assignment requires written approval from every issuing entity, so the number of licences a facility holds affects how long a future transaction takes.
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FAQ

Frequently asked questions

Who licenses a clinic in Dubai Healthcare City?

Both authorities. Under Article 20(b) of Law No. (16) of 2024, healthcare activity within DHCC requires the relevant licences and permits from the DHA, in addition to any permits or approvals issued by the DHCA.

Is DHCC an alternative to DHA licensing?

No. The free zone governs the commercial vehicle and the premises. Article 6 of Law No. (16) of 2024 preserves the DHA's powers under health sector legislation, including its power to record breaches and impose penalties.

Can DHCC licences be transferred when a facility is sold?

Not without consent. Article 25 provides that no DHCC Establishment may assign licences or permits issued by the DHCA, the DHA or other competent entities without first obtaining written approval from the issuing entities.

Can a foreign investor own a DHCC healthcare company outright?

Article 21 provides that DHCC Establishments, other than public joint stock companies, may be owned by one or more natural or legal persons whether or not they are UAE nationals.

What tax treatment applies in DHCC?

Under Article 15, and without prejudice to federal tax legislation, DHCC Establishments and their employees are subject to a zero tax rate for fifty years from the commencement of operations, renewable by resolution of the Ruler.

What is being built under the AED 1.3 billion programme?

PIXEL DHCC, a LEED platinum office building of 13,000 square metres across nine floors, and IBN SINA+, a purpose-built medical complex of 5,800 square metres across five floors. Both are scheduled for completion by November 2027.

What does shell-and-core mean for a medical facility?

The developer delivers structure, envelope and primary services. Clinical fit-out, including medical gas, specialist air handling, clinical drainage and any shielding, is the operator's scope and cost.

Sources

  1. Law No. (16) of 2024 Concerning the Dubai Healthcare City, issued 4 September 2024. Dubai Legislation Portal.
  2. Law No. (17) of 2026 Establishing the Dubai Longevity Authority. Dubai Legislation Portal.
  3. Executive Council Resolution No. (49) of 2024 Regulating the Practice of Health Professions and Health Activities in the Emirate of Dubai. Dubai Legislation Portal.
  4. Government of Dubai Media Office, "Dubai Healthcare City breaks ground on two flagship projects as part of AED1.3 billion development programme", 27 April 2026.
This article summarises the English versions of the legislation cited. For interpretation and application, the original Arabic texts prevail.