This project includes renovations and additions to Building #2 to support the relocation and expansion of the Renal Dialysis program at the VAMC in Salem, Virginia. The current Renal Dialysis program is located on the 2nd floor of the main hospital (Building 143), and shall be completely relocated to the new Building #2 location. The project involves the renovation of 3,250 sf of the existing basement in Building #2 and a 9,820 sf addition to Building #2. This single story addition will expand the footprint of Building #2 and will be designed to handle 3 additional floors to be added in the future. Cromwell is providing design and construction phase commissioning services with partner BES Design Build.