The Building 1A Entrance Expansion project at the Memphis VA Medical Center included the renovation and expansion of 2 floors of the Main Entrance to the Building 1A Bed Tower. This project was staged in 5 phases involving multiple shutdowns, implementation of infection control and temporary barriers, as well as installation of temporary tunnels as needed for re-routing the main egress through the hospital. This project required the reconfiguration of the existing parking lot, parking lot entrances and a new storm drainage system as well as the installation of new sidewalks, exterior precast, metal wall panels with air barrier systems and construction of a new entrance canopy. Extensive demolition work, including demo of interior and exterior architectural precast panels, metal soffit panels, the existing canopy and footings and the interior courtyard areas were also involved. The expansion of the hospital addition included installation of deep foundation piers, pile caps, grade beams, structural concrete walls, steel structure with slab on grade and elevated slab on deck. A new flat roofing system was installed in the center of the area where the interior courtyard was located. New interior finishes included metal studs and drywall with painted finish, resilient flooring, ceramic tile, terrazzo, wall protection, stainless steel column covers, architectural woodwork, glass handrails, a revolving door system, as well as new storefront and curtainwall systems. New mechanical, electrical, plumbing, fire sprinkler, access control and security systems were put in place and tied to existing systems through various shutdowns coordinated with the VA.