First I guess let me ask, is a clinic different from a hospital lab for ACT monitoring? My mom has been on coumadin for 27 years and goes 1x / month to a local hospital for a blood draw. Through reading here as a result of her impending MV replacement surgery, I found out you can test at home and told my mom about it. She's interested in either that or at least finding if the hospital she goes to or even another one (she volunteers at a local hospital's hospice unit about 1x / week and thought she'd look into getting her testing done in that hospital) has the finger prick method vs the blood draw. Her veins are picky and you have to get it in just the right spot. So my question is, are these "clinics" you speak of different? Are they a place just for ACT monitoring? Once things get settled after surgery and we bring this up with her doctor, it'll be interesting to see what they say.