The test is done by Real Time Labs by using a standard ELISA.
http://www.realtimelab.com/healthcare-mold-and-mycotoxin-information
I suggest calling them to ask about reliability. ELISA's are among the most common types of tests done and are based on antibodies. They are normally reliable for specific molecule like
Tricothecenes.
I looked around and found the ELISA is the method used by food producers to be sure the food is not contaminated.
For example:
http://www.ars.usda.gov/sp2UserFile...Hoagland/Hoaglandetal.08CSSPA39-3057-3073.pdf
http://www.plosone.org/article/fetc....1371/journal.pone.0060484&representation=PDF
CDC:
http://www.bt.cdc.gov/agent/Trichothecene/casedef.asp
But whether its effective via a Urine test is unknown.
The cost through my doctor was just over $500 for testing for all 3 common Mycotoxins.
You can order it through a service like DirectLabs but its costs $699 so my doctor must receive a discount.
https://www.directlabs.com/OrderTests/tabid/55/language/en-US/Default.aspx
My doctor had me sit in my hot tub for 15 minutes before providing the Urine sample. I'm guessing the heat helps release the Mycotoxins into the urine.
Mycotoxin Testing
Tricothecenes are evaluated by using Enzyme-Linked ImmunoSorbant Assay (ELISA). The test at RTL has been validated as a qualitative test. Thus, RTL reports whether tricothecenes are PRESENT or NOT PRESENT.
Aflatoxins are evaluated using ImmunoSorbant Columns containing antibodies to the group of aflatoxins (B1, B2, G1, and G2). Results are reported as PRESENT or NOT PRESENT.
Ochratoxin A is evaluated using immunoSorbant Columns containing antibodies to the Ochratoxin A. Results are reported as PRESENT or NOT PRESENT.
Specimens that have been validated are urine, sputum, nasal washes, tissues. To discuss cost of these tests, please call the laboratory.