I recently had a Direct Fluorescing Antibody test from Central Florida Research. (Previously, my only positive Lyme test ever was its predecessor the Bowen test.)
This test uses FDA-approved antibodies that have been treated to fluoresce. They are mixed with the blood specimen, observed under darkfield microscope and counted by flow cytometry.
My result was a count of 13 Lyme bacteria out of 50,000 events counted. To be positive I needed a count of 17. Previously this test was negative at less than 10, equivocal/intermediate between 10 and 20, and positive if 20 or over.
Personally I wish they didn't have to say the test was negative when there were so many counted, but I believe the lab must have negatives in order to be approved for insurance payment.
Although they require payment up front because they were not able to reach agreements with insurance companies, you can get reimbursed.
Sandra