Is aplastic anemia detected in routine or specific labs?

Both: Aplastic anemia develops with the bone marrow cells that produce red blood cells stop functioning. A "routine" blood test may show the anemia and certain cell shapes and more specialized testing my help, but in the end this usually requires a bone marrow aspiration and biopsy and interpretation by a pathologist and assistance from a hematologist/oncologist.

Suggestive on a CBC: Need a bone marrow biopsy to make the diagnosis. Hope this helps.

Both used: As a routine screening blood test, a complete blood count looks at your white blood cell, platelet, and red blood cell counts. In aplastic anemia, usually at least 2 out of these 3 different categories will be abnormally low. There are many processes that could cause these findings, including aplastic anemia. The next test need to make the diagnosis is a bone marrow aspirate and biopsy.