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Organization and Description of Business - Additional Information (Detail) - USD ($)
1 Months Ended 12 Months Ended
Oct. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Schedule of Capitalization, Equity [Line Items]        
Accumulated deficit   $ 311,845,000 $ 268,022,000  
Cash and cash equivalents   64,616,000 $ 16,895,000 $ 17,258,000
Medicare [Member] | Testing Services [Member]        
Schedule of Capitalization, Equity [Line Items]        
Reimbursement rate $ 2,841 $ 3,240    
Services Revenue [Member] | Customer Concentration Risk [Member] | Medicare [Member]        
Schedule of Capitalization, Equity [Line Items]        
Concentration risk, percentage   48.00% 27.00% 44.00%
Services Revenue [Member] | Customer Concentration Risk [Member] | Medicare [Member] | Testing Services [Member]        
Schedule of Capitalization, Equity [Line Items]        
Concentration risk, percentage   14.00%