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Summary of Significant Accounting Policies - Summary of Revenue from Contracts with Customers by Payor Type (Detail) - Accounting Standards Update 2014-09 - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2018
Disaggregation Of Revenue [Line Items]    
Revenue from contracts with customers by payor type $ 5,625 $ 15,678
Genetic Testing Services | Institutional    
Disaggregation Of Revenue [Line Items]    
Revenue from contracts with customers by payor type 5,334 14,594
Genetic Testing Services | Patient    
Disaggregation Of Revenue [Line Items]    
Revenue from contracts with customers by payor type 148 407
Genetic Testing Services | Insurance    
Disaggregation Of Revenue [Line Items]    
Revenue from contracts with customers by payor type $ 143 $ 677