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Related Party Transactions - Additional Information (Detail) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Dec. 31, 2016
Related Party Transaction [Line Items]          
Accounts receivable $ 2,203,000   $ 2,203,000   $ 2,007,000
Roche related-party deferred revenue 296,000   296,000   3,747,000
Roche Credit Facility [Member]          
Related Party Transaction [Line Items]          
Credit facility, cash borrowings outstanding 30,000,000   30,000,000    
Roche [Member]          
Related Party Transaction [Line Items]          
Amount of related party transaction during the period 0 $ 0 0 $ 0 0
Roche [Member] | Molecular Information Platform Program and Ex-U.S. Commercialization Agreement [Member] | Molecular Information Services [Member]          
Related Party Transaction [Line Items]          
Recognized revenue 5,618,000 4,965,000 16,642,000 16,201,000  
Cost of related-party molecular information services from Roche 1,238,000 1,217,000 4,183,000 3,050,000  
Roche [Member] | CDx Development, Immunotherapy Testing Platform Development and Other Programs [Member] | Pharma Research and Development Services [Member]          
Related Party Transaction [Line Items]          
Recognized revenue 11,021,000 8,136,000 18,656,000 17,380,000  
Former Member of Board of Directors [Member]          
Related Party Transaction [Line Items]          
Recognized revenue 247,000 $ 334,000 396,000 $ 1,486,000  
Accounts receivable $ 215,000   $ 215,000   $ 0