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Commitments and Contingencies - Narrative (Details)
1 Months Ended 3 Months Ended 9 Months Ended
Dec. 31, 2017
USD ($)
Jul. 31, 2018
USD ($)
Nov. 30, 2017
patent
May 31, 2016
patent
Sep. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2018
USD ($)
party
Sep. 30, 2017
USD ($)
May 31, 2018
USD ($)
Apr. 30, 2017
USD ($)
Sep. 30, 2016
USD ($)
Lessee, Lease, Description [Line Items]                        
Operating leases, rent expense         $ 1,200,000   $ 200,000 $ 3,400,000 $ 724,000      
Capital leases, contractual term               4 years        
Number of parties with patent license agreement | party               4        
Royalty expense         $ 319,000   $ 205,000 $ 936,000 $ 754,000      
Percentage of precision oncology testing revenue         2.00%   2.00% 2.00% 3.00%      
Manufacturing Equipment                        
Lessee, Lease, Description [Line Items]                        
Capital Leased Assets, Gross                     $ 346,000 $ 554,000
Capital lease obligations                   $ 554,000    
Accumulated amortization                   219,000    
Decrease in capital lease obligation                   $ 323,000    
Minimum                        
Lessee, Lease, Description [Line Items]                        
Percentage of future sales in which patents are used in the product or service sold               2.50%        
Maximum                        
Lessee, Lease, Description [Line Items]                        
Percentage of future sales in which patents are used in the product or service sold               3.00%        
Other Income                        
Lessee, Lease, Description [Line Items]                        
Amount awarded from other party           $ 4,250,000            
Foundation Medicine, Inc. vs. Guardant Health, Inc..                        
Lessee, Lease, Description [Line Items]                        
Number of petitions filed | patent       3                
Payments for legal settlements   $ 3,000,000                    
Foundation Medicine, Inc. vs. Guardant Health, Inc.. | General and administrative expense                        
Lessee, Lease, Description [Line Items]                        
Litigation settlement, expense $ 3,000,000                      
Personal Genome Diagnostics, Inc. vs. Guardant Health, Inc.                        
Lessee, Lease, Description [Line Items]                        
Number of petitions filed | patent     2                  
Number of asserted patents | patent     2