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Revenue Recognition - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Nov. 30, 2023
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Dec. 31, 2024
Disaggregation of Revenue [Line Items]            
Revenue from contract with customers excluding assessed tax   $ 314,635 $ 165,969 $ 570,372 $ 311,789  
Contract with customer liability amount of revenue recognized that was included in the opening balance       50,400 39,500  
Accounts Receivable [Member]            
Disaggregation of Revenue [Line Items]            
Contract with customer receivable after allowance for credit loss current   3,100   3,100   $ 4,100
Long-Term Contract with Customer [Member]            
Disaggregation of Revenue [Line Items]            
Revenue, remaining performance obligation   390,500   390,500    
Commercialization and Reference Laboratory Agreement Member With Personalis Inc [Member]            
Disaggregation of Revenue [Line Items]            
Term of agreement 3 years          
Personalis Inc [Member] | Commercialization and Reference Laboratory Agreement Member With Personalis Inc [Member]            
Disaggregation of Revenue [Line Items]            
Aggregate milestone amount payable $ 12,000          
Cumulative amount paid   11,000   11,000    
Contract with customer assets net current   $ 4,500   $ 4,500   $ 3,000
Personalis Inc [Member] | Commercialization and Reference Laboratory Agreement [Member]            
Disaggregation of Revenue [Line Items]            
Class Of Warrant Share Issued   9,218,800   9,218,800    
One Year [Member] | Long-Term Contract with Customer [Member]            
Disaggregation of Revenue [Line Items]            
Revenue, remaining performance obligation, percentage   45.00%   45.00%    
Two Year [Member] | Long-Term Contract with Customer [Member]            
Disaggregation of Revenue [Line Items]            
Revenue, remaining performance obligation, percentage   34.00%   34.00%    
Three Year [Member] | Long-Term Contract with Customer [Member]            
Disaggregation of Revenue [Line Items]            
Revenue, remaining performance obligation, percentage   21.00%   21.00%    
Genomics Product [Member]            
Disaggregation of Revenue [Line Items]            
Revenue from contract with customers excluding assessed tax   $ 241,800 112,300 $ 435,600 214,900  
Genomics Product [Member] | Self-Pay [Member]            
Disaggregation of Revenue [Line Items]            
Revenue from contract with customers excluding assessed tax   20,100 10,600 32,400 19,800  
Clinical Order [Member] | Third-Party Payor [Member]            
Disaggregation of Revenue [Line Items]            
Revenue from contract with customers excluding assessed tax   221,700 101,700 403,200 195,100  
Insights Product [Member]            
Disaggregation of Revenue [Line Items]            
Revenue from contract with customers excluding assessed tax   57,200 40,700 106,700 72,000  
Trials Product [Member]            
Disaggregation of Revenue [Line Items]            
Revenue from contract with customers excluding assessed tax   9,800 10,500 19,500 21,800  
Data And Other [Member]            
Disaggregation of Revenue [Line Items]            
Revenue from contract with customers excluding assessed tax   $ 72,800 $ 53,600 $ 134,700 $ 96,900