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Acquisitions (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Dec. 31, 2020
Business Acquisition [Line Items]      
Goodwill $ 242,586   $ 243,347
Reference Laboratory | Switzerland      
Business Acquisition [Line Items]      
Consideration transferred $ 5,500    
Holdback and contingent payment   $ 1,100  
Goodwill   1,800  
Liabilities   600  
Customer Relationships | Reference Laboratory | Switzerland      
Business Acquisition [Line Items]      
Intangible assets acquired   $ 4,300  
Weighted average useful life of finite-lived intangible assets (in years)   9 years