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Genzyme Co-Promotion Agreement (Details)
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Jan. 01, 2015
Feb. 29, 2012
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2016
USD ($)
Dec. 31, 2016
USD ($)
Feb. 28, 2015
country
Jan. 31, 2012
country
Genzyme Co-promotion Agreement                
Genzyme co-promotion fee amortization       $ 0 $ 948,000      
Co-promotion agreement | Genzyme                
Genzyme Co-promotion Agreement                
Genzyme co-promotion fee amortization     $ 227,000   948,000      
Co-promotion agreement | Genzyme | Accrued liabilities                
Genzyme Co-promotion Agreement                
Co-promotion expenses       $ 0   $ 0    
Afirma thyroid diagnostic solution co-promotion agreement | Genzyme                
Genzyme Co-promotion Agreement                
Number of countries outside United States for exclusive promotion under the agreement | country               40
Co-promotion fee received from Genzyme   $ 10,000,000            
Ex-U.S. Co-Promotion Agreement | Genzyme                
Genzyme Co-promotion Agreement                
Number of countries outside United States for exclusive promotion under the agreement | country             5  
Co-promotion fee paid as a percentage of net revenue 25.00%              
Period of agreement 5 years              
Selling and marketing | Co-promotion agreement | Genzyme                
Genzyme Co-promotion Agreement                
Co-promotion expenses     $ 1,800,000   $ 6,100,000