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Deferred Revenue - Additional Information (Details) - USD ($) $ in Thousands		3 Months Ended	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2021	Sep. 30, 2021	Dec. 31, 2020
Disaggregation Of Revenue [Line Items]
Current deferred revenue	$ 79,954	$ 79,954	$ 79,954	$ 73,319
Deferred revenue, less current portion	110,638	110,638	110,638	163,618
Revenue recognized	36,700		(73,065)
Development Revenue
Disaggregation Of Revenue [Line Items]
Current deferred revenue	61,042	61,042	61,042	57,856
Deferred revenue, less current portion	110,512	110,512	110,512	162,894
Development Revenue | Genentech, Inc.
Disaggregation Of Revenue [Line Items]
Current deferred revenue	57,500	57,500	57,500	55,100
Deferred revenue, less current portion	106,700	106,700	106,700	157,000
Sequencing Revenue
Disaggregation Of Revenue [Line Items]
Current deferred revenue	18,912	18,912	18,912	15,463
Deferred revenue, less current portion	$ 126	126	126	$ 724
Revenue recognized			3,400
Medicare | Specific Patients
Disaggregation Of Revenue [Line Items]
Revenue recognized		$ 1,400	$ 2,000

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