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Certain Balance Sheet Accounts - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Property, Plant and Equipment [Line Items]      
Total cost $ 9,294   $ 8,090
Less accumulated depreciation and amortization (5,507)   (4,245)
Total property and equipment, net 3,787   3,845
Depreciation and amortization 1,262 $ 654  
Finance leases      
Property, Plant and Equipment [Line Items]      
Total cost 4,920   4,034
Laboratory equipment      
Property, Plant and Equipment [Line Items]      
Total cost 2,828   2,569
Computer equipment      
Property, Plant and Equipment [Line Items]      
Total cost 921   862
Office Equipment and Furniture [Member      
Property, Plant and Equipment [Line Items]      
Total cost $ 625   $ 625