| 1 | Rapallo Nuoto | Zacchero Brayan, Co' Lorenzo, Alita Tommaso, Ballabene Ian | 02'51''50 | |  |  | |
50m 41.20 (41.20) 100m 1:21.50 (40.30) [1:21.50] 150m 2:08.60 (47.10) 200m 2:51.50 (42.90) [1:30.00] |
| 2 | Rari Nantes Spezia | Frediani Gabriele, Vaccaro Tommaso, Saraniti Lana Tommaso, Ricciardi Manuel | 02'56''60 | | | | |
50m 41.80 (41.80) 100m 1:24.60 (42.80) [1:24.60] 150m 2:13.00 (48.40) 200m 2:56.60 (43.60) [1:32.00] |
| 3 | Chiavari Nuoto SSD | Fausto Davide, Musta Dervish, Vaccheri Martino, Rocchio Lorenzo | 03'07''30 | | | | |
50m 49.00 (49.00) 100m 1:31.90 (42.90) [1:31.90] 150m 2:23.00 (51.10) 200m 3:07.30 (44.30) [1:35.40] |
| 4 | On Sport Sestri Levante | Bonaglia Daniele, Filipelli Jacopo, Musso Riccardo, Bertolone Mikel | 03'09''80 | | | | |
50m 44.40 (44.40) 100m 1:40.60 (56.20) [1:40.60] 150m 2:30.20 (49.60) 200m 3:09.80 (39.60) [1:29.20] |
| 5 | Lavagna 90 ASD | Sivori Stefano, Delfino Samuele, Valperga Davide, Lagorio Thomas | 03'11''00 | | | | |
50m 49.70 (49.70) 100m 1:38.10 (48.40) [1:38.10] 150m 2:28.30 (50.20) 200m 3:11.00 (42.70) [1:32.90] |
| 6 | UISP Nuoto Valdimagra | Ghiglione Tommaso, Pochini Pierluigi, Musetti Cristian, Zanchi Michele | 03'11''30 | | | | |
50m 46.00 (46.00) 100m 1:34.40 (48.40) [1:34.40] 150m 2:25.60 (51.20) 200m 3:11.30 (45.70) [1:36.90] |
| 7 | Rari Nantes Spezia | Capellini Francesco, Amadi Giacomo, Cirillo Riccardo, Trocchia Ettore | 03'15''50 | | | | |
50m 47.70 (47.70) 100m 1:35.30 (47.60) [1:35.30] 150m 2:24.70 (49.40) 200m 3:15.50 (50.80) [1:40.20] |
| 8 | Chiavari Nuoto SSD | Grasso Giulio, Mistrangelo Elio, Pezzoni Luca, Traldi Giacomo | 03'16''40 | | | | |
50m 48.80 (48.80) 100m 1:41.00 (52.20) [1:41.00] 150m 2:32.40 (51.40) 200m 3:16.40 (44.00) [1:35.40] |
| 9 | Rari Nantes Spezia | Vatteroni Luca, Torre Lorenzo, Rivano Riccardo, Esposto Tommaso | 03'26''10 | | | | |
50m 50.10 (50.10) 100m 1:44.40 (54.30) [1:44.40] 150m 2:35.70 (51.30) 200m 3:26.10 (50.40) [1:41.70] |
| 10 | Rapallo Nuoto | Montanari Enrico, Devoto Giacomo, Martini Gabriele, Passera Alex | 03'38''00 | | | | |
50m 51.10 (51.10) 100m 1:44.30 (53.20) [1:44.30] 150m 2:32.70 (48.40) 200m 3:38.00 (1:05.30) [1:53.70] |
| 11 | Chiavari Nuoto SSD | Osardi Nicola, Schiaffino Loris, Ghizolfi Lorenzo, Zonzi Lorenzo | 03'42''10 | | | | |
50m 55.70 (55.70) 100m 1:48.40 (52.70) [1:48.40] 150m 2:47.30 (58.90) 200m 3:42.10 (54.80) [1:53.70] |
| 12 | Rari Nantes Spezia | Di Capua Ruben Maria, Osmani Elvi, Gianelli Davide, Castagnola Gabriele | 03'49''80 | | | | |
50m 59.50 (59.50) 100m 1:52.50 (53.00) [1:52.50] 150m 2:52.00 (59.50) 200m 3:49.80 (57.80) [1:57.30] |
