| 1 | Nuotatori Genovesi SSD | Mei Thomas, Croce Daniele, Tonoli Paolo, Casanova Alessandro | 03'05''10 | |  |  | |
50m 45.80 (45.80) 100m 1:32.90 (47.10) [1:32.90] 150m 2:20.50 (47.60) 200m 3:05.10 (44.60) [1:32.20] |
| 2 | Rari Nantes Spezia | Vaccaro Tommaso, Saraniti Lana Tommaso, Ricciardi Manuel, Frediani Gabriele | 03'05''50 | | | | |
50m 42.50 (42.50) 100m 1:32.20 (49.70) [1:32.20] 150m 2:24.20 (52.00) 200m 3:05.50 (41.30) [1:33.30] |
| 3 | Genova Nuoto My Sport SSD | Suppa Stefano, Morini Luca Arthur, Ghio Tommaso, Roccuzzo Christian | 03'06''00 | | | | |
50m 47.20 (47.20) 100m 1:34.60 (47.40) [1:34.60] 150m 2:22.30 (47.70) 200m 3:06.00 (43.70) [1:31.40] |
| 4 | Sportiva Sturla ASD | Da Silva Benzoni Leonardo, Ferretti Alberto, Farinelli Paolo, Sgarbossa Ivo | 03'09''00 | | | | |
50m 46.50 (46.50) 100m 1:32.50 (46.00) [1:32.50] 150m 2:22.70 (50.20) 200m 3:09.00 (46.30) [1:36.50] |
| 5 | Rapallo Nuoto | Co' Lorenzo, Ballabene Ian, Martini Gabriele, Zacchero Brayan | 03'09''30 | | | | |
50m 46.00 (46.00) 100m 1:34.20 (48.20) [1:34.20] 150m 2:23.50 (49.30) 200m 3:09.30 (45.80) [1:35.10] |
| 6 | Andrea Doria | Piombo Leonardo, Bodrato Emanuele, Cristofaro Mattia Rocco, Porta Tommaso | 03'16''30 | | | | |
50m 46.60 (46.60) 100m 1:35.80 (49.20) [1:35.80] 150m 2:29.70 (53.90) 200m 3:16.30 (46.60) [1:40.50] |
| 7 | Genova Nuoto My Sport SSD | Ciampini Alessandro, Baldacci Alessandro Zsolt, Fazzari Edoardo, Pittaluga Christian | 03'20''20 | | | | |
50m 50.80 (50.80) 100m 1:41.80 (51.00) [1:41.80] 150m 2:30.90 (49.10) 200m 3:20.20 (49.30) [1:38.40] |
| 8 | Nuotatori Genovesi SSD | Bistarini Filippo, Lucido Pietro, Ochoa Paucar Samuel Luis, Savio Pietro | 03'22''20 | | | | |
50m 49.30 (49.30) 100m 1:39.70 (50.40) [1:39.70] 150m 2:27.80 (48.10) 200m 3:22.20 (54.40) [1:42.50] |
| 9 | Chiavari Nuoto SSD | Grasso Giulio, Osardi Nicola, Vaccheri Martino, Musta Dervish | 03'25''90 | | | | |
50m 56.10 (56.10) 100m 1:47.10 (51.00) [1:47.10] 150m 2:40.00 (52.90) 200m 3:25.90 (45.90) [1:38.80] |
| 10 | Rari Nantes Spezia | Amadi Giacomo, Capellini Francesco, Cirillo Riccardo, Dado Vito Samuele | 03'26''00 | | | | |
50m 50.90 (50.90) 100m 1:41.90 (51.00) [1:41.90] 150m 2:31.00 (49.10) 200m 3:26.00 (55.00) [1:44.10] |
| 11 | Andrea Doria | De Ferrari Alessandro, Borelli Davide, Alvarado Mora Erik Anthony, Becchi Carlo | 03'26''60 | | | | |
50m 46.90 (46.90) 100m 1:37.70 (50.80) [1:37.70] 150m 2:32.00 (54.30) 200m 3:26.60 (54.60) [1:48.90] |
| 12 | Rari Nantes Spezia | Torre Lorenzo, Trocchia Ettore, Osmani Elvi, Gianelli Davide | 03'26''90 | |
| 13 | Sportiva Sturla ASD | Morano Nicola, Piscioneri Giulio, Bosia Riccardo, Di Battista Tiziano | 03'31''00 | | | | |
50m 53.10 (53.10) 100m 1:49.30 (56.20) [1:49.30] 150m 2:39.60 (50.30) 200m 3:31.00 (51.40) [1:41.70] |
| 14 | Genova Nuoto My Sport SSD | Larosa Christian, D'Amora Giacomo, Giovanardi Giacomo Mario, Beretta Gabriele | 03'31''60 | | | | |
50m 50.50 (50.50) 100m 1:44.90 (54.40) [1:44.90] 150m 2:39.30 (54.40) 200m 3:31.60 (52.30) [1:46.70] |
| 15 | On Sport Sestri Levante | Bertolone Mikel, Cecconi Mattia, Filipelli Jacopo, Bonaglia Daniele | 03'36''00 | | | | |
50m 50.80 (50.80) 100m 1:47.50 (56.70) [1:47.50] 150m 2:41.10 (53.60) 200m 3:36.00 (54.90) [1:48.50] |
| 16 | Rari Nantes Spezia | Rivano Riccardo, Esposto Tommaso, Mantani Lorenzo, Vatteroni Luca | 03'38''00 | | | | |
50m 57.90 (57.90) 100m 1:51.00 (53.10) [1:51.00] 150m 2:43.40 (52.40) 200m 3:38.00 (54.60) [1:47.00] |
| 17 | Rapallo Nuoto | Montanari Enrico, Alita Tommaso, Devoto Giacomo, Bisaccia Mirco | 03'43''30 | | | | |
50m 50.90 (50.90) 100m 1:46.40 (55.50) [1:46.40] 150m 2:41.80 (55.40) 200m 3:43.30 (1:01.50) [1:56.90] |
| 18 | UISP Nuoto Valdimagra | Zani Emanuele, Giannini Iacopo, Ghiglione Tommaso, Musetti Cristian | 03'52''70 | | | | |
50m 56.30 (56.30) 100m 1:55.20 (58.90) [1:55.20] 150m 2:53.80 (58.60) 200m 3:52.70 (58.90) [1:57.50] |
