| 3. | 1. | 5. | 5. | Concord (C) | Concord | Concord | Charleston (W.V.) | B | A | A | B | Jamaicia James, Eve Hine, Katie Preece, Tanajah Grant | Emilee Henry, Jada Strachan, Kiersten Shrader, Lindsey Cummings | Jamaicia James, Eve Hine, Katie Preece, Tanajah Grant | Helen Gutierrez, Thalia Villa, Kristi Walsh, Nykia Free | 4:43.81 | 49:04:12.0525 | 49:04:12.0525 | 4:39.47 | 10394 | 31009 | 8880 | 39230 |
| 7. | 2. | 4. | 1. | Charleston (W.V.) (B) | Charleston (W.V.) | Concord (C) | Charleston (W.V.) (B) | B | A | A | A | Helen Gutierrez, Thalia Villa, Kristi Walsh, Nykia Free | Jamaicia James, Eve Hine, Katie Preece, Tanajah Grant | Jamaicia James, Eve Hine, Katie Preece, Tanajah Grant | Alice Wardy, Quinland Musgrove, Morgan Holmes, Maggie Olshove | 37:04:32.738 | 4:18.52 | 4:18.52 | 4:39.47 | 31009 | 8880 | 31009 | 6 |
| 4. | 3. | 2. | 5. | Charleston (W.V.) (B) | Mary Baldwin University | Concord | Concord (C) | C | A | A | B | Alice Wardy, Quinland Musgrove, Morgan Holmes, Maggie Olshove | Alice Wardy, Quinland Musgrove, Morgan Holmes, Maggie Olshove | Cami Wagner, Kasey McNamara, Denise Ruiz, Desiree Evans | | 37:04:32.738 | 37:04:32.738 | 4:18.52 | 4:18.52 | 8880 | 6 | 39230 | 8880 |
| 4. | 4. | 3. | 3. | Concord (C) | West Liberty | Charleston (W.V.) (B) | Mary Baldwin University (B) | A | A | A | A | Mckenzie Jack, Ryan Wilson, Peri Gray, Makayla Rollince | Mckenzie Jack, Ryan Wilson, Peri Gray, Makayla Rollince | Helen Gutierrez, Thalia Villa, Kristi Walsh, Nykia Free | Jamaicia James, Eve Hine, Katie Preece, Tanajah Grant | 29:04:38.679 | 29:04:38.679 | 49:04:12.0525 | 37:04:32.738 | 965 | 965 | 965 | 31009 |
| 2. | 5. | 1. | 5. | Mary Baldwin University | Charleston (W.V.) (B) | Charleston (W.V.) (B) | Concord | C | B | A | B | | Cami Wagner, Kasey McNamara, Denise Ruiz, Desiree Evans | | Emilee Henry, Jada Strachan, Kiersten Shrader, Lindsey Cummings | 12:05:10.487 | 4:39.47 | 4:18.52 | 29:04:38.679 | 31009 | 415 | 6 | 8880 |
| 3. | 6. | 4. | 4. | Concord | Concord (C) | Concord | Mary Baldwin University (B) | B | C | A | A | Helen Gutierrez, Thalia Villa, Kristi Walsh, Nykia Free | | | Alice Wardy, Quinland Musgrove, Morgan Holmes, Maggie Olshove | 49:04:12.0525 | 4:43.81 | 37:04:32.738 | 37:04:32.738 | 965 | 10394 | 31009 | 6 |
| 4. | 7. | 4. | 5. | Concord | Mary Baldwin University (B) | Concord | Mary Baldwin University | A | B | C | B | Mckenzie Jack, Ryan Wilson, Peri Gray, Makayla Rollince | Helen Gutierrez, Thalia Villa, Kristi Walsh, Nykia Free | Alice Wardy, Quinland Musgrove, Morgan Holmes, Maggie Olshove | Jamaicia James, Eve Hine, Katie Preece, Tanajah Grant | 4:43.81 | 12:05:10.487 | 29:04:38.679 | 49:04:12.0525 | 6 | 39230 | 31009 | 8880 |
