Have you contacted members of the MSPA or chapter officers at the schools on your list? How about AMMSA? It's arguable if MENA is underrepresented in healthcare; I think they are a bit more common than you imagine in leadership, especially compared to the Asian cohort, but there aren't great statistics on this.
Virginia resident: if you grew up in Virginia, obviously all the Virginia schools should be in play as you want. Your non-clinical community service is a bit low, especially with service orientation activities. Fundraising is a different matter and is a proxy for leadership in many cases. You do need to bump up your hours to at least 150 to ensure you won't be screened out, 250 if you intend to play ball with the brand school applicants. More clinical hours will help keep you in an applicant pool as well, though you should be above any minimum threshold for a typical program.
If you can't afford COL, don't include any of those schools... I mean, you should love it if you list it. However, rest assured, it's early to exclude them if you have a strong mission alignment; let financial aid discussions take care of this concern before you strike those schools off pre-emptively. If you just don't want to live in those big cities (which is fair to know yourself that way), then don't include them on your list. That should put your list under 30.
Also if you can't afford Boston or NYC, why do you embrace COL at Stanford or Cornell?