The highway services several communities and provincial recreation sites and is entirely within the Northern Saskatchewan Administration District.

It reached Buffalo Narrows in 1957 where a ferry was needed to cross the Kisis Channel.

The road closely followed the path of the old wagon trail established by the Hudson's Bay Company.

The old trail to La Loche was rebuilt soon after to become part of Highway 155.

A bridge built in 1981 now crosses the Kisis Channel next to where the ferry was once located.