SR 61 passes through several narrow creek valleys as it parallels the West Virginia state line through Tazewell, Bland, and Giles counties.

There, SR 61 turns south, meets a Norfolk Southern Railway rail line at grade, and crosses the North Folk Clinch River.

The two highways make a sharp turn north, then split in the center of the village where Clear Fork enters Wolf Creek.

[2][4] SR 61 passes through the tiny communities of Day, Phlegar, First Ford, Boxley, Chapel, Penvir, and Shumate on their way to Narrows.

The state highway enters the town as Park Drive, crosses Wolf Creek, and continues as Monroe Street.