Within the town of Farmington, WV 218 runs easterly for a short 0.3 miles (0.48 km) along the south bank of the Buffalo Creek and concurrent with US 250 before heading north.

After crossing the creek, the route continues northerly along the Little Laurel Run[3] through town and beyond, for about 1.6 miles (2.6 km).

Once it reaches Fairview, the route is signed as Main Street, until it crosses Bennefield Prong and turns north again.

Continuing northerly, and signed as Jefferson Street (until it leaves Fairview), the route crossed back over Bennefield Prong and the runs along its east bank.

A few blocks after entering Blacksville, the route turns north one more time, ending its concurrency with WV 7.