| | Shenandoah County | VA | 51171 | | | | | nonmetro county (rural) | manufacturing-dependent | https://maps.google.com/?q=ShenandoahCounty+VA |
| | Smyth County | VA | 51173 | | | | | nonmetro county (rural) | manufacturing-dependent | https://maps.google.com/?q=SmythCounty+VA |
| | Southampton County | VA | 51175 | | | | | nonmetro county (rural) | federal/state
government-dependent | https://maps.google.com/?q=SouthamptonCounty+VA |
| | Surry County | VA | 51181 | | Virginia
Beach-Chesapeake-Norfolk,
VA-NC 47260 | Virginia
Beach-Chesapeake, VA-NC 545 | Outlying | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=SurryCounty+VA |
| | Sussex County | VA | 51183 | | Richmond, VA 40060 | | Outlying | metro county (urban) | federal/state
government-dependent | https://maps.google.com/?q=SussexCounty+VA |
| | Tazewell County | VA | 51185 | | Bluefield, WV-VA 14140 | | Central | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=TazewellCounty+VA |
| | Washington County | VA | 51191 | | Kingsport-Bristol, TN-VA 28700 | Johnson
City-Kingsport-Bristol,
TN-VA 304 | Outlying | metro county (urban) | nonspecialized | https://maps.google.com/?q=WashingtonCounty+VA |
| | Westmoreland County | VA | 51193 | | | | | nonmetro county (rural) | recreation | https://maps.google.com/?q=WestmorelandCounty+VA |
| | Wise County | VA | 51195 | | | | | nonmetro county (rural) | mining-dependent | https://maps.google.com/?q=WiseCounty+Virginia |
| | Wythe County | VA | 51197 | | | | | nonmetro county (rural) | manufacturing-dependent | https://maps.google.com/?q=WytheCounty+VA |