Unfortunately, around here it is 35mm color, 35mm 400 bwcn, or nothing. Local processing for 35mm c-41 is available. No real B&W, no medium format. We have to drive 80 miles to get to a real camera store, or order online.
The good news is, that the last time I made the trek to the real photography store, choices were limited. Which is not as bad as it sounds. One of the local schools had just been in and bought a bunch of their stuff. Which means more people are coming into film photography, which is a very good thing.