Hi @Jake Gray,
Let's start with checking what Microsoft ACE OLEDB provider 64-bit edition is installed. Please issue the following commands in the SSMS:
EXEC master.sys.sp_enum_oledb_providers;
SELECT @@VERSION;
And share the outcome.
You should see MS ACE OLEDB Providers installed like below.
Please try the following in SSMS, obviously adjusting both (1) your MS Excel fully qualified file name, and (2) Excel sheet name:
SELECT *
FROM OPENROWSET('Microsoft.ACE.OLEDB.12.0',
'Excel 12.0 Xml; HDR=NO; IMEX=1;
Database=x:\<fully qualified path>\fafa.xlsx',
[Sheet1$]);