Frederick County, Virginia is located in the Lord Fairfax Health District. It has 413.1 square miles of land area and is the 43rd largest county in Virginia by total area. It is bordered by Hampshire, Berkeley, Jefferson, Hardy, and Morgan Counties in West Virginia, and Shenandoah, Winchester, Clarke, and Warren Counties in Virginia. There are 19 census tracts in the county. The county FIPS number is 51069.

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