Erro ao executar php artisan migrate

Quando executor php artisan migrate ,me retorna isso :

   Illuminate\Database\QueryException  : could not find driver (SQL: select * from information_schema.tables where table_schema = projeto_clinica and table_name = migrations and table_type = 'BASE TABLE')

  at C:\Users\Projeto Clinica\projeto-clinica\vendor\laravel\framework\src\Illuminate\Database\Connection.php:664
    660|         // If an exception occurs when attempting to run a query, we'll format the error
    661|         // message to include the bindings with SQL, which will make this exception a
    662|         // lot more helpful to the developer instead of just the database's errors.
    663|        catch (Exception $e) {
  > 664|             throw new QueryException(
    665|                 $query, $this->prepareBindings($bindings), $e
    666|             );
    667|         }
    668|

  Exception trace:

  1   Doctrine\DBAL\Driver\PDOException::("could not find driver")
      C:\Users\Projeto Clinica\projeto-clinica\vendor\doctrine\dbal\lib\Doctrine\DBAL\Driver\PDOConnection.php:31

  2   PDOException::("could not find driver")
      C:\Users\Projeto Clinica\projeto-clinica\vendor\doctrine\dbal\lib\Doctrine\DBAL\Driver\PDOConnection.php:27

  Please use the argument -v to see more details.

Meu arquivo ENV:

DB_CONNECTION=mysql
DB_HOST=localhost
DB_PORT=3306
DB_DATABASE=projeto_clinica
DB_USERNAME=root
DB_PASSWORD=

Meu arquivo dataBase:

'default' => env('DB_CONNECTION', 'mysql'),

    'connections' => [

        'sqlite' => [
            'driver' => 'sqlite',
            'url' => env('DATABASE_URL'),
            'database' => env('DB_DATABASE', database_path('database.sqlite')),
            'prefix' => '',
            'foreign_key_constraints' => env('DB_FOREIGN_KEYS', true),
        ],

        'mysql' => [
            'driver' => 'mysql',
            'url' => env('DATABASE_URL'),
            'host' => env('DB_HOST', 'localhost'),
            'port' => env('DB_PORT', '3306'),
            'database' => env('DB_DATABASE', 'projeto_clinica'),
            'username' => env('DB_USERNAME', 'root'),
            'password' => env('DB_PASSWORD', ''),
            'unix_socket' => env('DB_SOCKET', ''),
            'charset' => 'utf8mb4',
            'collation' => 'utf8mb4_unicode_ci',
            'prefix' => '',
            'prefix_indexes' => true,
            'strict' => true,
            'engine' => null,
            'options' => extension_loaded('pdo_mysql') ? array_filter([
                PDO::MYSQL_ATTR_SSL_CA => env('MYSQL_ATTR_SSL_CA'),
            ]) : [],
        ],

A extensão extension=pdo_mysql ,já esta descomentada no php.ini